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Nursing homeFAID #12280

Twin Oaks Manor

112 PIONEER DR, BOOKER, TX, 79005

(806) 658-9786

40 licensed beds

★★★★★3/5CMS Five-Star overall4/5 health inspections4/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

112 Pioneer Dr

Booker, TX 79005

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

45F197

Care type

Nursing home

County

Lipscomb

Facility name

Twin Oaks Manor

Street address

112 PIONEER DR

City / state / ZIP

Booker, TX 79005

Phone

(806) 658-9786

About this facility — Twin Oaks Manor

Twin Oaks Manor is a Medicare/Medicaid-certified skilled nursing facility in Booker, Texas. It is licensed for 40 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Booker and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Twin Oaks Manor 24 times across 7 inspections in the last three years, including 5 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Government - Hospital district

Regulatory standing

Licensed / certified since

1988-04-15

CMS overall rating

3 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-06-11

Nurse staffing

5.8 hours per resident per day

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-11Health inspection6 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-07-25

F-0605

E · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-07-25

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-07-25

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-07-25

F-0801

E · No harm foundFood safety

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.

Corrected 2026-07-25

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-07-25

2025-04-30Health inspection4 citations

F-0761

D · No harm found

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.

Corrected 2025-06-14

F-0801

D · No harm foundFood safety

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.

Corrected 2025-06-14

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-14

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-06-14

5 earlier / fire-safety inspections (14 citations)

2024-03-14Health inspection7 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-04-27

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-27

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-27

F-0700

E · No harm found

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.

Corrected 2024-04-27

F-0758

D · No harm found

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.

Corrected 2024-04-27

F-0761

D · No harm found

Corrected 2024-04-27

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-27

2023-12-11Health inspectionComplaint-triggered1 citation

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2023-12-16

2026-06-11Fire-safety inspection4 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-07-25

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-07-25

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-07-25

K-0374

D · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-07-25

2025-04-30Fire-safety inspection1 citation

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-30

2024-03-14Fire-safety inspection1 citation

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-04-26

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 45F197.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 24 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered