BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR — Nursing Home in BOOKER, TX
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 41 |
|---|---|
| Average Residents/Day | 38.4 |
| CMS Certification Number | 45F197 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 5.55 HPRD |
|---|---|
| RN Staffing | 0.88 HPRD |
Health Inspection Findings & Deficiencies
BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR had 4 health inspection deficiencies on its most recent inspection (April 30, 2025).
Inspection Findings — April 30, 2025
-
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. (Level D)Corrected — June 14, 2025
-
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. (Level D)Corrected — June 14, 2025
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level E)Corrected — June 14, 2025
-
Provide and implement an infection prevention and control program. (Level D)Corrected — June 14, 2025
Booker Hospital District Dba: Twin Oaks Manor is a 41-bed nursing home in Booker, Texas. It holds a 5-star CMS overall rating. Total nurse staffing is 5.5 hours per resident day, above the Texas average of 3.4. Its most recent inspection, in April 2025, cited 4 deficiencies, none of them severe.
This facility’s staffing appears stronger than typical for the state, which can support more attentive daily care. Its most recent inspection did note multiple areas needing improvement, including the infection prevention and control program, so you may want to ask what steps the facility has taken to address those issues.
Frequently Asked Questions
Is BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR Medicare and Medicaid certified?
BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR is not Medicare certified and Medicaid certified according to CMS data.
What is BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR's CMS star rating?
BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR has an overall CMS rating of 5 out of 5 stars.
How is staffing at BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR?
BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR reports 5.54693 total nurse hours per resident day.
Has BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR had health inspection deficiencies?
On its most recent inspection, BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR had 4 total deficiencies, including 0 classified as severe.
How many beds does BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR have?
BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR has 41 certified beds.
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.