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Twin Oaks Health & Rehabilitation Center

1123 North Bolton Street, Jacksonville, TX 75766 · Cherokee County · (903) 586-9031

★★☆☆☆ (2/5)Overall CMS rating
★★★☆☆ (3/5)Health inspection
★☆☆☆☆ (1/5)Staffing
★★★☆☆ (3/5)Quality measures

Fewer inspection deficiencies (5) than 71% of nursing homes in Texas. Rated #3 of 3 nursing homes in Jacksonville by overall CMS stars. Nursing hours per resident day: 3.0 — below the Texas average of 3.39.

Quality details (CMS data, Oct 2026 release)

Certified beds116
Average residents per day61.0
OwnershipFor-profit
ParticipationMedicare and Medicaid
Provider chainCREATIVE SOLUTIONS IN HEALTHCARE
Nursing hours per resident per day2.97 (Texas average: 3.39)
— of which RN hours0.39
— of which nurse aide hours1.83
Staff turnover98%
RN turnover100%
Most recent health inspectionDec 31, 2025
Deficiencies cited (latest cycle)5 (Texas average: 9.4)
Weighted inspection score (lower is better)79.25
Federal fines in past 3 years1 fine(s) totaling $174,431
Payment denials / penalties1

Compare homes before you choose

Ratings change with every inspection cycle. Compare Twin Oaks Health & Rehabilitation Center side by side with other homes in Jacksonville and check the latest red flags:

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Plan the cost of care in Texas

What does care cost in Texas? A semi-private nursing home room runs a median of $5,627 per month — see Texas senior care cost medians and check Texas Medicaid eligibility limits.

Source: U.S. Centers for Medicare & Medicaid Services (CMS), Provider Information dataset, Oct 2026 release (processing date Sep 1, 2026). Ratings reflect inspection cycles and reported staffing; visit any facility in person before deciding.