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Nursing homeFAID #14196

Twin Pines Nursing and Rehabilitation

3301 East Mockingbird Lane, VICTORIA, TX, 77904
(361) 573-3201
200 licensed beds

CMS rates Twin Pines Nursing and Rehabilitation 1 out of 5 overall. Federal inspectors issued 68 citations across 15 inspections in the last three years, with $37,487 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Photo of TWIN PINES NURSING AND REHABILITATION
Photo via Google · Twin Pines Nursing & Rehab Center

Address

3301 East Mockingbird Lane
Victoria, TX 77904
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What we can show you for free.
Bed capacity
200
CMS facility ID
675638
Care type
Nursing home
County
Victoria
Facility name
Twin Pines Nursing and Rehabilitation
Street address
3301 East Mockingbird Lane
City / state / ZIP
Victoria, TX 77904
Phone
(361) 573-3201

Twin Pines Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Victoria, Texas. It is licensed for 200 beds — well above 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 Nursing and Rehabilitation 68 times across 15 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $37,487 in fines. 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.

What the public record shows.

Ownership & operator

Parent company
Creative Solutions In Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

West Wharton County Hospital District
Direct owner — 100% stake — since 2022
Blake, Gary
Operational control — since 2022
Blake, Malisa
Operational control — since 2022
Huggins, Linda
Director — since 2022
Mak, David
Officer — since 2021
Victoria I Enterprises, Llc
Operational control — since 2022

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1996-10-24
CMS overall rating
1 of 5 stars
Health deficiencies
15 at the last standard inspection
Federal fines
$37,487 total
Last standard inspection
2026-02-20
Nurse staffing
2.8 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$226 per day (≈ $6,870/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
76% Medicaid · 7% Medicare · 17% private/other
Occupancy
51% (fiscal year 2024)
Vs. state median
18% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
200
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-04Health inspectionComplaint-triggered1 citation
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-06-05
2026-02-20Health inspection11 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-02-21
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2026-02-21
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-02-21
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-02-21
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 2026-02-21
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 2026-02-21
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-02-21
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 2026-02-21
F-0770
D · No harm found
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2026-02-21
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-21
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-02-21
12 earlier / fire-safety inspections (56 citations)
2026-02-06Health inspectionComplaint-triggered2 citations
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 2026-02-07
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-02-07
2025-11-26Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-11-27
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-11-27
2025-07-13Health inspectionComplaint-triggered2 citations
F-0656
J · Immediate jeopardyFrom 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 2025-07-14
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-14
2025-04-17Health inspectionComplaint-triggered1 citation
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-05-17
2025-02-13Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-18
2024-12-06Health inspectionComplaint-triggered10 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-05
F-0583
E · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-01-05
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-01-05
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 2025-01-05
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-01-05
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-05
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-05
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 2025-01-05
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 2025-01-05
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-01-05
2024-11-15Health inspectionComplaint-triggered2 citations
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-22
F-0806
J · Immediate jeopardyFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-09-05
2024-04-27Health inspectionComplaint-triggered14 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-13
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-13
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 2024-05-13
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-13
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-13
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-05-13
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2024-05-13
F-0759
E · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-13
F-0761
E · 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 2024-05-13
F-0800
E · No harm foundFood safetyFrom a complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2024-05-13
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 2024-05-13
F-0806
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-05-13
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 2024-05-13
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-13
2023-10-13Health inspection6 citations
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-10-14
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 2023-10-14
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 2023-10-14
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-10-14
F-0808
D · No harm foundFood safety
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-11-07
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 2023-11-07
2026-02-20Fire-safety inspection5 citations
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-02-20
K-0352
E · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2026-02-20
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-02-20
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-02-20
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-20
2024-12-06Fire-safety inspection6 citations
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2025-01-03
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-03
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-03
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-03
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-03
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-01-03
2023-10-13Fire-safety inspection5 citations
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-10
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-10
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-12
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-11-10
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2023-11-10

Federal penalties

2025-07-13Fine$14,721
2024-11-15Fine$8,333
2024-11-15Fine$14,433
Total fines$37,487
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 675638.
How it compares in Texas.
Inspection citations, 3 years
68
More than 94% of nursing homes in the state
State median: 33
Federal fines, 3 years
$37,487
More than 70% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
2.8
Higher than 7% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
51%
Higher than 51% 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 8 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 increased20.9%15.8%13.5%Worse than state
Lose too much weight5.1%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection1.2%0.8%1.5%Worse than state
Have depressive symptoms0.3%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury4.7%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 worsened18.8%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication10.2%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 ulcers7.0%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence13.5%12.5%18.3%Near state average
Received an antipsychotic medication4.3%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days2.802.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days3.181.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine99.3%88.7%82.3%Better than state
Newly received an antipsychotic medication0.0%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine97.4%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission28.6%25.5%23.4%Worse than state
Had an outpatient emergency department visit15.5%12.2%11.8%Worse 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-0656 5 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0657 4 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  • F-0550 3 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • F-0761 3 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-0644 2 inspections. Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

What its owners also hold

  • West Wharton County Hospital District has an ownership stake on file at 21 nursing homes, averaging 2.7 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
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

  • Citizens Medical Center, about 2.3 miles. CMS rating 3 of 5.
  • De Tar Hospital Navarro, about 3.2 miles. CMS rating 2 of 5.
  • Jackson Healthcare Center, about 22 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.328 ratings on Google
★Yolanda Mendoza · 2026-07-15 · via Google

“Twin Pines North. They dont answer phones. Who is in charge there? My dad is always left asleep in the cafeteria. 10:30 I came by. He was asleep in there. Drooling. This not the first time. His urine is still bloody. How long does it take to get his urine tested? Does anyone out there care?”

★★★★★Danyale Martinez · 2026-01-05 · via Google

“Highly recommend.The staff is friendly and knowledgeable. Admissions was able to answer all of my questions and went above and beyond to make the beginning process as easy as possible. Activities are fun and interactive and the are so inviting to the family’s of their residents.”

★Kenneth Herricks · 2026-01-07 · via Google

“Do not go here. The owner is negligent in not having enough help for these old people. Not blaming the workers but the supply of care takers and the demand of clients is terribly skewed at best. Ac and heat were not working. Room floor unit wasn't working. Bed controls weren't working. We left on the third day. Such a shame. The staff was lovely. But the owner is at fault for lack of ca…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
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 68 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
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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