nursing home in Booker, TX
Twin Oaks Manor
112 Pioneer Dr, Booker, TX 79005 · (806) 658-9786
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Twin Oaks Manor at a glance
Twin Oaks Manor is a 40-bed government nursing home in Booker, Texas (Lipscomb County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 5.8 hours of nursing care per day (1.1 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (June 11, 2026) found 6 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 74.1% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 40
- Certified for
- Medicaid
- Medicare-certified since
- April 15, 1988
- Resident/family council
- Resident
- County
- Lipscomb County
- CMS Certification Number
- 45F197
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 1.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.80 hrs | 3.39 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.09 hrs | 0.43 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 4.23 hrs | 2.01 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 5.06 hrs | 2.98 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 74.1% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 85.7% | 54.6% | 42.9% | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 37 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 40 | 113 | 107 | |
| Average residents per day | 40 | 76 | 86 | |
| Occupancy | 100% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.4% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0.7% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 24% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 6.4% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.5% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 27.6% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 28.1% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 10.8% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 8.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 35% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.1% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 77.2% | 96.6% | 93.6% | Worse |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 11, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 25, 2026 |
| June 11, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 25, 2026 |
| June 11, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected July 25, 2026 |
| June 11, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected July 25, 2026 |
| June 11, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected July 25, 2026 |
| June 11, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 25, 2026 |
| June 11, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | E Potential harm, pattern | Corrected July 25, 2026 |
| June 11, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | E Potential harm, pattern | Corrected July 25, 2026 |
| June 11, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 25, 2026 |
| June 11, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 25, 2026 |
| April 30, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected April 30, 2025 |
| April 30, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 14, 2025 |
| April 30, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 14, 2025 |
| April 30, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 14, 2025 |
| April 30, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | D Potential harm, isolated | Corrected June 14, 2025 |
| March 14, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected April 26, 2024 |
| March 14, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 27, 2024 |
| March 14, 2024 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected April 27, 2024 |
| March 14, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 27, 2024 |
| March 14, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 27, 2024 |
| March 14, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 27, 2024 |
| March 14, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 27, 2024 |
| March 14, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 27, 2024 |
| December 11, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 16, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Twin Oaks Manor
Capstone Healthcare of Perryton
3101 S. Main St., Perryton, TX 79070 · 15.8 mi
For-profit · 60 beds
- CMS high performer
★★★★★5Much above average- ★★★★★2Below average
- ★★★★★1Much below average
Frequently asked questions
What is Twin Oaks Manor's rating?
Twin Oaks Manor has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Twin Oaks Manor receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Twin Oaks Manor accept Medicare and Medicaid?
CMS lists it as certified for: Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Twin Oaks Manor?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is Twin Oaks Manor and how do I contact it?
Twin Oaks Manor is at 112 Pioneer Dr, Booker, TX 79005. Phone: (806) 658-9786.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.