Twin Oaks Health & Rehabilitation Center
Nursing Home · Jacksonville, TX
CMS certification number675183
Contact & location
1123 North Bolton StreetJacksonville, TX 75766
Cherokee County
- Phone
- (903) 586-9031
- ZIP code
- 75766 – all care providers
Facility details
- Certified beds
- 116
- Residents per day
- 61.0 (53% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Liberty County Hospital District No 1
- Chain
- Creative Solutions in Healthcare (149 facilities, avg 2.1★)
- Medicare certified since
- January 7, 1999
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.97 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.39 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.75 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.83 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.43 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 98.0 (state 55.3 · U.S. 45.8)%
- RN turnover
- 100.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 3 in the last year
Inspections
- Last standard inspection
- December 31, 2025
- Health deficiencies (last cycle)
- 5.0 (state 9.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 34 health · 15 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-31 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-05 |
| 2025-12-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-05 |
| 2025-12-31 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-05 |
| 2025-12-31 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-05 |
| 2025-12-31 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2026-01-05 |
| 2025-04-15 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-04 |
| 2024-09-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Have policies on smoking. F0926 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Put firmly secured handrails on each side of hallways. F0924 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-09-25 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-26 |
| 2024-01-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-01-19 |
| 2024-01-18 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-01-19 |
| 2024-01-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-19 |
| 2023-10-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-14 |
| 2023-10-29 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-14 |
| 2023-07-26 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-26 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-26 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-26 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-26 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $174,431 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-01-18 | Fine | $174,431 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Liberty County Hospital District No 1 (organization) | 5%+ Direct Ownership Interest · 100% | |
| Blake, Gary (individual) | Administrator · NOT APPLICABLE | |
| Hekimian, Khoren (individual) | Administrator · NOT APPLICABLE | |
| Jacksonville III Enterprises LLC (organization) | Administrator · NOT APPLICABLE | |
| Williamson, Rose (individual) | Administrator · NOT APPLICABLE | |
| Huggins, Linda (individual) | Corporate Director · NOT APPLICABLE | |
| Willig, Zachary (individual) | Corporate Director · NOT APPLICABLE | |
| Stratton, Charles (individual) | Corporate Officer · NOT APPLICABLE | |
| Fregia, Milton (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gardner, Shannon (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gardzina, Margaret (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Henry, Paul (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Stratton, Charles (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Blake, Gary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Blake, Malisa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Jacksonville III Enterprises LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Twin Oaks Health & Rehabilitation Center?
Twin Oaks Health & Rehabilitation Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Twin Oaks Health & Rehabilitation Center have?
It has 116 certified beds and cares for about 61 residents per day.
Has Twin Oaks Health & Rehabilitation Center been fined?
Yes. CMS lists 1 penalty totaling $174,431 in the last three years.
Who owns Twin Oaks Health & Rehabilitation Center?
It is part of Creative Solutions in Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Twin Oaks Health & Rehabilitation Center?
(903) 586-9031. The facility is located at 1123 North Bolton Street, Jacksonville, TX 75766.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.