Booker Hospital District Dba: Twin Oaks Manor is certified as a Medicaid facility and has been approved to provide these services since 1988-04-15. 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 (806) 658-9786 or your local Medicaid office to verify current eligibility.

Booker Hospital District Dba: Twin Oaks Manor holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (1★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 46.8/100, placing it #14297 of 14703 facilities nationally and #1145 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 Booker Hospital District Dba: Twin Oaks Manor receives a reported average of 1 hour 36 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 8 minutes; Licensed Practical Nurse (LPN) — 10 minutes; Nurse Aide — 1 hour 17 minutes. On weekends, total nurse staffing is 1 hour 54 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 74.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 4 fine(s) over the 5-year period, totaling $18,876. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 28.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Booker Hospital District Dba: Twin Oaks Manor ranks 14297th out of 14,703 facilities (composite score: 46.8/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1145th out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #14,143 nationally and RN hours rank #14,064 nationally (#1098 in TX). Our composite quality score of 46.8/100 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 Booker, visit: https://nursinghomesnearme.org/texas/booker/