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Nursing Home Reporter

Twin Oaks Manor

112 PIONEER DR, BOOKER, TX 79005

Provider #45F197 · (806) 658-9786 · Government - Hospital district · 40 beds

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Overall
3 of 5
Health inspection
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
Deficiencies
0
Total fines
$0
Updated
2026-08-01

Staffing

Reported nurse hours per resident per day (HPPD) from CMS Care Compare.

RN hours
1.09
Total nurse hours
5.80
Weekend RN hours
0.66

Possible neglect indicators

Neutral CMS-derived signals — not a legal conclusion or case determination. See our Terms of Use.

  • No elevated CMS flags stood out automatically — still review the full inspection history

Severity mix

Scope/severity codes across loaded citations.

  • D10
  • E7
  • F1

Complaint vs standard surveys

How citations were opened in the CMS deficiency file.

Complaint
0
Standard
18
Other
0

Inspection timeline

2026-06-11 · 6 citations

  • 0550 · E · Health
    Resident Rights Deficiencies
  • 0605 · E · Health
    Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • 0801 · E · Health
    Nutrition and Dietary Deficiencies
  • 0812 · E · Health
    Nutrition and Dietary Deficiencies
  • 0656 · D · Health
    Resident Assessment and Care Planning Deficiencies
  • 0695 · D · Health
    Quality of Life and Care Deficiencies

2025-04-30 · 4 citations

  • 0812 · E · Health
    Nutrition and Dietary Deficiencies
  • 0761 · D · Health
    Pharmacy Service Deficiencies
  • 0801 · D · Health
    Nutrition and Dietary Deficiencies
  • 0880 · D · Health
    Infection Control Deficiencies

2024-03-14 · 7 citations

  • 0812 · F · Health
    Nutrition and Dietary Deficiencies
  • 0700 · E · Health
    Quality of Life and Care Deficiencies
  • 0641 · D · Health
    Resident Assessment and Care Planning Deficiencies
  • 0656 · D · Health
    Resident Assessment and Care Planning Deficiencies
  • 0689 · D · Health
    Quality of Life and Care Deficiencies
  • 0758 · D · Health
    Pharmacy Service Deficiencies
  • 0761 · D · Health
    Pharmacy Service Deficiencies

2023-12-11 · 1 citation

  • 0880 · E · Health
    Infection Control Deficiencies

Penalties

  • No recent penalties listed.

Related topics

Worst homes in BOOKERWorst in Lipscomb CountyBed sores / pressure ulcersFallsWandering / elopementDehydration / nutritionWrongful deathLipscomb County reports
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