Twin Oaks Health & Rehabilitation Center

    1123 N Bolton St, Jacksonville, TX 75766
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.44·(43)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.2
    • Staff

      4.5
    • Meals

      3.2
    • Amenities

      3.0
    • Value

      5.0

    Pros

    • Compassionate nursing and aide staff
    • Knowledgeable rehabilitation and physical therapy
    • Engaging activity program
    • Welcoming, family-like atmosphere
    • Supportive admissions and case-management assistance
    • Visitor-friendly policies and package acceptance
    • Medicaid acceptance and placement assistance
    • Long-tenured staff in key departments
    • Responsive, supportive end-of-life care
    • Helpful marketing and liaison personnel
    • Clean, home-like common areas
    • Friendly resident community and social opportunities

    Cons

    • Inconsistent clinical care quality
    • Chronic staffing shortages, particularly on weekends
    • Frequent leadership and administrative turnover
    • Variable meal quality and dining satisfaction
    • Gaps in medication-management processes
    • Limited or inconsistent family access to clinical records and communication
    • Variable facility maintenance and cleanliness across units
    • Uneven supervisory culture and staff accountability

    Summary of reviews

    Reviews describe a facility with a strong core of frontline caregivers and therapy services but notable operational inconsistencies. Many families praised nursing assistants, select nurses, therapy teams and specific admissions/liaison staff for compassionate, competent interactions that supported successful rehab stays, timely placement, and comforting end-of-life care. Rehabilitation and physical therapy programs are repeatedly noted as helpful, and activity staff run a variety of social programs that residents find engaging.

    At the same time, there are recurrent concerns about clinical consistency and operational reliability. Several accounts suggest variation in medical oversight and medication-management practices, and a few family narratives describe subsequent illness or hospital transfers. Staffing levels—especially on weekends—and staff turnover appear to affect continuity of care and responsiveness. These operational patterns are sometimes associated with a decline in perceived care quality compared with earlier experiences at the facility.

    Dining and environment impressions are mixed. Some families compliment food and describe clean, home-like common areas, while others express dissatisfaction with meal quality and note uneven maintenance or tidiness in parts of the building. Activities and social life are a clear strength: residents and visitors report frequent, enjoyable events, talkative and friendly peers, and staff-led programs that create a family-like atmosphere.

    Management and administrative impressions are mixed as well. Several families found admissions and case-management staff particularly helpful in navigating placement and insurance; others cited frequent leadership changes, inconsistent supervisory tone, and occasional concerns about access to clinical records and communication. A few reviewers described perceptions of uneven accountability or favoritism among staff, which aligns with the theme of variable experience depending on unit, shift, or individual caregiver.

    Taken together, the pattern suggests a facility where individual departments and staff members can deliver high-quality, person-centered care, but systemic issues—staffing instability, leadership turnover, and inconsistent clinical and dining processes—can produce variable outcomes. Prospective residents and families may want to evaluate current staffing levels (including weekend coverage), medication-management protocols, recent leadership stability, dining options, and opportunities to meet key nursing and therapy staff before placement.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Twin Oaks Health & Rehabilitation Center is located at 1123 N Bolton St, Jacksonville, TX, 75766.

    About Twin Oaks Health & Rehabilitation Center

    Twin Oaks Health & Rehabilitation Center sits at 1123 N Bolton St, Jacksonville, TX 75766, providing skilled nursing care and rehabilitation for people needing extra help after a hospital stay or for those who need long-term nursing support. The center has 120 certified beds and averages about 67 residents daily, with staff offering 3.09 nurse hours for each resident per day, though the nurse turnover rate is higher than many would prefer at 58.7%. Part of the Creative Solutions In Healthcare network and owned by Liberty County Hospital District No 1, this for-profit facility is managed by Jacksonville III Enterprises LLC, with Gary Blake and Malisa Blake leading since April 2022. The center gets its highest marks from the Centers for Medicare & Medicaid Services with a 5-star rating and gets a solid average score of 9.2 out of 10, ranking it fifth in Jacksonville.

    Care options go from assisted living and independent living all the way to specialized memory care and continuing care. Skilled nursing services cover physical, occupational, and speech therapies, wound and pain management, as well as programs for rehab-to-home recovery and restorative care. The staff serves people living with Alzheimer's, helps manage diabetes, cardiac issues, and provides post-surgery recovery support, and also supports those needing dialysis or vent care. Daily life can include painting, dancing, movies, bingo, and outings, and there's a beauty salon on-site that takes care of shampoos and hair coloring, plus religious services for those who want them. The center has services for laundry, housekeeping, medication management, nutrition counseling, podiatry, optometry, dentistry, and even hospice and respite care for when caregivers need a break.

    Residents have studio rooms to choose from, and can pay through Medicaid, and there are transportation options for medical visits or errands. Online tools help families check in on loved ones, and there's a customer care line for residents and family members who want to share concerns or need help. Twin Oaks runs 24/7, and keeps activities going most days so no one has to feel left out.

    The most recent inspection records show 31 total deficiencies, with five related to infection control. Issues include not having full policies on smoking or not storing food according to standards, though no actual harm was found during these checks, just the potential for trouble if things weren't fixed. The care team works on personalized plans for each person, aiming to make the environment feel compassionate and home-like, but always recommend that families visit the center and meet the staff to decide if it fits their needs. The center invites tours, encourages families to talk to team representatives, and suggests using resources like Caring for guidance on making care choices.

    People often ask...

    Twin Oaks Health & Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    There are 17 photos of Twin Oaks Health & Rehabilitation Center on Mirador.

    The full address for this community is 1123 N Bolton St, Jacksonville, TX 75766.

    No, Twin Oaks Health & Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000Rqhq9AAB
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity116 residents
    LicenseeLIBERTY COUNTY HOSPITAL DISTRICT NO 1
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    2

    Reports

    14

    Citations

    0

    Complaints

    1

    Years

    31 Dec 2025Inspection
    Identified violations related to staffing posting, resident assessments, nutrition, food safety, and admissions without complete evaluations.
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    30 Dec 2025Life Safety
    Found multiple deficiencies affecting life safety code compliance, electrical systems, ventilation, odor control, smoke barriers, oxygen storage, prohibition of portable heaters, and fire extinguisher maintenance.
    • —Life Safety Code
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    • —Life Safety Code
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    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Twin Oaks Health & Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Twin Oaks Health & Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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