Twin Pines Nursing And Rehabilitation
3301 East Mockingbird Lane, Victoria, TX 77904 · Victoria County
For-profit · 200 certified beds · 45% occupancy · (361) 573-3201
Twin Pines Nursing And Rehabilitation reviews: what the government record shows
The U.S. government (CMS) rates Twin Pines Nursing And Rehabilitation 1 out of 5 stars overall, much below average. Its nurse staffing is 8% below the Texas median. Inspectors cited it for 4 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.01 hrs/resident/day (-8% vs TX median)
- Antipsychotic drug use
- 4.7% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4.7% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $37,487
- Inspection findings
- 63 cited, 4 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 3.01 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 4 immediate-jeopardy findings (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Twin Pines Nursing And Rehabilitation
Is Twin Pines Nursing And Rehabilitation a good nursing home?
Twin Pines Nursing And Rehabilitation in Victoria, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Twin Pines Nursing And Rehabilitation staffed?
Twin Pines Nursing And Rehabilitation reports 3.01 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Twin Pines Nursing And Rehabilitation been fined or flagged for abuse?
Twin Pines Nursing And Rehabilitation has paid approximately $37,487 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.01 nurse hours per resident per day. 8% below the Texas median of 3.27.
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0842 · Feb 20, 2026Corrected Feb 21, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0880 · Feb 20, 2026Corrected Feb 21, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0644 · Jun 4, 2026ComplaintCorrected Jun 5, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0550 · Feb 20, 2026Corrected Feb 21, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0583 · Feb 20, 2026Corrected Feb 21, 2026
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0644 · Feb 20, 2026Corrected Feb 21, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0645 · Feb 20, 2026Corrected Feb 21, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0656 · Feb 20, 2026Corrected Feb 21, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0689 · Feb 20, 2026Corrected Feb 21, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0755 · Feb 20, 2026Corrected Feb 21, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Showing the 10 most recent and serious of 63 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.1 stars.