Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Booker Hospital District Dba: Twin Oaks Manor during CMS and state inspections, most recent first.
Surveyors found that the facility failed to properly label, date, and store food items, with multiple products in the freezer and pantry left open, undated, or expired. Condiments on dining tables were not refrigerated as required and some were past expiration. The Dietary Manager confirmed that these practices could lead to illness. Employee personal food was also stored with facility food, contrary to policy.
The facility did not ensure that medications requiring refrigeration, including insulin pens, were stored within the recommended temperature range. Temperature logs showed repeated instances of the refrigerator reaching 32°F, the freezing point, despite medication labeling indicating they should not be frozen. Staff acknowledged the temperature deviations but could not confirm if the medications had been compromised.
The facility did not ensure that the Dietary Manager maintained current certification, as the certificate had expired and both the Dietary Manager and Administrator were aware of this lapse. There was no facility policy in place regarding the employment of a certified Dietary Manager.
A CNA did not change gloves or perform hand hygiene between removing a soiled brief and applying a clean one for a resident with dementia and incontinence. Despite prior training and facility policy requiring glove changes and handwashing between contaminated and clean care tasks, the CNA proceeded without these steps, as confirmed by interviews with the CNA, ADON, and DON.
Deficient Food Storage and Service Practices
Penalty
Summary
Surveyors observed multiple failures in the facility's food storage, preparation, and service practices. During a kitchen tour, several food items in the freezer, such as ice cream, garlic bread, fish sticks, corn dogs, mixed vegetables, pork chops, and corn, were found either open to air, lacking proper closure, or missing labels and dates. In the dry pantry, numerous items including brown sugar, food coloring, gelatin, crackers, drink mixes, coffee, tea, hot sauce, chili powder, soy sauce, gravy mix, and soup were either undated, expired, or not stored according to manufacturer instructions. Additionally, a kitchen employee's personal food was found stored in the refrigerator alongside facility food items. Further observations in the dining area revealed that condiments such as ketchup, mustard, and honey were left on tables for resident use, with some bottles not refrigerated as instructed and others past their expiration dates. The Dietary Manager acknowledged that serving outdated or unrefrigerated foods and condiments could result in residents becoming ill. A review of the facility's food storage policy indicated requirements for proper sealing, dating, and separation of employee personal items, which were not followed as evidenced by the survey findings.
Failure to Maintain Proper Medication Storage Temperatures
Penalty
Summary
The facility failed to ensure that medications were stored in accordance with accepted professional principles in the medication room refrigerator. Review of the refrigerator temperature logs for April 2025 showed multiple instances where the temperature was recorded at 32 degrees Fahrenheit, which is the freezing point of water. Medications stored in the refrigerator at the time of observation included an Ozempic insulin pen labeled 'Do Not Freeze' and two Lantus insulin pens labeled to be stored between 36 to 46 degrees Fahrenheit. Both RN A and the ADON acknowledged that 32 degrees is considered freezing and that freezing could affect the medications, but neither could confirm if the medications had actually frozen. The DON also confirmed that storing medications outside their recommended temperature range could affect their longevity and potency. The facility's policy on medication storage, effective January 2024, requires that medications with specific storage requirements for temperature, light, or humidity must be stored according to those specifications. Despite this policy, the medication room refrigerator was not consistently maintained within the required temperature range for the medications stored inside. There was no documentation or evidence provided that staff took action to address the out-of-range temperatures or to assess the integrity of the affected medications.
Failure to Maintain Certified Dietary Manager
Penalty
Summary
The facility failed to employ sufficient staff with the appropriate competencies and skill sets to carry out the functions of the food and nutrition service, specifically by not ensuring that the Dietary Manager maintained current certification. Record review showed that the Dietary Manager's certificate had expired, and during an interview, the Dietary Manager acknowledged awareness of the expired status and indicated plans to register for recertification. The Administrator confirmed prior knowledge of the expired certificate but did not recall specific details about when or with whom the issue was discussed. There was no facility policy regarding the employment of a certified Dietary Manager.
Failure to Follow Hand Hygiene Protocol During Incontinent Care
Penalty
Summary
A certified nursing assistant (CNA) failed to follow proper hand hygiene protocols while assisting with incontinent care for a female resident with dementia, a right hip fracture, macular degeneration, and hallucinations. The resident was severely cognitively impaired, required moderate assistance with activities of daily living, and was frequently incontinent of urine. During the observed care, the CNA washed her hands and donned gloves before starting, but after removing the soiled brief and assisting with positioning the resident, she handled a new brief and completed care without removing her gloves or performing hand hygiene between the contaminated and clean tasks. Interviews with the CNA revealed she did not believe it was necessary to change gloves or wash her hands before applying the new brief, despite having received training on proper hand hygiene. Both the Assistant Director of Nursing (ADON) and Director of Nursing (DON) confirmed that facility policy and training require staff to change gloves and perform hand hygiene before moving from a contaminated to a clean task, such as before applying a new brief. Facility policy and the resident's care plan also supported these expectations, but the CNA did not adhere to them during the observed care.
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Illustrative
What surveyors actually found near you
We read the 1 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Booker
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Capstone Healthcare Of Perryton | 15.8 mi | ★★★★★ | 1 | 0 |
| Beaver County Nursing Home | 24.2 mi | ★★★★★ | 0 | 0 |
| Shattuck Nursing Center | 39.5 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.