Twin Oaks Rehab & Nursing - Management

 
Tom Skiba
Administrator (not pictured)

Tom oversees the direction and coordination of all aspects of resident care, customer service, budgetary control and regulatory compliance.

Tom has over 23 years experience in skilled nursing becoming licensed as a Nursing Home Administrator in 1988.  He joined the professional team at Twin Oaks Rehabilitation and Nursing Center in March 2012.  Tom embraces a resident centered approach to caring.

Tom has a Bachelor of Arts Degree in Health Science from California State University, San Bernardino.

“Caring for our elderly is an opportunity to share our respect and companionship for perhaps our greatest generation.  When you are a part of Twin Oaks, you are part of a team committed to achieving the highest standards of care and service.  We are very grateful to help a generation that has given so much of themselves.”
— Tom Skiba



Hope Ruiz
Activities Designee

Hope is in charge of a full service activity program. Hope has worked for Magnolia Health Corporation for over 17 years. She began her career as a Certified Nurse Assistant then gradually moved to different departments gaining beneficial experience. Hope received special training from the Clovis Adult School to enhance her abilities as the facility’s on-site Activities
Designee.

"This is a caring, friendly environment. Residents and employees are treated like family."   — Hope Ruiz


Debbie Coleman, LVN (not pictured)
MDS Designee

Debbie interviews family members, residents and caregivers to obtain necessary information for their care needs. She also ensures all federally mandated requirements are met.

Debbie has over 13 years experience in rehabilitation, short and long-term care.  She also has vast expertise in hospice and home health care.  Debbie joined the professional team at Twin Oaks in November 2010.  Debbie received her degree as a Licensed Vocational Nurse from the Visalia Adult School.

“I am happy to be a part of the Twin Oaks family.  I love interacting with the residents!”   — Debbie Coleman

Isabel Palomo, RN
Director of Nursing

Isabel is in charge of overseeing all nursing responsibilities. She works closely with residents, family, physicians and nursing staff to assure all residents are safe and content as well as receive the best care and clinical outcomes possible.

Isabel has over 18 years experience in a skilled nursing setting. She graduated from College of the Sequoias as a Licensed Vocational Nurse and later graduated as a Registered Nurse from Pacific Union College in Angwin, California.

"Caring for seniors and other residents who need assistance is very rewarding. I can make a difference in the quality of life our residents have and that means everything to me." — Isabel Palomo 



Trini Toft
Social Services Designee

Trini works with residents and family members to ensure each resident’s transition into the facility is smooth and that their individuality is considered in all aspects of their care. Trini begins the process of planning for the resident’s future on the very first day of admission, so the entire team has a direction of care.

Trini has worked for Magnolia Health Corporation for over 11 years. She started as a Certified Nurse Assistant then became a Restorative Nurse Assistant. She has received valuable training as a Social Services Designee from the corporation’s other sister facilities.

"I enjoy working with our residents and meeting their families. Also this is a great company to work for. They care for their residents and staff."  — Trini Toft



Susan Alvarez
Food Services Supervisor

Susan oversees quality of food, proper cleanliness and that every resident’s nutritional needs are met.

Susan has over 15 years experience as a Food Services Supervisor. She has worked in Magnolia’s sister facilities for over 10 years. Susan has received special training as a Dietetic Services Supervisor and Certified Professional Food Manager from College of the Sequoias.

"I enjoy working here because we take care of our residents, and that is the most important thing to me."
— Susan Alvarez