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Data / Nursing homes / Texas / Twin Oaks Manor

Twin Oaks Manor, Booker, TX: 3 star rating, no fines

Twin Oaks Manor in Booker, TX is run by Legal Business Name Not Available, with no owner listed in the CMS ownership file, is rated 3 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 18 health citations from inspections in that time, the latest survey on June 11, 2026, and none 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 nursing homes in Texas
Address
112 Pioneer Dr, Booker, TX 79005
Overall rating
3 of 5 stars
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measure rating
1 of 5
Certified beds
40
Residents per day
44 on average
Ownership type
Government, Hospital district
Legal business name
Legal Business Name Not Available
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
18, of which 0 with actual harm or immediate jeopardy
Latest survey
June 11, 2026
CMS Certification Number
45F197
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 11, 2026F812Procure 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 harmCorrectedJuly 25, 2026data.cms.gov
June 11, 2026F801Employ 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: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2026data.cms.gov
June 11, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2026data.cms.gov
June 11, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2026data.cms.gov
June 11, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2026data.cms.gov
June 11, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2026data.cms.gov
April 30, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2025data.cms.gov
April 30, 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 harmCorrectedJune 14, 2025data.cms.gov
April 30, 2025F801Employ 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: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2025data.cms.gov
April 30, 2025F761Ensure 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 harmCorrectedJune 14, 2025data.cms.gov
March 14, 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 harmCorrectedApril 27, 2024data.cms.gov
March 14, 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 harmCorrectedApril 27, 2024data.cms.gov
March 14, 2024F758Implement 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 27, 2024data.cms.gov
March 14, 2024F700Try 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: pattern, no actual harm, potential for more than minimal harmCorrectedApril 27, 2024data.cms.gov
March 14, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 27, 2024data.cms.gov
March 14, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 27, 2024data.cms.gov
March 14, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 27, 2024data.cms.gov
December 11, 2023F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 16, 2023data.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.