Twin Pines North Nursing and Rehabilitation Center

1301 Mallette Drive, Victoria, TX 77904

Phone: 3615769454

CMS ratings and facility information

Twin Pines North Nursing and Rehabilitation Center is a Medicare-certified nursing facility in Victoria, Victoria 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 rating2 of 5
Certified beds90
OwnershipFor profit - Limited Liability company
CMS certification number676372

Staffing

Total nurse hours per resident day3.2
RN hours per resident day0.35
Nurse aide hours per resident day1.85
Total nursing staff turnover percent96.3
RN turnover percent75

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.32events_per_1000_resident_days20250101-20251231
Emergency-department visits2.93events_per_1000_resident_days20250101-20251231
Falls with major injury8.9percent2025Q2-2026Q1
Pressure ulcers5.35percent2025Q2-2026Q1
Urinary tract infections3.16percent2025Q2-2026Q1
Antipsychotic medication use0.68percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2026-06-050812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-06-050880Provide and implement an infection prevention and control program.E
2026-06-050657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2026-06-050690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-06-050761Ensure 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
2026-06-050732Post nurse staffing information every day.C
2025-04-090558Reasonably accommodate the needs and preferences of each resident.D
2025-04-090656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-04-090695Provide safe and appropriate respiratory care for a resident when needed.D
2025-04-090755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-04-090761Ensure 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
2025-04-090880Provide and implement an infection prevention and control program.D
2024-02-230801Employ 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
2024-02-230812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-02-230641Ensure each resident receives an accurate assessment.D
2024-02-230677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-02-230805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D

Penalties

No penalties were listed in this CMS data snapshot.

Ownership records

NameTypeRole
STASNY, AMYIndividualW-2 MANAGING EMPLOYEE
MAK, DAVIDIndividualCORPORATE OFFICER
TWIN PINES NORTH NURSING AND REHABILITATION CENTER LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
BURRIS, BYRONIndividualOPERATIONAL/MANAGERIAL CONTROL

Compare nursing homes in Victoria 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.