Overview
Twin Oaks Manor has a Medicare overall rating of 3 out of 5, in line with the Texas average of 2.8. It is the only Medicare-rated nursing home in Booker. Its strongest area is health inspections (4 of 5), and its weakest is quality of care (1 of 5).
Residents receive about 5.7 hours of nursing care per day, more than at 99% of nursing homes in Texas (the state average is 3.4 hours). Of that, 1.0 hours come from registered nurses.
Its most recent standard inspection, on June 11, 2026, found 6 health deficiencies, fewer than the Texas average of 9.6. It has no fines on record for the past three years, while 68% of Texas nursing homes have been fined.
Twin Oaks Manor is a government-run facility with 40 certified beds, caring for about 44 residents on an average day. It accepts Medicaid and has participated since 1988.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 79%
Top 54%
Family reviews
No reviews yet. If your family has experience with Twin Oaks Manor, your review helps others decide.
Inspections and penalties
- Most recent standard inspection
- June 11, 2026
- Health deficiencies cited
- 6
- Complaint-related deficiencies
- 0
- Fines in the last 3 years
- 0
- Payment denials
- 0
- Total penalties
- 0
Staffing
Average hours of care each resident receives per day.
- All nursing staff5.72 hrs
- Registered nurses (RN)1.04 hrs
- Licensed practical nurses (LPN)0.42 hrs
- Nurse aides4.26 hrs
- Physical therapists0.00 hrs
Facility details
- Ownership
- Government - Hospital district
- Certified beds
- 40
- Average residents per day
- 44
- Participates in
- Medicaid
- Medicare/Medicaid since
- April 15, 1988
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes