Twin Rivers Assisted Living and Memory Care

Inspection history (17)

Records from October 2022 to March 2025.

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-76956b310d

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to conduct required fire drills and document fire drills on the required form." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-284835abab

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to conduct criminal history checks of employees and applicants." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-3435d26655

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to store, serve, or reheat foods at the appropriate temperatures." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-1b1106155f

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to keep discontinued medications separate from current medications or failed to meet requirements for appropriate disposal of discontinued medications." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-8c39a2804c

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to have documented evidence showing that it had explained and provided a copy of the disclosure statement to the resident, family, or responsible party prior to admitting a resident." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-b7a5c0479c

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to ensure effective hair restraints were worn to prevent food contamination." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-fc77577825

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to search the NAR and EMR annually." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-a2e11eba2e

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to establish and maintain an infection control policy and procedure designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-3e4963ab5e

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-61ce7234fa

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• March 6, 2025 · Health Visit

  Citation TXV-HLT-20250306-38afdd2041

  Texas Health and Human Services cited this facility following an inspection completed on 2025-03-06. The state's finding, as published: "The facility failed to ensure that the manager was on duty and managing only one facility, or for small type A facilities responsible for no more than 16 residents in no more than four facilities and available when off- site." The citation came from a health inspection, which reviews resident care, medication, staffing and facility operations. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2025-03-06.GOV

• October 3, 2022 · Life Safety Code

  Citation TXV-LSC-20221003-e4def904ce

  Texas Health and Human Services cited this facility following an inspection completed on 2022-10-03. The state's finding, as published: "The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks." The citation came from a life safety code inspection, which reviews fire protection, building conditions and emergency preparedness. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2022-10-03.GOV

• October 3, 2022 · Life Safety Code

  Citation TXV-LSC-20221003-0067da7276

  Texas Health and Human Services cited this facility following an inspection completed on 2022-10-03. The state's finding, as published: "The facility failed to conduct and document a risk assessment for potential emergencies or disasters." The citation came from a life safety code inspection, which reviews fire protection, building conditions and emergency preparedness. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2022-10-03.GOV

• October 3, 2022 · Life Safety Code

  Citation TXV-LSC-20221003-c0b4b3b8c3

  Texas Health and Human Services cited this facility following an inspection completed on 2022-10-03. The state's finding, as published: "The facility failed to provide required emergency lighting." The citation came from a life safety code inspection, which reviews fire protection, building conditions and emergency preparedness. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2022-10-03.GOV

• October 3, 2022 · Life Safety Code

  Citation TXV-LSC-20221003-2280234b4a

  Texas Health and Human Services cited this facility following an inspection completed on 2022-10-03. The state's finding, as published: "The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management." The citation came from a life safety code inspection, which reviews fire protection, building conditions and emergency preparedness. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2022-10-03.GOV

• October 3, 2022 · Life Safety Code

  Citation TXV-LSC-20221003-24c21b1aa9

  Texas Health and Human Services cited this facility following an inspection completed on 2022-10-03. The state's finding, as published: "The facility failed to ensure heating, ventilating and air-conditioning equipment met the referenced codes and standards." The citation came from a life safety code inspection, which reviews fire protection, building conditions and emergency preparedness. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2022-10-03.GOV

• October 3, 2022 · Life Safety Code

  Citation TXV-LSC-20221003-76956b310d

  Texas Health and Human Services cited this facility following an inspection completed on 2022-10-03. The state's finding, as published: "The facility failed to conduct required fire drills and document fire drills on the required form." The citation came from a life safety code inspection, which reviews fire protection, building conditions and emergency preparedness. Source: Texas HHSC long-term care provider search (as of 2026-08-07).

  View original record (opens in a new tab)Source: State licensing agency · Updated 2022-10-03.GOV

Penalties

Texas HHSC lists no administrative penalty for this community. HHSC publishes enforcement actions facility by facility in its TULIP licensing record, and we read the record of every licensed assisted living facility in the state, this one included.

Staffing

Staffing hours are published for nursing homes and for no other kind of provider. Federal law requires Medicare- and Medicaid-certified nursing homes to file payroll-based nurse hours with CMS every quarter, and no agency collects the same return from assisted living communities.

Ownership

Ownership information not yet on file.

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Jul 23, 2026First appeared in our data

   This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.

   Reported by Texas HHSC