BOOKER, TX 79005
CMS Certification Number (CCN): 45F197 · 41 beds
BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR is a Medicare-certified nursing home in BOOKER, TX (CMS Certification Number 45F197). CMS rates it 3 out of 5 stars overall (health inspection 4/5, staffing 4/5, quality measures 1/5). Federal inspection records list 18 health deficiencies. The most recent survey date on record is June 11, 2026. This page summarizes public CMS inspection, staffing, penalty, and ownership data so families can research a nursing home before choosing care. It is not medical advice or a recommendation.
| Overall CMS rating | ★★★☆☆ 3/5 |
| Health inspection | ★★★★☆ 4/5 |
| Staffing | ★★★★☆ 4/5 |
| Quality measures | ★☆☆☆☆ 1/5 |
| Total health deficiencies | 18 |
| Most recent inspection / survey date | June 11, 2026 |
| Serious deficiency flags | 0 |
| Harm citations | 0 |
| Immediate jeopardy citations | 0 |
| Total federal fines | $0 |
| Fine count | 0 |
| Staffing star rating | ★★★★☆ 4/5 |
| RN hours per resident day | 1.09 |
| Total nurse staffing hours per resident day | 5.80 |
| Days with zero RN hours | 100.0% |
Ownership type: Government - Hospital district