Quick answers
- Where is Twin Oaks Manor?
- 112 Pioneer Dr, Booker, TX 79005, in Lipscomb County, Texas.
- What is the phone number of Twin Oaks Manor?
- (806) 658-9786, as listed by Medicare (CMS).
- What is the Medicare star rating of Twin Oaks Manor?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Twin Oaks Manor been fined?
- Medicare lists no fines for Twin Oaks Manor.
- What did inspectors find at Twin Oaks Manor?
- In its last three inspection cycles (December 11, 2023 to June 11, 2026), Medicare lists 18 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (December 11, 2023 to June 11, 2026), Twin Oaks Manor had 18 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 5.72 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: June 11, 2026 — 6 health citations
Inspections in this cycle: June 11, 2026 (standard health inspection).
Show 6 citations (levels A to F, no actual harm)
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0605 Level E
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0801 Level E
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
Previous cycle: April 30, 2025 — 4 health citations
Inspections in this cycle: April 30, 2025 (standard health inspection).
Show 4 citations (levels A to F, no actual harm)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0801 Level D
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: March 14, 2024 — 8 health citations
Inspections in this cycle: December 11, 2023 (complaint investigation); March 14, 2024 (standard health inspection).
Show 8 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0700 Level E
“Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0758 Level D
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (6)
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0374 Level D
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.04 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.42 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 4.26 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 5.72 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 5.00 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.60 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 69.4% | 50.8% | 45.3% |
| RN turnover (per year) | 85.7% | 49.8% | 42.5% |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 40 |
| Average residents per day | 44.2 |
| Takes part in | Medicaid |
| Ownership | Government – hospital district |
| Legal business name | Legal Business Name Not Available |
| First approved by Medicare/Medicaid | 1988-04-15 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 112 Pioneer Dr, Booker, TX 79005 |
| County | Lipscomb County |
| State | Texas |
| Phone | (806) 658‑9786 |
| CMS Certification Number | 45F197 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Capstone Healthcare of Perryton16 mi · Perryton, TX · 5 of 5 stars
- Beaver County Nursing Home24 mi · Beaver, OK · 2 of 5 stars
Nearest hospital emergency rooms
- Ochiltree General Hospital16 mi · Perryton, TX · Critical Access Hospital
- Beaver County Memorial Hospital16 mi · Beaver, OK · Critical Access Hospital
- Newman Memorial Hospital39 mi · Shattuck, OK · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13