BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR
112 PIONEER DR, Booker, TX 79005
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
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Free guide: the exact questions to ask BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
How BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR Compares
BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR is a 40-bed government-owned nursing facility in Booker, Texas. It holds an overall CMS rating of 3 out of 5 stars, above the Texas average of 2.7 stars. Its strongest area is health inspections (4 stars), while quality measures (1 star) is its weakest. Its rate of long-stay antipsychotic medication use (21.6%) is above the Texas average of 9.4% — a measure worth asking the staff about. With 40 certified beds, it operates near capacity at roughly 101% occupied.
By the numbers vs. Texas average
- Long-stay antipsychotic medication use: 21.6% — worse than the Texas average of 9.4% (128% higher).
- Falls with major injury: 4.7% — worse than the Texas average of 3.3% (43% higher).
- High-risk pressure ulcers: 0.7% — better than the Texas average of 4.0% (82% lower).
Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Texas averages across 1176 facilities tracked by ElderVoice.
The Senior Community Around Booker
Booker sits in Lipscomb County, where adults 65 and older make up about 16.5% of the population — a higher share of seniors than Texas as a whole (12.5% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 544 (16.5%)
- Median age
- 36.6 years
- Median household income
- $63,182
- Median home value
- $106,700
Demographics for Lipscomb County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Booker.
Facility Details
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