Twin Oaks Manor
Booker, TX · Medicaid-certified nursing home (CCN 45F197) · 40 certified beds
Health inspection: 4 · Quality measures: 1 · Staffing: 4
Federal fines: none on current record
Phone: (806) 658-9786 · Verify on Medicare Care Compare ↗
Twin Oaks Manor has a CMS overall star rating of 3 out of 5, which is above the Texas state average of 2.65. Its health inspection rating is 4 stars and its staffing rating is also 4 stars.
Twin Oaks Manor reports total nurse staffing of 5.8 hours per resident per day, including about 1.09 RN hours per resident per day, with a 4-star CMS staffing rating. Nursing staff turnover is reported at 74.1%.
Twin Oaks Manor has no federal fines on record and zero payment denials reported by CMS. The provided data does not indicate a CMS abuse icon or Special Focus Facility designation for this home.
About this facility
Twin Oaks Manor is a 40-bed Medicaid-certified nursing home in Booker, Texas (Lipscomb County), operated under government ownership as a hospital district facility. It has been certified since April 1988 and currently serves an average of about 40 residents per day, roughly at its licensed capacity.
According to CMS Care Compare, Twin Oaks Manor holds an overall star rating of 3 out of 5, which is above the Texas state average of 2.65. This overall score is built from four component ratings: a Health Inspection rating of 4 stars, a Staffing rating of 4 stars, and a Quality Measure (QM) rating of 1 star. The low QM score contrasts with the facility's stronger inspection and staffing performance, and families should review the specific quality measures on Care Compare for detail.
Nurse staffing data reported to CMS shows total nurse staffing of 5.797 hours per resident per day, including 1.093 RN hours per resident per day. Nursing staff turnover is reported at 74.1%, a figure families may want to weigh alongside the 4-star staffing rating.
On the penalty record, CMS reports zero federal fines and zero payment denials for Twin Oaks Manor — no federal fines on record. There is no indication in the provided data of a CMS abuse icon or Special Focus Facility designation for this home. There is also no chain affiliation noted in the data, and ownership has not changed in the past 12 months. This profile is based on CMS Care Compare data as provided; families should verify current details directly on Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Twin Oaks Manor has an overall rating of 3 out of 5 stars, above the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
The data lists Twin Oaks Manor's provider type as Medicaid; contact the facility at 8066589786 or check Care Compare to confirm Medicare participation.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 5.797 hours per resident per day, including 1.093 RN hours, with a 4-star staffing rating; nursing turnover is 74.1%.
Does this facility have federal fines or penalties on record?
No, CMS reports zero fines and zero payment denials for Twin Oaks Manor.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus Facility status for this home.
How large is this facility and how many residents live there?
Twin Oaks Manor has 40 certified beds and an average daily census of about 40.4 residents.
Who owns this facility — and is it part of a chain?
It is government-owned (hospital district); the data does not list any chain affiliation.
How long has this facility been Medicare/Medicaid certified?
It has been certified since April 15, 1988.
What do the four different CMS star ratings mean?
CMS rates facilities on Health Inspection (4 stars here), Staffing (4 stars), Quality Measures (1 star), and an Overall rating (3 stars) combining these.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at 8066589786 or verify on Medicare Care Compare.
What should I look for when touring this facility?
The data does not cover tour details; contact the facility at 8066589786 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can view current details at https://www.medicare.gov/care-compare/details/nursing-home/45F197?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.