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Data / Nursing homes / Texas / Twin Oaks Health & Rehabilitation Center

Twin Oaks Health & Rehabilitation Center, Jacksonville, TX: 2 star rating, fined $174,431 across 1 fine

Twin Oaks Health & Rehabilitation Center in Jacksonville, TX is owned by Liberty County Hospital District No 1, is rated 2 of 5 stars by Medicare, and was fined $174,431 across 1 fine in the three years to October 1, 2026. CMS lists 24 health citations from inspections in that time, the latest survey on December 31, 2025, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
1123 North Bolton Street, Jacksonville, TX 75766
Overall rating
2 of 5 stars
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
116
Residents per day
63 on average
Ownership type
For profit, corporation
Legal business name
Liberty County Hospital District No 1
Chain
Creative Solutions in Healthcare, 150 facilities
Fines
$174,431 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
24, of which 2 with actual harm or immediate jeopardy
Latest survey
December 31, 2025
CMS Certification Number
675183
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
January 18, 2024Fine$174,431Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
December 31, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2026data.cms.gov
December 31, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2026data.cms.gov
December 31, 2025F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedJanuary 5, 2026data.cms.gov
December 31, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2026data.cms.gov
December 31, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2026data.cms.gov
April 15, 2025F622Not 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: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2025data.cms.gov
September 25, 2024F926Have policies on smoking.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F924Put firmly secured handrails on each side of hallways.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F887Educate 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: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
September 25, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
January 18, 2024F697Provide safe, appropriate pain management for a resident who requires such services.J: isolated, immediate jeopardyCorrectedJanuary 19, 2024data.cms.gov
January 18, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J: isolated, immediate jeopardyCorrectedJanuary 19, 2024data.cms.gov
January 18, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov
October 29, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 14, 2023data.cms.gov
October 29, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 14, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 13 individual or personal trusts (7 managers, 3 officers, directors or trustees, 3 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Liberty County Hospital District No 1Direct owner100%April 1, 2022data.cms.gov
Jacksonville III Enterprises LLCOperational or managerial controlNot listedApril 1, 2022data.cms.gov
Jacksonville III Enterprises LLCAdditional disclosable partyNot listedApril 11, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.