Twin Oaks Health & Rehabilitation Center
Nursing home in Jacksonville, Texas, CMS certification number 675183
1123 North Bolton Street, Jacksonville, TX 75766 · Cherokee County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 116
- Certified for
- Medicare and Medicaid
- Last standard inspection
- December 31, 2025
- Deficiencies at that inspection
- 5
- Fines in 3 years
- $174,431 (1)
Does Twin Oaks Health & Rehabilitation Center take Medicare and Medicaid?
Yes to both. Twin Oaks Health & Rehabilitation Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Twin Oaks Health & Rehabilitation Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.85
- Registered nurse hours
- 0.41
- Licensed practical nurse hours
- 0.64
- Nurse aide hours
- 1.80
- Weekend total hours
- 2.35
- Nursing staff turnover
- 46.8%
- Registered nurse turnover
- 63.6%
- Administrators who left
- 3
Health inspections and complaints
Inspectors last made a standard visit on December 31, 2025 and cited 5 deficiencies, plus 0 from complaint visits.
The visit before, on September 25, 2024, found 13.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Twin Oaks Health & Rehabilitation Center 1 time in the past 3 years, for $174,431 in total.
Beds and residents
On an average day 63.3 residents live here, about 55% of its 116 certified beds.
- Certified beds
- 116
- Average residents per day
- 63.3
- Certified since
- January 7, 1999
- Resident or family council
- Resident
Who owns Twin Oaks Health & Rehabilitation Center
- Legal business name
- Liberty County Hospital District No 1
- Ownership type
- For profit - Corporation
- Chain
- 150 homes nationally under Creative Solutions in Healthcare, 2.3-star chain average
Other nursing homes near Twin Oaks Health & Rehabilitation Center
- Avir at Jacksonville305 Bonita St, Jacksonville 75766
- Legacy at Jacksonville810 Bellaire Street, Jacksonville 75766
- Bluebonnet Point Wellness151 Heritage Springs Drive, Bullard 75757
- Cherokee Trails Nursing Home330 E. Bagley Rd., Rusk 75785
- The Arbors Healthcare and Rehabilitation Center1884 Loop 343 West, Rusk 75785
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Twin Oaks Health & Rehabilitation Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Twin Oaks Health & Rehabilitation Center
What is the CMS star rating of Twin Oaks Health & Rehabilitation Center?
2 out of 5 stars overall.
Does Twin Oaks Health & Rehabilitation Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Twin Oaks Health & Rehabilitation Center?
5 cited at the last standard visit.
Who owns Twin Oaks Health & Rehabilitation Center?
Liberty County Hospital District No 1, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.