Twin Pines Nursing And Rehabilitation
Twin Pines Nursing and Rehabilitation in Victoria, TX — inspection on November 26, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview with the ADM on 11/26/2025 at 4:02p.m., revealed she and staff were trained on resident rights.
She said the policy for knocking was staff were to knock and wait for a response.
She said she would knock on a resident's door even when she would put up a resident's clothes.
She said all staff should knock before entering a resident's room. she also said if staff were in the middle of a task and had to walk out to get something, she would not expect the staff to knock again.
She said if staff did not knock a resident could get startled or upset.
She also said it was disrespectful for staff not to knock before entering a resident's room.
She said that the management team monitored to ensure staff were knocking.
She said management monitored by doing rounds and should be asking the resident's if staff were knocking.
She said she did not know why the MDSN, and the ST did not knock on Resident #1's door.
Record review of Resident Rights Policy, dated 03/09/2000, revealed, A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality.
The facility must protect and promote the rights of the resident.
The facility must respect the residents right to personal privacy.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Twin Pines Nursing and Rehabilitation
3301 E Mockingbird LN Victoria, TX 77904
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited Twin Pines Nursing and Rehabilitation in Victoria, TX for a deficiency under regulatory tag F-F0919 during a complaint investigation conducted on 2025-11-26.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure that a working call system is available in each resident's bathroom and bathing area.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of Twin Pines Nursing and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-27.