Twin Oaks Health And Rehabilitation Center
1123 N Bolton St, Jacksonville, TX, 75766
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 116 · avg 63 residents/day
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $174,431 total
Medicare certification
- CMS Certification Number
- 675183
- Certified beds
- 116 beds · avg 63 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Liberty County Hospital District No.1
- Chain affiliation
- Creative Solutions In Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (13 on record)
- Jacksonville Iii Enterprises Llc
Adp of The Snf · since 2025
- Khoren Hekimian
Adp of The Snf · since 2025
- Rose Williamson
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Margaret Gardzina
Managing Control - Governing Body · since 2024
- Shannon Gardner
Managing Control - Governing Body · since 2022
+ 7 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Twin Oaks Health And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 34)
- E0812·Dec 31, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0804·Dec 31, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- C0732·Dec 31, 2025
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0645·Dec 31, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- D0641·Dec 31, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0622·Apr 15, 2025Complaint
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D0925·Sep 25, 2024Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F0812·Sep 25, 2024Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20241 fine · $174K
Most recent events
- Jan 18, 2024Fine · $174K
Fire-safety citations
15 Life-Safety-Code citations on file. Most recent: Dec 31, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Twin Oaks Health And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.