Booker Hospital District Dba: Twin Oaks Manor
112 PIONEER DR, Booker, TX, 79005
State licensing & capacity
- License number
- 144604
- Service type
- Nf Medicaid Only
- Licensed capacity
- 61 beds
- Memory-care capacity
- 14 beds · state-certified
- Bed type breakdown
- 21 licensed-only · 40 Medicaid-only
- Current license effective
- March 24, 2025
- Current license expires
- March 24, 2028
- Initial license date
- April 15, 1988
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Booker Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Administrator
- Shawn Hoover
Texas HHS licensing registry · as of April 16, 2026
About this community
Twin Oaks Manor is a 61-bed nursing home in Booker, Texas, licensed to Booker Hospital District — a local government authority, not a national chain. Of its beds, 40 are Medicaid-only and 21 are unlicensed for federal payers; Medicare is not accepted here. The facility holds state memory-care certification for 14 beds, valid through September 2026. No CMS Care Compare data is currently matched to this location.
Written from state licensing records · last updated April 19, 2026
Questions to ask when you tour
Why no Medicare coverage
Twin Oaks Manor carries zero Medicare-certified beds — ask whether that affects short-term rehabilitation stays or what payers are accepted for different levels of care.
Memory care unit details
The facility holds state certification for 14 memory-care beds through September 2026 — ask how those beds are physically separated and what specialized programming is in place.
CMS inspection history
This location isn't currently matched in CMS Care Compare, so federal inspection reports aren't accessible online — ask to review the most recent state inspection report directly.
Hospital district relationship
Booker Hospital District holds the license — ask how oversight, staffing decisions, and budgets are shared between the hospital and the nursing home.
Current bed availability
With only 61 total beds and a dedicated memory-care unit of 14, ask how many beds are currently open and what the typical wait looks like.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS licensing registry, snapshot as of April 16, 2026.
- Summary, insights, and tour questions: Written from the state licensing records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.