About Twin Pines Nursing and Rehabilitation
Twin Pines Nursing And Rehabilitation, located in Victoria, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Twin Pines Nursing and Rehabilitation
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.02 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the CREATIVE SOLUTIONS IN HEALTHCARE network. This chain operates 149 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Twin Pines Nursing and Rehabilitation provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 2 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 189 | Feb 20, 2026 |
| Weighted Average | 199 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 27.5% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 8.0% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.4% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.9% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 28.6% |
| Percentage of long-stay residents who lose too much weight (QM404) | 6.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.1% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.6% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 4.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 100.0% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 4.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 29.3% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 11.1% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 100.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 7.1% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 17.3% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 6.0% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 12 complaints
- 2024: 16 complaints
- 2025: 16 complaints
- 2026: 2 complaints
- Total: 46 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Feb 07, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Feb 07, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Nov 27, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Nov 27, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| Jul 14, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Jul 14, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 17, 2025 | Ensure each resident receives an accurate assessment. |
| Feb 18, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jan 05, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Jan 05, 2025 | Keep residents' personal and medical records private and confidential. |
| Jan 05, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Jan 05, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Jan 05, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jan 05, 2025 | Provide safe and appropriate respiratory care for a resident when needed. |
| Jan 05, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. |
| Jan 05, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Jan 05, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| Jan 05, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| Sep 05, 2024 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Jun 22, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 13, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. |
| May 13, 2024 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| May 13, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| May 13, 2024 | Provide and implement an infection prevention and control program. |
| May 13, 2024 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. |
| May 13, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. |
| May 13, 2024 | Ensure medication error rates are not 5 percent or greater. |
| May 13, 2024 | Post nurse staffing information every day. |
| May 13, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| May 13, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| May 13, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| May 13, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| May 13, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| May 13, 2024 | Provide safe, appropriate pain management for a resident who requires such services. |
| Oct 15, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Sep 30, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Sep 30, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Sep 30, 2023 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. |
| Sep 30, 2023 | Reasonably accommodate the needs and preferences of each resident. |
| Sep 16, 2023 | Provide and implement an infection prevention and control program. |
| Sep 16, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Sep 16, 2023 | Ensure each resident receives an accurate assessment. |
| Aug 24, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Aug 24, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Aug 24, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Jul 21, 2023 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
Nearby Hospitals
DE TAR HOSPITAL NAVARRO
VICTORIA, TX
CITIZENS MEDICAL CENTER
VICTORIA, TX
CUERO REGIONAL HOSPITAL
CUERO, TX
MEMORIAL MEDICAL CENTER
PORT LAVACA, TX
JACKSON HEALTHCARE CENTER
EDNA, TX
Owner & Operator Information
Business Entity
WEST WHARTON COUNTY HOSPITAL DISTRICT
Ownership Structure
- WEST WHARTON COUNTY HOSPITAL DISTRICT Direct: 100%
Management & Direction
- GARY BLAKE OPERATIONAL/MANAGERIAL CONTROL
- MALISA BLAKE OPERATIONAL/MANAGERIAL CONTROL
- LINDA HUGGINS CORPORATE DIRECTOR
- DAVID MAK CORPORATE OFFICER
- VICTORIA I ENTERPRISES LLC OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Riverside Oaks | N/A | 5 |
| The Courtyard Rehabilitation and Healthcare Center | N/A | 4 |
| Southbrooke Manor Nursing and Rehabilitation Cente | N/A | 3 |
| Port Lavaca Nursing and Rehabilitation Center | N/A | 3 |
| La Bahia Nursing and Rehabilitation | N/A | 4 |
| Cuero Nursing and Rehabilitation Center | N/A | 3 |
| Twin Pines North Nursing and Rehabilitation Center | N/A | 2 |
| Lavaca Bay Nursing and Rehabilitation Center | N/A | 1 |
| Whispering Oaks Rehab and Nursing | N/A | 3 |
| Twin Pines Nursing and Rehabilitation | N/A | 1 |
Related Analysis
Best Nursing Homes in Victoria, TX
Compare Twin Pines Nursing and Rehabilitation to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Twin Pines Nursing and Rehabilitation directly at 3615733201. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.