Twin Oaks Manor
Nursing Home Facility
112 Pioneer Dr, Booker, TX 79005
Twin Oaks Manor is a senior care community located in Booker, TX. It provides memory care, nursing home care, and senior living for older adults in the Booker area. To learn more or schedule a tour, call (806) 658-9786.
Twin Oaks Manor is licensed for 61 beds.
Federal reporting puts occupancy at about 101% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in June 2026 and recorded 6 deficiencies.
Residents receive about 5.8 hours of nursing care per day on average, including 1.1 hours from a registered nurse. Nursing staff turnover over the past year was about 74%, which is high and can affect continuity of care.
The community is located in Lipscomb County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 18 problems at Twin Oaks Manor. None of them caused harm to a resident. 1 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
-
Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Twin Oaks Manor offers memory care, nursing home care, and senior living.
Facility details
- Organization type Government - Hospital district
- Beds / units 61
- Occupancy 101%
- Nursing hours per resident/day 5.8
- Annual staff turnover 74%
- Last health inspection June 2026
Resident & family reviews
No one has shared a review of Twin Oaks Manor yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.