Twin Oaks Manor
112 Pioneer Dr, Booker, TX 79005
Phone: 8066589786
CMS ratings and facility information
Twin Oaks Manor is a Medicare-certified nursing facility in Booker, Lipscomb 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 rating | 3 of 5 stars |
|---|---|
| Health inspection rating | 4 of 5 |
| Staffing rating | 4 of 5 |
| Quality measures rating | 1 of 5 |
| Certified beds | 40 |
| Ownership | Government - Hospital district |
| CMS certification number | 45F197 |
Staffing
| Total nurse hours per resident day | 5.8 |
|---|---|
| RN hours per resident day | 1.09 |
| Nurse aide hours per resident day | 4.23 |
| Total nursing staff turnover percent | 74.1 |
| RN turnover percent | 85.7 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 1.78 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 1.68 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 4.43 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 0.69 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 6.37 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 24 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-06-11 | 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2026-06-11 | 0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E |
| 2026-06-11 | 0801 | 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 |
| 2026-06-11 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-06-11 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2026-06-11 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2025-04-30 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-04-30 | 0761 | 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 |
| 2025-04-30 | 0801 | 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 |
| 2025-04-30 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2024-03-14 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-03-14 | 0700 | 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 |
| 2024-03-14 | 0641 | Ensure each resident receives an accurate assessment. | D |
| 2024-03-14 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-03-14 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-03-14 | 0758 | 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 |
| 2024-03-14 | 0761 | 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 |
Penalties
No penalties were listed in this CMS data snapshot.
Ownership records
| Name | Type | Role |
|---|---|---|
| Ownership Data Not Available |
Compare nursing homes in Lipscomb 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.