Twin Oaks Health and Rehabilitation Center
1123 N Bolton St, Jacksonville TX 75766 · (903) 586-9031 · 107.82% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
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.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 69 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
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.
Long-term Care Quality
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.
Nurse Quality
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.
Short-term Care Quality
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.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Twin Oaks Health and Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This statistic is a measure of the percent of long-term patients that have new or worsened pressure ulcers . We use this statistic in calculating both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of residents that suffered from a major fall. Falls leading to severe injury are routinely the result of lower levels of patient supervision. Better nursing protocols can minimize the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of patients that sustained a urinary tract infection. UTI's are considered by many experts to be a measure of the quality of nursing care . UTI's are routinely associated with a facility with worst hygiene practices. However, this metric may be misleading for some nursing homes due to inconsistent reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percentage of residents who were given antipsychotic medications. These drugs are sometimes used for treating several conditions, including dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This figure indicates the percentage of long-term residents who were administered antianxiety drugs. These drugs are prescribed to residents suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percentage of patients showing signs of depression. Increased rates of depression could indicate lower quality care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
Measures the percent of long-term residents that were administered the pneumonia and flu vaccines. Respiratory viruses can be fatal for nursing home residents, making these types of vaccines indispensable.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percentage of long-term residents that needed additional assistance with activities of daily living over time. ADL's include activities such as getting dressed and eating. Many argue this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents who retained mobility levels over time. Optimizing mobility is often a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This datapoint measures the number of times residents are hospitalized per thousand days of patient care. Minimizing hospitalizations is critical to the physical health of residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric measures the number of times residents are rehospitalized per thousand days of short-term resident care. Staying out of the hospital during rehabilitation is important to restoring the physical well-being of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is a measure of the number of times residents are sent to the emergency room per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percent of short-term care residents who experienced functional improvements, such as with activities of daily living. Higher levels of performance with activities of daily living often correlates with superior rehabilitation services.
Percentage of Resident
Higher is Better