Twilight Home
Corsicana, Texas · CCN 676014
15 surveys since 2011. The first finding at harm level was recorded in 2023.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 34
- Surveys
- 15
- Harm or worse
- 3
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 102
- Ownership
- For profit - Corporation
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- County
- Navarro · rural
- Medicare-certified since
- 2003
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Jul 9, 2026
123 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.30 | 3.25 |
| Registered-nurse hours per resident day | 0.27 | — |
| Annual nurse turnover | 94.9% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $12,795 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J17.1% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1178.6% | E17.1% | F17.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6412×
Ensure each resident receives an accurate assessment.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Twilight Home, in the surveyor’s own words.
- Immediate jeopardy, isolatedF580Oct 6, 2023
Based on interview and record review the facility failed to immediately inform the resident; consult with the resident's physician; and notify the resident representative(s) when there was an accident that caused a need to alter treatment significantly for 1 (Resident #1) of 2 residents reviewed for notification of changes. The facility nurses failed to immediately consult and notify the Physician when resident #1 sustained a fall with head injury on [DATE] at approximately 6:19 am and had subsequent altered mental status that required additional treatment in the form of neurological checks; the resident was pronounced deceased [DATE] at 11:59 am . […]
- Actual harm, patternF684Sep 15, 2023
Based on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #1) of 5 residents reviewed for quality of care. The facility failed to: 1. accurately assess and document condition for Resident #1, who was on blood thinners, after an unwitnessed fall on [DATE] at approximately 6:19 am and subsequent altered mental status. The resident was pronounced deceased [DATE] at 11:59 am 2. inform EMS of Resident #1's OOH-DNR, leading to the resident receiving CPR against his wishes on [DATE]. […]
- Actual harm, patternF880Sep 15, 2023
Based on observation, interview and record review, the facility failed to establish and maintain an Infection Prevention and Control Program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of disease and infections for 27 of 64 residents (Residents #4 - #30). The facility failed to: 1. ensure LVN K doffed PPE inside rooms for residents on transmission-based precautions. 2. ensure LVN K and CNA L performed proper hand hygiene 3. isolate Resident #1 for C. difficile (a contagious bacteria that causes diarrhea and cramping, weight loss) positive collected 06/11/23 The facility had 27 residents test positive for COVID and 2 required hospitalization . […]
- No harm, potential for more than minimal, widespreadF812May 14, 2025
Based on observation, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for proper food storage. 1. The facility failed to store foods in 1 of 1 walk-in freezer to allow for proper circulation. 2. The facility failed to ensure food in 1 of 1 walk-in freezer was properly sealed from air-borne contamination. This failure could place residents who were served food from the kitchen at risk for consuming contaminated, expired, and/or poor-quality food. […]
- No harm, potential for more than minimal, patternF880Oct 6, 2023
Based on observation, interview and record review, the facility failed to establish and maintain an Infection Prevention and Control Program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of disease and infections for 27 residents (Residents #4 - #30). The facility failed to: 1. ensure LVN K doffed PPE inside rooms for residents on transmission-based precautions. 2. ensure LVN K and CNA L performed proper hand hygiene 3. isolate Resident #1 for C. […]
Read 20 findings in full →The most serious and the most recent: 20 of 34 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 9, 2026Standard4 findings
- May 14, 2025Standard2 findings
- Feb 10, 2025Complaint1 finding
- Mar 28, 2024Standard2 findings
- Oct 6, 2023Complaint3 findings · 1 harm
- Sep 15, 2023Infection control3 findings · 2 harm
- Jun 20, 2023Complaint1 finding
- Feb 9, 2023Standard2 findings
Show the 7 earlier surveys
- Nov 4, 2021Standard3 findings
- Mar 21, 2019Standard4 findings
- Feb 15, 2018Standard and complaint2 findings
- Feb 10, 2017Standard1 finding
- Apr 12, 2013—2 findings
- Mar 15, 2012—3 findings
- Apr 15, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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