Nursing home

Twin Oaks Health and Rehabilitation Center

1123 N Bolton St, Jacksonville, TX, 75766

CMS ownership records associate this facility with Creative Solutions in Healthcare · For profit - Corporation.

CMS overall rating
CMS overall rating: 2 out of 52of 5

At a glance

CMS reports a 2-star overall rating for Twin Oaks Health and Rehabilitation Center, with 34 inspection citations on record (2 higher severity). Federal records include $174,431 in the current dataset.
CMS overall
2
of 5
Health inspection
3
of 5
Staffing
1
of 5
Quality measures
3
of 5
Certified beds
116
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall2 of 5
Health inspection3 of 5
Staffing1 of 5
Quality measures3 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 2
15
Cherokee Co. avg 2.83Texas avg 2.7This facility
This facility: 2 of 5. Cherokee Co. avg: 2.83. Texas avg: 2.7.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

34
Citations on record
2
Higher severity (G–L)
11
From complaints
0
Infection control
Citations by inspection year
122023
162024
62025
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

1 record · $174,431 total · Jan 18, 2024
  1. Jan 18, 2024$174,431

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

No payment-denial records are included in this data for this facility.

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)27.34%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)6.88%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)2.04%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Liberty County Hospital District No. 15% OR GREATER DIRECT OWNERSHIP INTEREST
Fregia, MiltonMANAGING CONTROL - GOVERNING BODY
Gardner, ShannonMANAGING CONTROL - GOVERNING BODY
Gardzina, MargaretMANAGING CONTROL - GOVERNING BODY
Henry, PaulMANAGING CONTROL - GOVERNING BODY
Stratton, CharlesMANAGING CONTROL - GOVERNING BODY
Huggins, LindaCORPORATE DIRECTOR
Willig, ZacharyCORPORATE DIRECTOR
Stratton, CharlesCORPORATE OFFICER
Jacksonville III Enterprises LLCOPERATIONAL/MANAGERIAL CONTROL
Blake, GaryOPERATIONAL/MANAGERIAL CONTROL
Blake, MalisaOPERATIONAL/MANAGERIAL CONTROL
Jacksonville III Enterprises LLCADP OF THE SNF
Blake, GaryADP OF THE SNF
Hekimian, KhorenADP OF THE SNF
Williamson, RoseADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Cherokee County.

1123 N Bolton St, Jacksonville
Cherokee County · TX · 75766
116 certified beds31.9784, -95.2760

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Avir at Beaumont
CCN 455001
Beaumont, TX121Shown$52,494
Avir at New Braunfels
CCN 455020
New Braunfels, TX112Not shown$147,263
Baylor Scott & White Continuing Care Hospital Skil
CCN 455069
Temple, TX555Not shown$0
Knopp Healthcare and Rehab Center Inc
CCN 455278
Fredericksburg, TX443Not shown$0
Sharpville Residence and Rehabilitation Center
CCN 455333
Houston, TX443Not shown$8,431
Legacy Nursing and Rehabilitation
CCN 455351
Bryan, TX222Not shown$12,375

Related research

Frequently asked questions

What is Twin Oaks Health and Rehabilitation Center's CMS rating?

Twin Oaks Health and Rehabilitation Center has a 2-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 3 for health inspections, 1 for staffing, and 3 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Twin Oaks Health and Rehabilitation Center located?

Twin Oaks Health and Rehabilitation Center is located at 1123 N Bolton St, Jacksonville, TX, 75766 in Cherokee County, and CMS lists 116 certified beds.

Does Twin Oaks Health and Rehabilitation Center have federal penalties or payment denials on record?

The CMS data includes $174,431 in federal fine amounts and 0 payment-denial records for Twin Oaks Health and Rehabilitation Center over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Twin Oaks Health and Rehabilitation Center's rating compare to nearby facilities?

Twin Oaks Health and Rehabilitation Center's CMS overall rating is 2 of 5. For comparison, the average CMS overall rating is 2.83 across 6 facilities in Cherokee County, and 2.7 across Texas. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Twin Oaks Health and Rehabilitation Center's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Twin Oaks Health and Rehabilitation Center's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
675183
Ownership type
For profit - Corporation
Certified beds
116
Data snapshot
2026-07-17
All 34 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Dec 31, 20250641DStandardDeficient, Provider has date of correctionJan 5, 2026
Dec 31, 20250645DStandardDeficient, Provider has date of correctionJan 5, 2026
Dec 31, 20250732CStandardDeficient, Provider has date of correctionJan 5, 2026
Dec 31, 20250804EStandardDeficient, Provider has date of correctionJan 5, 2026
Dec 31, 20250812EStandardDeficient, Provider has date of correctionJan 5, 2026
Apr 15, 20250622DComplaintDeficient, Provider has date of correctionMay 4, 2025
Sep 25, 20240558EStandardDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240689EStandardDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240760DStandardDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240761DStandardDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240880EStandardDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240883EStandardDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240887EStandardDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240919DStandardDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240924DStandardDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240926FStandardDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240550DComplaintDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240812FComplaintDeficient, Provider has date of correctionSep 26, 2024
Sep 25, 20240925DComplaintDeficient, Provider has date of correctionSep 26, 2024
Jan 18, 20240580JComplaintDeficient, Provider has date of correctionJan 19, 2024
Jan 18, 20240609DComplaintDeficient, Provider has date of correctionJan 19, 2024
Jan 18, 20240697JComplaintDeficient, Provider has date of correctionJan 19, 2024
Oct 29, 20230600EComplaintPast Non-ComplianceSep 14, 2023
Oct 29, 20230607EComplaintPast Non-ComplianceSep 14, 2023
Jul 26, 20230656EStandardDeficient, Provider has date of correctionAug 18, 2023
Showing the 25 most recent of 34 citations.

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.