Twin Oaks ranked as 2nd largest nursing home in Cherokee County for Q1 2026

Twin Oaks Health and Rehabilitation Center was identified as Cherokee County’s second largest nursing home during the first quarter of 2026, data from the Centers for Medicare and Medicaid Services (CMS) shows.

The available data indicates the center offered 116 beds, surpassing the county average by 14 as of Q1 2026. During that period, Twin Oaks cared for an average of 62.9 residents.

The CMS gave Twin Oaks Health and Rehabilitation Center an overall rating of 2 out of 5, below the Texas nursing home average of 2.7.

In Q1, Cherokee Trails Nursing Home ranked as the county’s largest facility with 140 beds, while The Arbors Healthcare and Rehabilitation Center was third, offering 110 beds.

As of Q1 2026, Twin Oaks Health and Rehabilitation Center had incurred $174,431 in fines and received one penalty.

Cherokee County, Texas, was home to five for-profit nursing facilities in total.

U.S. Census Bureau estimates indicate the older adult population nationwide is increasing, while younger age groups are shrinking. From 2020 to 2024, Americans ages 65 and up grew by 13%, and the number of people under 18 declined by 1.7%. Over the past 100 years, the country’s older adult population has surged from 4.9 million in 1920 to more than 61 million as of 2024.

A 2021 study estimates about half of Americans in this age group—approximately 28 million—may require long-term services and support, with over a third likely to need nursing home care at some point.

“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education group. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”

Information in this article was gathered from the Centers for Medicare and Medicaid Services. Source data is located here.