Twin Lakes Rehabilitation and Care Center is one of just three available facilities in San Augustine, Texas. With an overall grade of B, this is a fine facility. Based on our ratings, this facility ought to meet the needs of most people. We were also pleased to find that this nursing home did not have any poor grades in any of the four major categories. Additional information about its category grades is available below.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 90 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Partnership

Resident Council: TrueA checkmark indicating true.

Family Council: TrueA checkmark indicating true.

Medical Staff Hours Per Patient (2019)

Less:
More:
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019

Facility Inspections

A-
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMay 19: AJun 19: AJul 19: AAug 19: ASep 19: AJan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

To pair with its favorable overall score, we awarded this facility an A- for the area of inspections. We take several aspects of a facility's inspection report into consideration in determining these inspection scores. One of those factors is deficiencies. It should be noted that the severity of the deficiencies is arguably more important than the number of deficiencies, as some deficiencies can be relatively insignificant. Although this facility had some deficiencies on its government inspection report, none of them were severe based on CMS' scale. A couple relatively minor deficiencies aren't necessarily the end of the world.

Nurse Quality

B+
Oct 18: ANov 18: ADec 18: AJan 19: CFeb 19: CMay 19: AJun 19: AJul 19: A-Aug 19: A-Sep 19: A-Jan 20: B+Mar 20: B+Apr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

Adding to its impressive profile, this nursing home also excelled in the area of nursing. In fact, we gave it an B+ for that category. There are numerous factors included in this area. Most of the datapoints are tied to staffing levels. This nursing home provides 0 hours of nursing care per resident per day. Lastly, we also looked at certain nursing quality measures in computing our nursing grades. These include minimizing residents' pressure ulcers and major falls. We look at these metrics as predictive measures of the quality of nursing care offered, since better care tends to reduce these problems.

Short-term Care Quality

B+
Oct 18: BNov 18: BDec 18: BJan 19: FFeb 19: FMay 19: BJun 19: BJul 19: BAug 19: BSep 19: BJan 20: BMar 20: BApr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

The third category we looked at was short-term care. This nursing home was awarded an impressive short-term care score, with a B+ in this category. Our short-term care grade is often used to grade a facility's rehabilitation services To have quality rehabilitation services, nursing homes generally need to provide better levels of highly skilled nursing. Skilled nursing includes registered nurses, physical therapists, speech therapists and other highly skilled individuals. It doesn't look like this nursing home provided information on registered nurse or physical therapist staffing. The final measure we looked at in this area is the number of residents that who were able to eventually return home from the nursing home. This place performed better than most nursing homes in this area with 50.9 percent of its residents returning home. With most nursing homes, fewer than half of their short-term residents return home.

Long-term Care Quality

B-
Oct 18: A-Nov 18: B+Dec 18: B+Jan 19: B-Feb 19: B-May 19: BJun 19: BJul 19: BAug 19: BSep 19: BJan 20: B-Mar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

Switching gears to the fourth area, this nursing home was given a B- in long-term care, which we consider to be an acceptable score. If you are looking for services other than rehabilitation, you should take a close look at each nursing home's long-term care grades. In addition to looking at the volume of care provided by nurses aids and other staff, we looked at the percentage of residents vaccinated for pneumonia. This nursing home vaccinated 96.244125 percent of its patients, which is higher than the majority of nursing homes. Unfortunately, this nursing home's hospitalization rate was not quite as favorable. Here we found that this place had 2.16 hospitalizations per 1,000 long-term resident days.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
B
State:
C
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Twin Lakes Rehabilitation and Care Center Quality Metrics

Minimizes Pressure Ulcers

This tells you the percent of patients who have had a pressure ulcer. Pressure ulcers are skin damage due to remaining in the same position for an excessive period of time.

Provider
B-
8.11%
State
B
7.46%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This tells you the percent of residents who suffered from a major fall. Falls resulting in severe injuries are considered to be a measure of the quality of nursing care . Major falls are often the result of lower quality nursing care.

Provider
B+
2.35%
State
B
3.37%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This figure is a measure of the percentage of long-term patients that sustained UTI's. UTI's may be a sign of lower quality nursing care. Nevertheless, this datapoint may be misleading for some facilities due to inconsistent reporting standards for infections.

Provider
D
5.24%
State
B+
2.22%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This tells you the percentage of patients who were given antipsychotic medications. Antipsychotic medications are given to residents for many conditions, including dementia. Tragically, in some cases, high levels of antipsychotic drug use may suggest that a nursing home is using these drugs to control patient behavior.

Provider
A-
8.92%
State
B+
12.37%
National
B
14.18%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This statistic is an indication of the percentage of long-term care residents which are administered antianxiety medication. These drugs are given to residents suffering from anxiety and depression.

Provider
B+
16.92%
State
B-
23.38%
National
B
19.67%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percent of patients who are exhibiting symptoms of depression.

Provider
A+
0%
State
B+
2.92%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is a measure of the percent of long-term patients that received the flu and pneumonia vaccines.

Provider
B-
96.53%
State
B
92.34%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This tells you the percentage of patients who needed increased assistance with activities of daily living over time.

Provider
F
25.15%
State
B-
17.2%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This indicates the percentage of residents that remained mobile levels over time. Retaining mobility can be a great sign for residents' well-being.

Provider
A
25.69%
State
B
18.24%
National
B
17.09%

Percentage of Residents
Higher is Better

Hospitalizations

This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care.

Provider
C
2.08
State
B-
1.92
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This indicates the number of rehospitalizations per thousand days of short-term care. There is usually a correlation between staying out of the hospital and a nursing homes short-term rehabilitation performance.

Provider
D
25.69
State
B
18.24
National
B
17.09

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This metric tracks the number of times residents are sent to the emergency room per thousand days of short-term patient care.

Provider
F
20.37
State
B
10.69
National
B
10.26

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This tells you the percentage of short-term stay patients that experienced functional improvements, such as enhanced ability to perform activities of daily living.

Provider
C
63.37%
State
C
61.02%
National
B
68.04%

Percentage of Resident
Higher is Better

Nearby Dialysis

Sng San Augustine Dialysis Center 1.37 mi
Dialysis Stations: 10
403 N Milam Street San Augustine Texas 75972
(936) 275-3600
Dci Center 19.5 mi
Dialysis Stations: 13
171 Loop 500 N Center Texas 75935
(936) 598-7351