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Twin Oaks Memorial Hospital is a 14-bed rural community hospital located at 7702 Highway 7 in Musquodoboit Harbour, Nova Scotia, serving communities from Porters Lake to Tangier along the Eastern Shore. The emergency department is open 24 hours a day, seven days a week, providing essential acute care, diagnostic imaging, laboratory services, and mental health support to residents of this rural Halifax Regional Municipality corridor. As a small community facility operated by Nova Scotia Health Authority, Twin Oaks is best suited for urgent but non-life-threatening conditions; patients requiring specialized cardiac, trauma, stroke, or pediatric care should expect transfer to the QEII Health Sciences Centre in Halifax.
Services & Specialties
24/7 Emergency Department, Acute inpatient care, Diagnostic imaging (X-ray by referral and appointment), Laboratory and blood collection services (patients 2+ years, by appointment), Physiotherapy, Occupational therapy, Outpatient care, Palliative and respite care, Nutrition counselling, Social services, Diabetic clinic, Foot clinic, Community Mental Health and Addictions (outpatient), Home Care Nova Scotia (tenant service), Nova Scotia Hearing and Speech Therapy (tenant service), Addiction services (tenant service).
Amenities
Free public WiFi throughout the facility
Cafeteria on main level — open daily 8–10 a.m. and noon–6 p.m. (cash only)
Quiet room for visitors and families (located on inpatient unit)
Spiritual care available on request for patients and families
The main building entrance is locked between 8:30 p.m. and 6:30 a.m. — after hours, use the dedicated Emergency Department entrance, which remains open and accessible around the clock.
For a mental health or addictions crisis, a toll-free crisis line is available at 1-888-429-8167 at any time, in addition to the on-site emergency department.
The cafeteria accepts cash only and is not open overnight — bring snacks, a water bottle, and cash if you anticipate a long wait or are accompanying a patient.
X-ray and blood collection services require a referral and appointment and are not walk-in — arrive at the ER first if you need urgent diagnostic work, as the ED team can arrange appropriate testing.
For life-threatening emergencies such as chest pain, stroke symptoms, or major trauma, call 911 immediately — paramedics can begin treatment en route and coordinate transfer to a higher-level centre if needed.
What to Bring
Provincial health card (Nova Scotia MSI card)
Government-issued photo ID
List of current medications including doses
Any relevant medical history documents or recent test results
Cash for the cafeteria (no card payments accepted)
Snacks, water, and a phone charger for potentially longer waits
Warm clothing or a blanket, as ER waiting areas can be cool
A trusted contact person's name and phone number
Frequently Asked Questions
Is the Twin Oaks Memorial Hospital emergency department open 24/7?
Yes. The emergency department at Twin Oaks Memorial Hospital in Musquodoboit Harbour is open 24 hours a day, seven days a week. Note that the main building entrance is locked from 8:30 p.m. to 6:30 a.m. — after hours, use the separate Emergency Department entrance, which remains accessible at all times.
What communities does Twin Oaks Memorial Hospital serve?
Twin Oaks Memorial Hospital has historically served communities along Nova Scotia's Eastern Shore from Porters Lake to Tangier, including Musquodoboit Harbour and the surrounding rural Halifax Regional Municipality area. It is operated by Nova Scotia Health Authority.
Does Twin Oaks Memorial Hospital have a cafeteria?
Yes. The cafeteria is located on the main level and is open daily from 8 a.m. to 10 a.m. and again from noon to 6 p.m. It is cash only — no debit or credit cards are accepted. Outside of these hours there is no food service on site, so bring your own snacks if you expect a long visit.
Can I get X-rays or blood work done at Twin Oaks without going to the ER?
X-ray and blood collection services at Twin Oaks are available by referral and appointment only — they are not walk-in services. Blood collection is available for patients aged 2 and older. If you arrive at the emergency department, the clinical team can arrange urgent diagnostic services as part of your ER visit.
Is there a mental health crisis service available at or through Twin Oaks Memorial Hospital?
Yes. Community Mental Health and Addictions services are available at Twin Oaks on an outpatient basis. For immediate mental health or addictions crises, a toll-free crisis line is available 24/7 at 1-888-429-8167. In a life-threatening mental health emergency, go to the emergency department or call 911.
When would I be transferred from Twin Oaks to a larger hospital?
Twin Oaks is a 14-bed rural community hospital without trauma centre designation or on-site subspecialties. Patients requiring specialized care — such as cardiac intervention, stroke management, major trauma surgery, or pediatric critical care — will typically be stabilized at Twin Oaks and then transferred to QEII Health Sciences Centre in Halifax. Always call 911 for life-threatening emergencies so paramedics can coordinate appropriate care from the outset.