Twin Oaks Manor
Nursing home in Booker, Texas, CMS certification number 45F197
112 Pioneer Dr, Booker, TX 79005 · Lipscomb County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 40
- Certified for
- Medicaid
- Last standard inspection
- June 11, 2026
- Deficiencies at that inspection
- 6
- Fines in 3 years
- No fines
Does Twin Oaks Manor take Medicare and Medicaid?
Twin Oaks Manor is certified for Medicaid only, so Medicare won't pay for a stay here.
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 | 3 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 1 of 5 |
| Long-stay quality | 1 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Twin Oaks Manor 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
- 5.72
- Registered nurse hours
- 1.04
- Licensed practical nurse hours
- 0.42
- Nurse aide hours
- 4.26
- Weekend total hours
- 5.00
- Nursing staff turnover
- 69.4%
- Registered nurse turnover
- 85.7%
Health inspections and complaints
Inspectors last made a standard visit on June 11, 2026 and cited 6 deficiencies, plus 0 from complaint visits.
The visit before, on April 30, 2025, found 4.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Twin Oaks Manor in the past 3 years.
Beds and residents
On an average day 44.2 residents live here, about 111% of its 40 certified beds.
- Certified beds
- 40
- Average residents per day
- 44.2
- Certified since
- April 15, 1988
- Resident or family council
- Resident
Who owns Twin Oaks Manor
- Legal business name
- Legal Business Name Not Available
- Ownership type
- Government - Hospital district
Other nursing homes near Twin Oaks Manor
- Capstone Healthcare of Perryton3101 S. Main St., Perryton 79070
- Hansford Manor707 S Roland St, Spearman 79081
- Mesa View Senior Living106 Teas Circle, Canadian 79014
- Avir at Pampa1504 W Kentucky Ave, Pampa 79065
- Pampa Nursing Center1321 W. Kentucky, Pampa 79065
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 Manor, 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 Manor
What is the CMS star rating of Twin Oaks Manor?
3 out of 5 stars overall.
Does Twin Oaks Manor accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Twin Oaks Manor?
6 cited at the last standard visit.
Who owns Twin Oaks Manor?
Legal Business Name Not Available, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.