Home›Texas›Lipscomb County›BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR
F
Critical

BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR

112 PIONEER DR · BOOKER, TX 79005

8066589786 · Government - Hospital district

40 beds39.4 residents18 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR receives an overall staffing grade of F (Critical). With 1.5915 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.1411 HPRD, below the recommended 0.75. It is 2.30 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping -28.75% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Had 33 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 1.5915 HPRD — needs 1.89 more hours per resident per day.
⚠️RN staffing (0.1411 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only -28.75% drop-off
Total Nurse HPRD
1.5915hrs/resident/day▼ 2.30
CMS benchmark: 3.48
RN HPRD
0.1411hrs/resident/day▼ 0.54
Recommended: 0.75
Weekend Drop-off
-28.75%
1.4719 weekday → 1.8952 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
33days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
0.4877hrs/resident/day
Direct care aides
LPN HPRD
0.1715hrs/resident/day
Licensed practical nurses
Consistency
0.5169std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lipscomb County Average+0.00 HPRD
1.59
01.59 HPRD
vs. Texas State Average-1.81 HPRD
3.40
01.59 HPRD
vs. National Average-2.30 HPRD
3.90
01.59 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR ★
BOOKER · This facility
—
F
1.59150.1411★★☆☆☆
COLDWATER MANOR
STRATFORD
84.8 mi
F
2.3821.4147★★★★★
PALO DURO NURSING HOME
CLAUDE
104 mi
D
2.95690.7114★★★☆☆
LANDMARK OF AMARILLO REHABILITATION AND NURSING CE
AMARILLO
114.3 mi
C
3.47190.4212★★★☆☆
HERITAGE CONVALESCENT CENTER
AMARILLO
114.9 mi
D
3.73430.2656★★☆☆☆
PLAINVIEW HEALTHCARE CENTER
PLAINVIEW
169.1 mi
F
2.76060.1764★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
12
Total Deficiencies
$0
Fines Assessed
Apr 30, 2025Health
4 deficiencies cited
▼
Mar 14, 2024Health
7 deficiencies cited
▼
Dec 11, 2023Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.