Twin Oaks Health and Rehabilitation Center

Twin Oaks Health and Rehabilitation Center is a small nursing home located in Jacksonville, Texas. We awarded it an overall grade of C, which is a middle of the pack grade. This nursing home seems to have some things working in its favor. The best part of this nursing home's profile is its stellar inspection rating. Inspection grades are discussed in the next section.

The main reason this ended up being a decent nursing home is that it received an elite inspection grade. In fact, its inspection score was far superior to its overall grade. In the inspections category, we gave this facility a grade of A. Inspection scores are based on several items located in the a nursing home's recent inspection reports. Places that receive favorable grades in this category typically have few deficiencies on their reports. Most importantly, these places generally do not have any severe deficiencies which are associated with risks to patient safety. This place received 6 deficiencies on its inspection report, but we were relieved to see that none were considered severe. This tells you that CMS did not deem any of these deficiencies an imminent risk to resident safety or health. A couple minor deficiencies shouldn't lead you to cross a nursing home off your list.

We also awarded this nursing home a favorable score in long-term care. This facility earned a grade of B+ in this category, which turns out to be one of our higher grades. Nursing homes that receive this type of score in this category tend to provide consistent 24/7 care to ensure patients are well cared for. In addition to looking at the amount of care provided by nurses aids and other staff, we also looked at the percentage of residents vaccinated for pneumonia. This nursing home administered the vaccine to 99.61539 percent of its patients. Vaccines are critical to keeping patients out of the hospital. The last statistic we looked at was the facility's hospitalization rate. We found that this facility had 2.18 hospitalizations per one thousand long-term resident days.

One of this facility's better category grades was in the area of nursing care. In that area, we gave this facility a grade of C. Our nursing grade consists of a handful of subcategories, however, the primary one is the quantity of nurse hours per patient per week. Based on the CMS data, this nursing home offers 3.4 hours of nursing care per resident per day. Lastly, we also considered quality measures in determining our nursing ratings. This nursing home was above average in two of the major metrics we assessed, including minimizing its residents' major falls and pressure ulcers. These metrics are usually accurate measures of the quality of nursing care offered.

This facility's worst category is short-term care, which is the final category we analyzed. It received an abysmal F in this category. In spite of some acceptable scores in other areas, this grade is nevertheless alarming so we felt obligated to make a note of it. In determining our short-term care grades, we size up a facility's levels of highly skilled nursing, which includes registered nurses, physical therapists respiratory therapists and other types of therapists. This score is often a useful measure of a facility's rehabilitation services. Based on its grade in this area, we weren't stunned to learn that this nursing home is well below average in terms of the quantity of registered nurse and physical therapy hours provided to its patients based on the measures we looked at. Honestly, this was what we expected to find. The last metric we considered in this area is the number of patients who were able to return home from the facility. This nursing home a bit in this metric as well, with just 46.4 percent of its residents returning home.