Nursing homes › Texas › Booker Hospital District Dba: Twin Oaks Manor
112 Pioneer Dr, Booker, TX 79005 · 8066589786 · 40 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Government - Hospital district.
Total nurse staffing: 5.80 (Texas median: 3.27). RN hours: 1.09. Weekend total: 5.06. Nursing staff turnover: 74%.
All-time on record: 12 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-04-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-06-14 |
| 2025-04-30 | 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. | D | Health | corrected 2025-06-14 |
| 2025-04-30 | 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. | D | Health | corrected 2025-06-14 |
| 2025-04-30 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-14 |
| 2024-03-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-04-27 |
| 2024-03-14 | 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. | E | Health | corrected 2024-04-27 |
| 2024-03-14 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-04-27 |
| 2024-03-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-04-27 |
| 2024-03-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-04-27 |
| 2024-03-14 | 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. | D | Health | corrected 2024-04-27 |
| 2024-03-14 | 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. | D | Health | corrected 2024-04-27 |
| 2023-12-11 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2023-12-16 |
No federal fines or payment denials on record.
No detailed ownership records on file.
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 45F197. Corrections: data@carerecords.org.