Twin Oaks Rehabilitation and Healthcare Center
857 Crawford Lane, Mobile, AL 36617 · Mobile County · (251) 476-3420
131 certified beds, about 124 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015211 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 26, 2023, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).
Of 6 health citations since November 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.37 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
34.0% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Ball Healthcare Services, an affiliated group of 9 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
October 26, 2023Standard inspection · 2 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, resident record review, and review of facility policies titled Hand Hygiene, Standard Precautions, and Infection Prevention and Control Program the facility failed to ensure staff provided care to residents, handled soiled linen, lift slings, and mechanical lifts, in a manner to prevent the spread of infection in the facility. On 10/24/2023 during surveyor observations, staff failed to: wash or sanitize hands between residents; dispose of lift slings appropriately after resident use; sanitize the mechanical lift appropriately after resident use. This had the potential to affect Resident Identifier (RI) #81, RI #20, RI #3, and RI #19, four of 28 sampled residents. A facility policy titled Standard Precautions revised 09/2010 documented: . 1. Hand Hygiene a. Wash hands after touching . contaminated items . 5. Resident-Care Equipment . a. [...]
- D 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.
Inspectors wroteBased on observation, interviews, and review of a facility policy titled MEDICATION STORAGE IN THE FACILITY, the facility failed to ensure stock Ativan (Lorazepam), a controlled medication, was stored in the medication refrigerator in a secured non-removable container, this was observed on 10/26/2023. This affected one of two medication refrigerators reviewed.
August 5, 2021Standard inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview, review of facility forms CERTIFICATE OF INVENTORY AND DESTRUCTION and review of facility policies titled, CONTROLLED SUBSTANCE DISPOSAL and MEDICATION DESTRUCTION FOR NON-CONTROLLED MEDICATIONS, the facility failed to ensure the required number of signatures for destruction of controlled and non-controlled medications were present and documented on the destruction forms. This affected two of twelve months reviewed for destruction for the year 2020 and three of six months reviewed for the year 2021. Findings Include: [...]
November 2, 2019Standard inspection · 3 citations
- J Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, review of Assure Prism multi Blood Glucose Monitoring System User Instruction Manual, an article published by the Centers for Disease Control and Prevention, the [NAME] Alcohol Prep Pad product information, product information for the Dispatch Hospital Cleaner Disinfectant Towels with Bleach, Employee Identifier (EI) #1's Glucometer Sanitizing Skills Validation report, an undated facility document and www.merriam-webster.com, the facility failed to ensure EI #1, a Registered Nurse (RN) cleaned and disinfected the Assure Prism multi Blood Glucose Monitoring System according to the manufacturer's instructions between each resident when she performed finger stick blood sugar testing on Resident Identifier (RI) #64, RI #100 and RI #102 during the evening medication pass observation on 10/30/2019. [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interviews, review of Resident Identifier (RI) #7's medical record and the facility's policy titled Glucose Monitoring Equipment - Care and Quality Control Testing, the facility failed to ensure Employee Identifier (EI) #15, a Licensed Practical Nurse (LPN) disposed of a lancet in a Sharps container rather than in RI #7's trash can in the resident's room after she performed a finger stick blood sugar on RI #7 on 10/30/2019. This deficient practice affected RI #7, one of nine residents observed receiving finger stick blood sugars, and performed by EI #15, one of seven nurses observed performing finger stick blood sugars.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on interviews and review of Employee Identifier (EI) #7's, EI #11's and EI #12's, all Certified Nursing Assistants' (CNAs) employee files, the facility failed to ensure these staff members had the required yearly Dementia and/or Abuse training. This deficient practice affected three of 34 employee files reviewed.
Fire safety inspections
5 fire safety citations on file: 1 on October 26, 2023, 4 on November 2, 2019.
Every fire safety citation5 citations
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Install an approved automatic sprinkler system.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.37 | 3.88 | 3.86 |
| Registered nurses | 0.53 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.62 | 3.26 | 3.42 |
| Nurse aides | 1.91 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 34.0% | 46.9% | 45.8% |
| Registered nurse turnover | 23.1% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.67 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.68 on weekdays and 2.62 on weekends, 29% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.37 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.37 | 0.53 | 3.68 | 2.62 | 0.0% | 0 of 90 | 124 |
| Oct to Dec 2025 | 3.50 | 0.54 | 3.77 | 2.80 | 0.0% | 0 of 92 | 120 |
| Jul to Sep 2025 | 3.42 | 0.49 | 3.65 | 2.83 | 0.0% | 0 of 92 | 121 |
| Apr to Jun 2025 | 3.28 | 0.38 | 3.52 | 2.70 | 0.0% | 0 of 91 | 121 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.8 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.1 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.2 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.3 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.0 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.7 | 1.8 |
Owners and operators
Legal business name: TWIN OAKS NURSING HOME LLC. CMS links this home to Ball Healthcare Services, a group of 9 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ball, Clarence | 5% or greater direct ownership interest | Individual | 100% | 07/01/2003 |
| Ball, Clarence | Corporate director | Individual | 07/11/2003 | |
| Hall, Matthew | Corporate officer | Individual | 09/16/2014 | |
| Bryant, Lakeisha | Operational/managerial control | Individual | 08/07/2014 | |
| King, Lawrence | Operational/managerial control | Individual | 05/01/2019 | |
| Stone, Herbert | Operational/managerial control | Individual | 03/13/2013 | |
| Ball, Clarence | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/01/2026 | |
| Ball Healthcare Inc | Adp of the SNF | Organization | 07/01/2003 | |
| Ball Healthcare Service, Inc | Adp of the SNF | Organization | 04/10/2025 | |
| Hall, Matthew | Adp of the SNF | Individual | 10/01/2014 | |
| King, Lawrence | Adp of the SNF | Individual | 07/21/2025 | |
| Stone, Herbert | Adp of the SNF | Individual | 03/13/2013 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on October 26, 2023: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on October 26, 2023: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on November 2, 2019: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on November 2, 2019: "Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.62 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Camellia Health and Rehabilitation Center Mobile, 1.8 mi · 3 of 5 stars · 6 citations
- Ashland Place Health and Rehabilitation, LLC Mobile, 2 mi · 3 of 5 stars · 11 citations
- Kensington Health and Rehabilitation Mobile, 2 mi · 5 of 5 stars · 9 citations
- Palm Gardens Health and Rehabilitation, LLC Mobile, 2.1 mi · 5 of 5 stars · 4 citations
- Little Sisters of the Poor Sacred Heart Residence Mobile, 2.3 mi · 5 of 5 stars · 2 citations
- Allen Health and Rehabilitation Mobile, 3.3 mi · 3 of 5 stars · 9 citations
- Crowne Health Care of Springhill Mobile, 4.1 mi · 5 of 5 stars · 2 citations
- Springhill Senior Residence Mobile, 4.3 mi · 4 of 5 stars · 5 citations
Alabama contacts for a concern about a nursing home
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.
Common questions
- What is Twin Oaks Rehabilitation and Healthcare Center's Medicare star rating?
- CMS rates Twin Oaks Rehabilitation and Healthcare Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Twin Oaks Rehabilitation and Healthcare Center get at its last inspection?
- 2 health deficiencies at the standard inspection on October 26, 2023. The Alabama average is 4.
- Has Twin Oaks Rehabilitation and Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Twin Oaks Rehabilitation and Healthcare Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Twin Oaks Rehabilitation and Healthcare Center?
- CMS lists 12 owners and managers, and links the home to Ball Healthcare Services. Legal business name: TWIN OAKS NURSING HOME LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.