Twin Oaks Health & Rehabilitation Center
Nursing Home Facility
1123 N Bolton St, Jacksonville, TX 75766
Twin Oaks Health & Rehabilitation Center is a senior care community located in Jacksonville, TX. It provides nursing home care and senior living for older adults in the Jacksonville area. To learn more or schedule a tour, call (903) 586-9031.
Operated by Creative Solutions in Healthcare, which runs 121 communities in our directory.
With 116 beds, Twin Oaks Health & Rehabilitation Center is one of the larger communities in the area, senior care communities in Jacksonville average about 78 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 53% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Jacksonville average of roughly 62%.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Jacksonville average about 3.3 stars. The individual scores differ noticeably: 1 star for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in December 2025 and recorded 5 deficiencies.
Residents receive about 3.0 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 98%, which is high and can affect continuity of care.
The community is located in Cherokee County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 34 problems at Twin Oaks Health & Rehabilitation Center. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 9 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $174,431.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
PASARR screening for Mental disorders or Intellectual Disabilities
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Minimal harm or the potential for it, widespread
Nursing and Physician Services
Post nurse staffing information every day.
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 Health & Rehabilitation Center offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 116
- Occupancy 53%
- Nursing hours per resident/day 3.0
- Annual staff turnover 98%
- Last health inspection December 2025
Resident & family reviews
No one has shared a review of Twin Oaks Health & Rehabilitation Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.