Nursing homes › Texas › Twin Pines North Nursing and Rehabilitation Center
1301 Mallette Drive, Victoria, TX 77904 · 3615769454 · 90 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: 3.20 (Texas median: 3.27). RN hours: 0.35. Weekend total: 2.83. Nursing staff turnover: 96%.
All-time on record: 26 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2026-01-09 |
| 2025-12-18 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2026-01-09 |
| 2025-12-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-12-05 |
| 2025-09-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-09-20 |
| 2025-04-09 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2025-04-10 |
| 2025-04-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-04-10 |
| 2025-04-09 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-04-10 |
| 2025-04-09 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-04-10 |
| 2025-04-09 | 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 | complaint | corrected 2025-04-10 |
| 2025-04-09 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-04-10 |
| 2024-08-20 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-08-21 |
| 2024-05-14 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2024-05-15 |
| 2024-05-14 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-05-15 |
| 2024-05-14 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | complaint | corrected 2024-05-15 |
| 2024-02-23 | 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. | E | complaint | corrected 2024-02-24 |
| 2024-02-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-02-24 |
| 2024-02-23 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-02-24 |
| 2024-02-23 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-02-24 |
| 2024-02-23 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | complaint | corrected 2024-02-24 |
| 2024-01-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-01-20 |
| 2024-01-19 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2024-01-20 |
| 2024-01-19 | Provide training in compliance and ethics. | D | complaint | corrected 2024-01-20 |
| 2024-01-19 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | complaint | corrected 2024-01-20 |
| 2023-11-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-11-14 |
| 2023-01-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-01-07 |
| 2023-01-06 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-01-07 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MAK, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2022 |
| TWIN PINES NORTH NURSING AND REHABILITATION CENTER LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2022 |
| BURRIS, BYRON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676372. Corrections: data@carerecords.org.