Skilled Nursing

BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR

112 PIONEER DR, BOOKER, TX 79005

40beds
Skilled Nursingcare types
3/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

5.2h

Hrs/resident · weekday

Expected: 7.3h

6.8h

Hrs/resident · weekend

vs 5.2h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
86%
LPNs
CNAs
72%

Health Inspection Deficiencies · Last 3 Years

12 standard deficiencies in the last 3 years

View all
0880Severity DApr 30, 2025

Provide and implement an infection prevention and control program.

0812Severity EApr 30, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0801Severity DApr 30, 2025

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.

0761Severity DApr 30, 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.

0812Severity FMar 14, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity DMar 14, 2024

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.

0758Severity DMar 14, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0700Severity EMar 14, 2024

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0689Severity DMar 14, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0656Severity DMar 14, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0641Severity DMar 14, 2024

Ensure each resident receives an accurate assessment.

0880Severity EDec 11, 2023

Provide and implement an infection prevention and control program.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

Legal Business Name Not Available· Government - Hospital district

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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