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Texas nursing homes › Booker › Twin Oaks Manor

Twin Oaks Manor

112 Pioneer Dr, Booker, TX 79005 · Lipscomb County · (806) 658-9786

★★★☆☆ (3/5)Overall CMS rating
★★★★☆ (4/5)Health inspection
★★★★☆ (4/5)Staffing
★☆☆☆☆ (1/5)Quality measures

Fewer inspection deficiencies (6) than 62% of nursing homes in Texas. Rated #353 of 1177 nursing homes in Texas by overall CMS stars. Nursing hours per resident day: 5.8 — above the Texas average of 3.39.

Quality details (CMS data, Oct 2026 release)

Certified beds40
Average residents per day40.4
OwnershipGovernment
ParticipationMedicaid
Nursing hours per resident per day5.80 (Texas average: 3.39)
— of which RN hours1.09
— of which nurse aide hours4.23
Staff turnover74%
RN turnover86%
Most recent health inspectionJun 11, 2026
Deficiencies cited (latest cycle)6 (Texas average: 9.4)
Weighted inspection score (lower is better)37
Federal fines in past 3 years0 fine(s) totaling $0
Payment denials / penalties0

Compare homes before you choose

Ratings change with every inspection cycle. Compare Twin Oaks Manor side by side with other homes in Booker and check the latest red flags:

See all nursing homes in Booker →

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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.