TWIN OAKS MANOR
Address
112 PIONEER DR
BOOKER, TX 79005
(806) 658-9786
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
72%Number of Residents and Certified Beds
- Residents: 38
- Certified Beds: 53
This Facility Accepts
- Medicaid
Operational Details
- Operated By Government - Hospital District
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Rating Details For Twin Oaks Manor
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 40 Minutes | 53 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 58 Minutes | 37 Minutes |
| Certified Nursing Assistant (CNA) Hours | 4 Hours and 8 Minutes | 2 Hours and 18 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 38 Minutes | 1 Hour and 30 Minutes |
| Total Nurse Hours | 5 Hours and 46 Minutes | 3 Hours and 48 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Texas Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 74% | 88% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 4% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 46% | 46% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 13% | 12% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 12% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 3% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 4% | 9% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 14% | 18% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 6% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 5% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 22% | 13% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 5% | 6% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/17/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Post Nurse Staffing Information.
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Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job.
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Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job.
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Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
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Environmental
Have a Program to Keep Infection from Spreading.
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Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
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Make Sure That the Attending Doctor Orders Special Diets.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Resident Assessment
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Resident Rights
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Twin Oaks Manor, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Pharmacy Service
Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Twin Oaks Manor had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/17/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Properly Working Alarms on Sprinkler Valves.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Exits and Egress
Exits That Are Accessible at All Times.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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