About Twin Pines North Nursing and Rehabilitation Center
Twin Pines North Nursing And Rehabilitation Center, located in Victoria, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Twin Pines North Nursing and Rehabilitation Center
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 3.03 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 North Nursing and Rehabilitation Center 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 | 2 |
|
| Health Inspection | 3 |
|
| Quality Measures | 2 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 48 | Apr 09, 2025 |
| Weighted Average | 54 | 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) | 24.2% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 18.4% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.2% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 3.1% |
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) | 17.3% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.9% |
| 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) | 3.1% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 5.1% |
| 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) | 7.7% |
| 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) | 99.8% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.9% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 26.8% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 7.9% |
| 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) | 99.1% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 4.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 20.0% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 1.4% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 1 complaint
- 2024: 13 complaints
- 2025: 8 complaints
- 2026: 2 complaints
- Total: 24 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jan 09, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jan 09, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Dec 05, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Sep 20, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Apr 10, 2025 | Provide and implement an infection prevention and control program. |
| Apr 10, 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. |
| Apr 10, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Apr 10, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Apr 10, 2025 | Provide safe and appropriate respiratory care for a resident when needed. |
| Apr 10, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Aug 21, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| May 15, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| May 15, 2024 | Provide and implement an infection prevention and control program. |
| May 15, 2024 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. |
| Feb 24, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Feb 24, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. |
| Feb 24, 2024 | Ensure each resident receives an accurate assessment. |
| Feb 24, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Feb 24, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. |
| Jan 20, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Jan 20, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Jan 20, 2024 | Provide training in compliance and ethics. |
| Jan 20, 2024 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. |
| Nov 14, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
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
Management & Direction
- BYRON BURRIS OPERATIONAL/MANAGERIAL CONTROL
- DAVID MAK CORPORATE OFFICER
- AMY STASNY W-2 MANAGING EMPLOYEE
- TWIN PINES NORTH NURSING AND REHABILITATION CENTER 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 North Nursing and Rehabilitation Center 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 North Nursing and Rehabilitation Center directly at 3615769454. 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.