C77

TWIN PINES NORTH NURSING AND REHABILITATION CENTER

Grade C 77/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
4/5
Quality
3/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

90

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

1301 MALLETTE DRIVE, VICTORIA, TX 77904
3615769454

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.31h
LPN
1.17h
CNA
1.94h
Total
3.42h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WEST WHARTON COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2022

100%

TWIN PINES NORTH NURSING AND REHABILITATION CENTER LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2022

BURRIS, BYRON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2022

MAK, DAVID

IndividualCORPORATE OFFICERSince May 2022

STASNY, AMY

IndividualW-2 MANAGING EMPLOYEESince May 2022

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (23)

September 19, 2025Health1 deficiency
0842DMinimal harm, Isolated

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

Corrected Sep 20, 2025
April 9, 2025Health6 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Apr 10, 2025
0656DMinimal harm, Isolated

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

Corrected Apr 10, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 10, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Apr 10, 2025
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Apr 10, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 10, 2025
August 20, 2024Health1 deficiency
0842DMinimal harm, Isolated

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

Corrected Aug 21, 2024
May 14, 2024Health3 deficiencies
0842EMinimal harm, Pattern

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

Corrected May 15, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 15, 2024
0882DMinimal harm, Isolated

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies

Corrected May 15, 2024
February 23, 2024Health5 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 24, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Feb 24, 2024
0801EMinimal harm, Pattern

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Nutrition and Dietary Deficiencies

Corrected Feb 24, 2024
0805DMinimal harm, Isolated

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies

Corrected Feb 24, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Feb 24, 2024
January 19, 2024Health4 deficiencies
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 20, 2024
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Jan 20, 2024
0946DMinimal harm, Isolated

Provide training in compliance and ethics.

Administration Deficiencies

Corrected Jan 20, 2024
0949DMinimal harm, Isolated

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Administration Deficiencies

Corrected Jan 20, 2024
November 13, 2023Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 14, 2023
January 6, 2023Health2 deficiencies
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 7, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 7, 2023

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Frequently Asked Questions

What is the CareGrader rating for TWIN PINES NORTH NURSING AND REHABILITATION CENTER?

TWIN PINES NORTH NURSING AND REHABILITATION CENTER in VICTORIA, Texas has a CareGrader grade of C (Average), with a composite score of 77.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for TWIN PINES NORTH NURSING AND REHABILITATION CENTER?

TWIN PINES NORTH NURSING AND REHABILITATION CENTER has an overall CMS star rating of 3 out of 5, a health inspection rating of 4/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does TWIN PINES NORTH NURSING AND REHABILITATION CENTER have?

TWIN PINES NORTH NURSING AND REHABILITATION CENTER has 23 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does TWIN PINES NORTH NURSING AND REHABILITATION CENTER have?

TWIN PINES NORTH NURSING AND REHABILITATION CENTER has 90 certified beds with approximately 79 current residents (88% occupancy). The facility is located at 1301 MALLETTE DRIVE, VICTORIA, Texas 77904. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.