Nursing homes › Texas › Twin Oaks Health and Rehabilitation Center
1123 N Bolton St, Jacksonville, TX 75766 · 9035869031 · 116 certified beds
Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 states. Group record: average rating 2.2/5, 19 abuse citation icons, 7 facilities on the Special Focus list, $8,699,455 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 2.97 (Texas median: 3.27). RN hours: 0.39. Weekend total: 2.43. Nursing staff turnover: 98%.
All-time on record: 34 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-31 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | 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. | E | Health | corrected 2026-01-05 |
| 2025-12-31 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-01-05 |
| 2025-12-31 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2026-01-05 |
| 2025-12-31 | Post nurse staffing information every day. | C | Health | 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. | D | complaint | 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. | F | complaint | corrected 2024-09-26 |
| 2024-09-25 | Have policies on smoking. | F | Health | corrected 2024-09-26 |
| 2024-09-25 | Reasonably accommodate the needs and preferences of each resident. | E | Health | 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. | E | Health | corrected 2024-09-26 |
| 2024-09-25 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-09-26 |
| 2024-09-25 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | 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. | E | Health | 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. | D | complaint | corrected 2024-09-26 |
| 2024-09-25 | Ensure that residents are free from significant medication errors. | D | Health | 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. | D | Health | corrected 2024-09-26 |
| 2024-09-25 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2024-09-26 |
| 2024-09-25 | Put firmly secured handrails on each side of hallways. | D | Health | corrected 2024-09-26 |
| 2024-09-25 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | complaint | 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. | J | complaint | corrected 2024-01-19 |
| 2024-01-18 | Provide safe, appropriate pain management for a resident who requires such services. | J | complaint | corrected 2024-01-19 |
| 2024-01-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | E | complaint | corrected 2023-09-14 |
| 2023-10-29 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | complaint | corrected 2023-09-14 |
| 2023-07-26 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | complaint | 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. | E | Health | 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. | E | Health | 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. | E | Health | corrected 2023-08-18 |
| 2023-07-26 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2023-08-18 |
| 2023-07-26 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-08-18 |
| 2023-07-26 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Health | 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. | D | complaint | corrected 2023-08-18 |
| 2023-07-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | 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. | D | Health | corrected 2023-08-18 |
| Date | Type | Amount |
|---|---|---|
| 2024-01-18 | Fine | $174,431 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO.1 | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2022 |
| FREGIA, MILTON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/07/2022 |
| GARDNER, SHANNON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/22/2022 |
| GARDZINA, MARGARET | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/26/2024 |
| HENRY, PAUL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/09/2009 |
| STRATTON, CHARLES | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2005 |
| HUGGINS, LINDA | Corporate Director | Individual | NOT APPLICABLE | since 04/01/2022 |
| WILLIG, ZACHARY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| STRATTON, CHARLES | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2005 |
| JACKSONVILLE III ENTERPRISES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2022 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2022 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675183. Corrections: data@carerecords.org.