Twin Oaks Health & Rehabilitation Center

1123 North Bolton Street, Jacksonville, TX 75766

Phone: 9035869031

CMS ratings and facility information

Twin Oaks Health & Rehabilitation Center is a Medicare-certified nursing facility in Jacksonville, Cherokee County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating2 of 5 stars
Health inspection rating3 of 5
Staffing rating1 of 5
Quality measures rating3 of 5
Certified beds116
OwnershipFor profit - Corporation
CMS certification number675183

Staffing

Total nurse hours per resident day2.97
RN hours per resident day0.39
Nurse aide hours per resident day1.83
Total nursing staff turnover percent98
RN turnover percent100

Resident outcome measures

MeasureValueUnitPeriod
HospitalizationsNot availableevents_per_1000_resident_days20250101-20251231
Emergency-department visitsNot availableevents_per_1000_resident_days20250101-20251231
Falls with major injury2.49percent2025Q2-2026Q1
Pressure ulcers6.5percent2025Q2-2026Q1
Urinary tract infections0percent2025Q2-2026Q1
Antipsychotic medication use25.58percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-12-310804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-12-310812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-12-310641Ensure each resident receives an accurate assessment.D
2025-12-310645PASARR screening for Mental disorders or Intellectual DisabilitiesD
2025-12-310732Post nurse staffing information every day.C
2024-09-250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-09-250926Have policies on smoking.F
2024-09-250558Reasonably accommodate the needs and preferences of each resident.E
2024-09-250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2024-09-250880Provide and implement an infection prevention and control program.E
2024-09-250883Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2024-09-250887Educate 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
2024-09-250550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-09-250760Ensure that residents are free from significant medication errors.D
2024-09-250761Ensure 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
2024-09-250919Make sure that a working call system is available in each resident's bathroom and bathing area.D
2024-09-250924Put firmly secured handrails on each side of hallways.D
2024-09-250925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2023-07-260607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E
2023-07-260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2023-07-260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2023-07-260761Ensure 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
2023-07-260804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2023-07-260880Provide and implement an infection prevention and control program.E
2023-07-260925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2023-07-260585Honor 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
2023-07-260677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-07-260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D

Penalties

DateTypeAmount
2024-01-18Fine4,431

Ownership records

NameTypeRole
LIBERTY COUNTY HOSPITAL DISTRICT NO 1Organization5% OR GREATER DIRECT OWNERSHIP INTEREST
FREGIA, MILTONIndividualMANAGING CONTROL - GOVERNING BODY
GARDNER, SHANNONIndividualMANAGING CONTROL - GOVERNING BODY
GARDZINA, MARGARETIndividualMANAGING CONTROL - GOVERNING BODY
HENRY, PAULIndividualMANAGING CONTROL - GOVERNING BODY
STRATTON, CHARLESIndividualMANAGING CONTROL - GOVERNING BODY
HUGGINS, LINDAIndividualCORPORATE DIRECTOR
WILLIG, ZACHARYIndividualCORPORATE DIRECTOR
STRATTON, CHARLESIndividualCORPORATE OFFICER
JACKSONVILLE III ENTERPRISES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
BLAKE, GARYIndividualOPERATIONAL/MANAGERIAL CONTROL
BLAKE, MALISAIndividualOPERATIONAL/MANAGERIAL CONTROL
JACKSONVILLE III ENTERPRISES LLCOrganizationADP OF THE SNF
BLAKE, GARYIndividualADP OF THE SNF
HEKIMIAN, KHORENIndividualADP OF THE SNF
WILLIAMSON, ROSEIndividualADP OF THE SNF

Compare nursing homes in Cherokee County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.