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
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask 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 Twin Oaks Manor Compares
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 2.6 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 (24.0%) is above the Texas average of 9.6% — 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: 24.0% — worse than the Texas average of 9.6% (150% higher).
- Falls with major injury: 4.4% — worse than the Texas average of 3.3% (35% higher).
- High-risk pressure ulcers: 0.7% — better than the Texas average of 3.8% (82% lower).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Texas averages across 1177 facilities tracked by ElderVoice.
Questions to Ask Twin Oaks Manor
Use these facility-specific questions when calling admissions, touring the building, or comparing Twin Oaks Manor with other nursing homes in Booker.
How is Twin Oaks Manor addressing its quality measures rating?
CMS currently rates this category 1 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Twin Oaks Manor doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 24.0% here versus 9.6% across Texas. Lower is generally better for this CMS measure.
What is Twin Oaks Manor doing to reduce falls with major injury?
Falls with major injury is 4.4% here versus 3.3% across Texas. Lower is generally better for this CMS measure.
How does Twin Oaks Manor maintain staffing when occupancy is high?
The facility reports roughly 101% occupancy across 40 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at Twin Oaks Manor?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Twin Oaks Manor?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
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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