Booker Hospital District Dba: Twin Oaks Manor
112 Pioneer Dr, Booker, TX 79005 · 40 beds · Government - Hospital district
Worth a closer look: weekend nurse coverage drops 53%; staff turnover of 74% is well above the state average.
These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.
Who's actually on the floor
Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.
Registered nurses only — hours per resident per day. Longer is better.
Registered nurse coverage drops about 53% at weekends.
Staff turnover: 74%
High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.
What inspectors found
State inspectors visit at least once a year and after complaints. Over the last three years this facility received 12 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.
| Severity | Citations |
|---|---|
| Potential for harm | 12 |
| No harm | 0 |
1 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.
Disclosed affiliations
Medicare has not published ownership or affiliation information for this facility. That is a gap in the federal record, not a finding about the facility — the great majority of facilities do have entries, so it is a reasonable thing to ask about on a visit.
Other options nearby
Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.
| Facility | Miles | Rating | Nurse hrs | Weekend |
|---|---|---|---|---|
| Capstone Healthcare of Perryton | 15.8 | 5 | 0.80 | −39% |
| Beaver County Nursing Home | 24.2 | 2 | 0.45 | −28% |
| Shattuck Nursing Center | 39.5 | 1 | 0.29 | −37% |
| Hansford Manor | 41.2 | 3 | — | — |
| Mesa View Senior Living | 42.1 | 3 | 0.48 | −47% |
| Southwest Medical Center SNF | 46.4 | 3 | — | — |
| Good Samaritan Society - Liberal | 46.7 | 2 | 1.42 | −29% |
| Wheatridge Park Care Center | 47.1 | 1 | 0.91 | −29% |
Worth asking on a visit
Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.
- Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
- Turnover here is about 74%. How long has the director of nursing been in post?
- Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?