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Nursing homeFAID #14725

Twin Pines North Nursing and Rehabilitation Center

1301 MALLETTE DRIVE, VICTORIA, TX, 77904
(361) 576-9454
90 licensed beds

CMS rates Twin Pines North Nursing and Rehabilitation Center 2 out of 5 overall. Federal inspectors issued 36 citations across 15 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
90
CMS facility ID
676372
Care type
Nursing home
County
Victoria
Facility name
Twin Pines North Nursing and Rehabilitation Center
Street address
1301 MALLETTE DRIVE
City / state / ZIP
Victoria, TX 77904
Phone
(361) 576-9454

About this facility — Twin Pines North Nursing and Rehabilitation Center

Twin Pines North Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Victoria, Texas. It is licensed for 90 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 9 senior care facilities in Victoria and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited Twin Pines North Nursing and Rehabilitation Center 36 times across 15 inspections in the last three years, including 4 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 November 6, 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

Parent company
Creative Solutions In Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Burris, Byron
Operational control — since 2022
Mak, David
Officer — since 2022
Stasny, Amy
Managing employee — since 2022
Twin Pines North Nursing and Rehabilitation Center Llc
Operational control — since 2022

Regulatory standing

Federal court records
1 naming this facility · 4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2014-11-11
CMS overall rating
2 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-06-05
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$382 per day (≈ $11,610/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
45% Medicaid · 22% Medicare · 33% private/other
Occupancy
86% (fiscal year 2024)
Vs. state median
38% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
90
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. 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 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-05Health inspection6 citations
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-06-06
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-06-06
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2026-06-06
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 2026-06-06
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 2026-06-06
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-06-06
2025-12-18Health inspectionComplaint-triggered2 citations
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-01-09
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-09
11 earlier / fire-safety inspections (28 citations)
2025-12-04Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-05
2025-09-19Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-20
2025-04-09Health inspectionComplaint-triggered6 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-10
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-10
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-10
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-10
F-0761
D · No harm foundFrom a complaint
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 2025-04-10
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-04-10
2024-08-20Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-21
2024-05-14Health inspectionComplaint-triggered3 citations
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-15
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-15
F-0882
D · No harm foundFrom a complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-05-15
2024-02-23Health inspectionComplaint-triggered5 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2024-02-24
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-24
F-0801
E · No harm foundFood safetyFrom a complaint
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 2024-02-24
F-0805
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-02-24
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-24
2024-01-19Health inspectionComplaint-triggered4 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-20
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-01-20
F-0946
D · No harm foundFrom a complaint
Provide training in compliance and ethics.
Corrected 2024-01-20
F-0949
D · No harm foundFrom a complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2024-01-20
2023-11-13Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-14
2026-06-05Fire-safety inspection1 citation
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-07-18
2025-04-09Fire-safety inspection2 citations
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-09
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-04-09
2024-02-23Fire-safety inspection3 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-22
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-22
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-02-22
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 676372.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
36
More than 54% of nursing homes in the state
State median: 33
Federal fines, 3 years
$0
No federal fines on record
State median: $15,642
Nurse staffing, hours per resident per day
3.2
Higher than 37% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
66%
Higher than 86% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 9 and worse on 10. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased28.0%15.8%13.5%Worse than state
Lose too much weight2.4%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection1.1%0.8%1.5%Worse than state
Have depressive symptoms3.4%2.3%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury8.4%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened34.8%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication10.0%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers4.3%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence17.1%12.5%18.3%Worse than state
Received an antipsychotic medication2.1%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days1.592.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days2.731.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine99.6%88.7%82.3%Better than state
Newly received an antipsychotic medication1.6%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine98.5%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission28.4%25.5%23.4%Worse than state
Had an outpatient emergency department visit10.7%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0842 5 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0761 2 inspections. 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.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0677 2 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
  • K-0923 2 inspections. Have proper medical gas storage and administration areas.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • De Tar Hospital Navarro, about 4.3 miles. CMS rating 2 of 5.
  • Citizens Medical Center, about 4.4 miles. CMS rating 3 of 5.
  • Cuero Regional Hospital, about 23 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 36 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 2026-11-06
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