TWIN OAKS HEALTH AND REHABILITATION CENTER – JACKSONVILLE, TX

CMS Verified | 2026-03-01

Twin Oaks Health And Rehabilitation Center

1123 N BOLTON ST, Jacksonville, TX 75766
(903) 586-9031
116 beds
All Jacksonville facilities
3.0*
Overall
3.0*
Health Inspection
3.0*
Quality Care
2.0*
Staffing
59.16
Score /100
#12292
National Rank

#12292
of 14703 facilities
National
16.4% position
#984
of 1177 in TX
State Rank
#6
of 6 in Cherokee
County Rank
#3
of 3 in Jacksonville
City Rank
#3
of 3 in ZIP 75766
ZIP Rank






About Twin Oaks Health And Rehabilitation CenterTwin Oaks Health And Rehabilitation Center is located at 1123 N Bolton St, Jacksonville, TX, reachable at (903) 586-9031. This For profit – Corporation facility operates 116.0 certified beds and serves an average of 64 residents per day. It is part of the Creative Solutions In Healthcare network (149 facilities nationwide). Medicare and Medicaid services have been provided since 1999-01-07. The facility currently holds a average (3-star) overall CMS rating.
Facility

Twin Oaks Health And Rehabilitation Center

Address

1123 N Bolton St, Jacksonville, TX 75766

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 116 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: CREATIVE SOLUTIONS IN HEALTHCARE

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
⚠️ 2 fine(s) over 5 years
5-Year Trend
Declining over 5 years
59.16
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12292 of 14703 nationally – #984 of 1177 in Texas

Who Is This Facility Best For?

Twin Oaks Health And Rehabilitation Center offers a mid-range care option in Jacksonville, TX. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

3 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightTwin Oaks Health And Rehabilitation Center currently provides 3 hours 3 minutes of total nurse staffing per resident per day, including 25 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 65.4%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 3 minutes
Nurse Aide Hours1 hour 51 minutes
Licensed Practical Nurse (LPN) Hours48 minutes
Registered Nurse (RN) Hours25 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 37 minutes
Weekend Registered Nurse (RN) Hours21 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $174,431. 24 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $174431.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 84.25 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,292
of 14,703
National
Bottom 16%
#984
TX State
Bottom 16% in TX
#6
of 6
️ Cherokee County
#6 of 6
#3
of 3
️ Jacksonville
#3 of 3
#3
of 3
ZIP 75766
#3 of 3

Nationally, Twin Oaks Health And Rehabilitation Center ranks 12292nd out of 14,703 facilities (composite score: 59.2/100), placing it in the bottom 25% nationwide. Within TX, it ranks 984th out of 1,177 nursing homes. In Jacksonville, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #12,881 nationally and RN hours rank #10,664 nationally (#466 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.19 #10,420 / 14,703 #620 / 1,177 Below average
2023 3.18 #10,603 / 14,703 #622 / 1,177 Below average
2024 3.17 #11,294 / 14,703 #589 / 1,177 ⚠️ Bottom 25%
2025 2.94 #13,196 / 14,703 #912 / 1,177 ⚠️ Bottom 25%
2026 3.06 #12,881 / 14,703 #841 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.20 #13,540 / 14,703 #957 / 1,177 ⚠️ Bottom 10%
2023 0.11 #14,058 / 14,703 #1,097 / 1,177 ⚠️ Bottom 5%
2024 0.17 #13,868 / 14,703 #1,019 / 1,177 ⚠️ Bottom 10%
2025 0.47 #9,116 / 14,703 #298 / 1,177 Below average
2026 0.41 #10,664 / 14,703 #466 / 1,177 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Twin Oaks Health And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1999-01-07. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (903) 586-9031 or your local Medicaid office to verify current eligibility.

Twin Oaks Health And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (2★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 59.2/100, placing it #12292 of 14703 facilities nationally and #984 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Twin Oaks Health And Rehabilitation Center receives a reported average of 3 hours 3 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 25 minutes; Licensed Practical Nurse (LPN) — 48 minutes; Nurse Aide — 1 hour 51 minutes. On weekends, total nurse staffing is 2 hours 37 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 65.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $174,431. 24 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $174,431, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 84.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Twin Oaks Health And Rehabilitation Center ranks 12292nd out of 14,703 facilities (composite score: 59.2/100), placing it in the bottom 25% nationwide. Within TX, it ranks 984th out of 1,177 nursing homes. In Jacksonville, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #12,881 nationally and RN hours rank #10,664 nationally (#466 in TX). Our composite quality score of 59.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Jacksonville, visit: https://nursinghomesnearme.org/texas/jacksonville/

Contact and Location

ADR
Address

1123 N BOLTON ST, Jacksonville, TX 75766
Get directions on Google Maps

TEL
LLC
Legal Name

LIBERTY COUNTY HOSPITAL DISTRICT NO. 1

MAP
Browse by Location

All Texas ·
Cherokee County ·
Jacksonville ·
ZIP 75766

Facility Details

Number of Certified Beds 116
Average Residents / Day 64 (56% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Cherokee County, TX
City Jacksonville, TX
ZIP Code 75766
Approved Since January 7, 1999
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675183
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

Leave a Comment