Federal inspection record · CMS data as of October 1, 2026

Twilight Home

3001 West 4th Avenue, Corsicana, TX · (903) 872-2521

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
102
Residents per day
66
Ownership
For-Profit
Chain
Creative Solutions In Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 17, 2003

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Twilight Home carries 33.5 inspection points. That is fewer than 83% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 33.5 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

12 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 1 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 6, 2023 · Complaint inspection · Resident Rights · F580 · Corrected October 7, 2023

Everything else, by area of care

Resident Assessment and Care Planning6D
  1. D

    Ensure each resident receives an accurate assessment.

    July 9, 2026 · Standard · F641 · Corrected July 10, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 9, 2026 · Standard · F656 · Corrected July 10, 2026

  3. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    May 14, 2025 · Standard · F644 · Corrected May 23, 2025

  4. D

    Ensure each resident receives an accurate assessment.

    March 28, 2024 · Standard · F641 · Corrected March 29, 2024

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 28, 2024 · Standard · F656 · Corrected March 29, 2024

  6. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 6, 2023 · Complaint · F842 · Corrected October 7, 2023

Nutrition and Dietary2F
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 9, 2026 · Standard · F812 · Corrected July 10, 2026

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 14, 2025 · Standard · F812 · Corrected May 23, 2025

Quality of Life and Care1D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 9, 2026 · Standard · F677 · Corrected July 10, 2026

Resident Rights1D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    February 10, 2025 · Complaint · F580 · Corrected February 11, 2025

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    October 6, 2023 · Complaint · F880 · Corrected October 7, 2023

Inspection history

  1. 2026-07-09

    4 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  2. 2025-05-14

    3 health deficiencies · 6 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  3. 2024-03-28

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 12 min of nursing staff time a day, 19 min of it from a registered nurse.

This home

3 h 12 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 24% of nursing staff and 0% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.72.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse2.62.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better0.9%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.5 pts worse2.8%2.3%13.5%
Percentage of long-stay residents who lose too much weight2.9 pts better0.0%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15 pts better2.8%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication3 pts better6.8%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.9 pts better8.0%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.7 pts better6.1%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts better6.5%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.9 pts worse4.6%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better100.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts worse14.8%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better0.5%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better100.0%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts worse27.7%25.5%23.4%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Burris, ByronOperational/Managerial Control · Individual0%3 facilities
Golden, JordanW-2 Managing Employee · Individual0%1 facilities
Mak, DavidCorporate Director · Individual0%28 facilities
Mak, DavidCorporate Officer · Individual0%28 facilities
Twilight HomeOperational/Managerial Control · Organization0%1 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Services4F
  1. B

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    July 9, 2026 · K521 · Not yet marked corrected

  2. F

    Have properly installed electrical wiring and gas equipment.

    May 14, 2025 · K511 · Corrected June 13, 2025

  3. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    May 14, 2025 · K521 · Corrected June 3, 2025

  4. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    March 28, 2024 · K521 · Not yet marked corrected

Gas, Vacuum, and Electrical Systems2F
  1. F

    Ensure electrical receptacles or cover plates have distinctive color or marking.

    May 14, 2025 · K917 · Corrected June 13, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    May 14, 2025 · K918 · Corrected June 5, 2025

Egress2E
  1. E

    Meet other general requirements.

    May 14, 2025 · K200 · Corrected June 17, 2025

  2. E

    Install emergency lighting that can last at least 1 1/2 hours.

    May 14, 2025 · K291 · Corrected June 13, 2025

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    March 28, 2024 · K712 · Corrected November 18, 2024

Smoke1E
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 28, 2024 · K321 · Corrected November 18, 2024

·

Other homes nearby

  1. Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 9 min
    Fines
    $0
  2. Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 7 min
    Fines
    $0
  3. Meadows of Corsicana, LLC

    Corsicana, TX · Tanabell Health Services

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 55 min
    Fines
    $0