# Booker Hospital District DBA:  Twin Oaks Manor

**Location:** Booker, Texas 79005
**Address:** 112 PIONEER DR

## CMS Five-Star Quality Ratings

| Measure | Rating |
| --- | --- |
| Overall | 2 out of 5 |
| Health inspection | 4 out of 5 |
| Staffing | 1 out of 5 |
| Quality measures | 1 out of 5 |

This facility's 2-star overall rating is below the Texas state average of 2.8 stars.

## Facility profile

- **Ownership:** Government - Hospital district
- **Certified beds:** 40
- **Average daily residents:** 39
- **Health deficiencies (most recent surveys):** 12
- **Federal penalties:** 0

## Cost context

The average monthly cost of a semi-private nursing-home room in Texas is $5,627 (private room $7,604), per the CareScout 2025 Cost of Care Survey.

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Source: CMS Nursing Home Compare (Care Compare provider data), as of April 2026; cost figures from the CareScout 2025 Cost of Care Survey. Full page with charts and methodology: https://plaineldercare.com/nursing-home/booker-hospital-district-dba-twin-oaks-manor-booker-tx/