Twin Oaks Health & Rehabilitation Center: Staffing, Turnover, and Inspection Record
Twin Oaks Health & Rehabilitation Center is a 116-bed for-profit nursing home in Jacksonville, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.83 nurse aide hours per resident per day, 9% below the Texas average of 2.00, and 98.0% nursing staff turnover (Texas average 55.3%).
Twin Oaks Health & Rehabilitation Center
1123 North Bolton StreetJacksonville, TX 75766
Cherokee County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Twin Oaks Health & Rehabilitation Center, nurse aides logged 1.83 hours per resident per day, 9% below the Texas average. With about 61 residents a day, that works out to roughly 112 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.83 | 2.00 | 2.32 |
| Licensed practical nurses | 0.75 | 0.95 | 0.86 |
| Registered nurses | 0.39 | 0.43 | 0.69 |
| All nursing staff | 2.97 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.43 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
98.0% of nursing staff at Twin Oaks Health & Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 100.0%. 3 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 31, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $174,431 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 18, 2024 | Fine | $174,431 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Twin Oaks Health & Rehabilitation Center holds 2 of 5 overall; the Texas average is 2.6.
About Twin Oaks Health & Rehabilitation Center
- Ownership: For profit - Corporation
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Liberty County Hospital District No 1
- Medicare and Medicaid certified since: Jan 7, 1999
- Councils: resident council
- Area: rural
Nursing homes near Twin Oaks Health & Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Jacksonville Jacksonville | 2.1 | 53 | 2.02 | 3.40 | 23.3% | 5 | None |
| Legacy at Jacksonville Jacksonville | 3.1 | 101 | 1.76 | 3.17 | — | 3 | $27,345 |
| Bluebonnet Point Wellness Bullard | 13.2 | 119 | 1.60 | 2.80 | 97.8% | 1 | $181,947 |
| Cherokee Trails Nursing Home Rusk | 14.2 | 140 | 1.86 | 3.22 | 65.3% | 2 | $30,933 |
| The Arbors Healthcare and Rehabilitation Center Rusk | 15.1 | 110 | 1.69 | 3.11 | — | 2 | None |
| Oak Brook Health Care Center Whitehouse | 16.7 | 120 | 1.81 | 3.05 | 66.4% | 3 | None |
| The Center at Grande Tyler | 20.8 | 96 | 2.21 | 4.19 | 54.2% | 5 | None |
| Meadow Lake Health Center Tyler | 20.8 | 20 | 2.62 | 4.01 | 56.3% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.