Twin Oaks Health & Rehabilitation Center

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

    Peace of mind, caring staff

    I placed my parent here and immediately felt peace of mind - friendly, smiling residents and long-tenured, caring staff made us feel welcome. Erica in admissions went above and beyond through a stressful insurance/rehab process, nurses/CNAs were attentive, therapy was solid, and activities led by Ms. Vera were engaging; the food was enjoyable and communication from administration was excellent. Clean, home-like atmosphere and a family-like staff make me confident my loved one is well cared for.

    Loved one of resident
    Jul 2026

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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

    4.43·(42)

    Overall rating

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

      4.1
    • Staff

      4.4
    • Meals

      3.2
    • Amenities

      3.0
    • Value

      5.0

    Pros

    • Compassionate, attentive nursing assistants
    • Knowledgeable physical and occupational therapy services
    • Supportive and proactive admissions/case-management staff
    • Welcoming, family-like atmosphere
    • Engaging, resident-centered activities
    • Long-tenured experienced staff in key departments
    • Friendly, social resident community
    • Visitor-friendly policies and acceptance of care packages
    • Medicaid acceptance
    • Supportive end-of-life care
    • Home-like, clean areas in parts of the building
    • High-touch rehabilitation coordination (hospital pickup/transport help)

    Cons

    • Inconsistent staffing levels, particularly on weekends
    • Frequent leadership turnover and administrative instability
    • Inconsistent medication-management practices
    • Limited access to medical records and family information
    • Variable meal quality and dining consistency
    • Gaps in clinical monitoring and infection oversight
    • Perceived favoritism and workplace morale issues
    • Older building with maintenance and cleanliness variability
    • Inconsistent communication between administration and families

    Summary of reviews

    Reviews present a mixed but clearly defined profile. Strengths center on person-level care: nursing assistants, several nurses, and therapy staff receive repeated praise for being caring, knowledgeable, and effective in rehabilitation. Admissions and case-management personnel — frequently identified by name — are cited as proactive and helpful during stressful transitions. Many families describe a warm, social environment in which activities are engaging, residents socialize, and staff cultivate a family-like atmosphere.

    Clinical quality shows variability. Positive notes about therapy and attentive aides coexist with recurring operational concerns that can affect care continuity. Several reviews raised issues consistent with staffing shortfalls (weekend shortages and general short staffing), which correlate with delays in routine care and at least one hospital transfer. There are also specific mentions of questionable medication-administration practices and limitations on family access to medical records; together these suggest opportunities to strengthen medication controls, clinical monitoring, and information transparency.

    Dining and activities are polarized in the feedback. The activity program and engagement from activity staff receive frequent compliments for variety and resident involvement. Meal quality is inconsistent across accounts — some families describe enjoyable meals while others characterize the food as subpar — indicating variability in dining satisfaction that may depend on menu cycles or kitchen operations. The facility is described as older in parts; some areas are clean and home-like while others show maintenance or housekeeping inconsistencies.

    Management and culture show mixed signals. Leadership turnover and multiple administrator changes are a recurring theme that reviewers link to uneven administrative follow-through and communication. Conversely, individual managers and marketing/admissions staff are often singled out positively for going above and beyond. There are also mentions of perceived favoritism and morale issues among staff, which could contribute to inconsistency in resident experience.

    Overall, the facility demonstrates clear strengths in hands-on caregiving, therapy services, and resident engagement, but operational weaknesses — inconsistent staffing, administrative instability, medication-management and record-access limitations, and variable dining/maintenance — create uneven experiences. Prospective families would benefit from direct questions about current staffing levels (including weekend coverage), medication-administration protocols, access to medical records, and recent leadership changes when evaluating 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

    Map showing location of Twin Oaks Health & Rehabilitation Center

    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.

    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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