nursing home in Livingston, TX
Timberwood Nursing and Rehabilitation Center
4001 Hwy 59 North, Livingston, TX 77351 · (936) 327-4446
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Timberwood Nursing and Rehabilitation Center at a glance
Timberwood Nursing and Rehabilitation Center is a 120-bed for-profit nursing home in Livingston, Texas (Polk County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.3 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (January 14, 2026) found 7 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $8,021.
Nursing staff turnover is 40.5% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- April 7, 1999
- Resident/family council
- Resident
- County
- Polk County
- CMS Certification Number
- 455745
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.28 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.30 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.96 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.67 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 40.5% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 37.5% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 65 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,021 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 90 | 76 | 86 | |
| Occupancy | 74.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.7% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.7% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.4% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.7% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.3% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.5% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 10.7% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 99.5% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 14, 2026 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected January 15, 2026 |
| January 14, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 15, 2026 |
| January 14, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected January 15, 2026 |
| January 14, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected January 15, 2026 |
| January 14, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected January 15, 2026 |
| January 14, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected January 15, 2026 |
| November 19, 2025 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected December 5, 2025 |
| October 16, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected October 18, 2024 |
| October 16, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected October 18, 2024 |
| October 16, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 21, 2024 |
| October 16, 2024 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | E Potential harm, pattern | Corrected October 21, 2024 |
| October 16, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 21, 2024 |
| October 16, 2024 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected October 21, 2024 |
| October 16, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected October 21, 2024 |
| October 16, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected October 21, 2024 |
| September 12, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected January 22, 2024 |
| August 23, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 14, 2023 |
| August 23, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 24, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,021 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 12, 2024 | Fine | $8,021 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 Organization | 5% or greater direct ownership interest | 100% | 05/01/2015 |
| BARLEY, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 05/01/2015 |
| CARETRUST GP LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2015 |
| CARETRUST REIT INC Organization | adp of the snf | NOT APPLICABLE | 05/01/2015 |
| CTR PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 05/01/2015 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 04/05/2006 |
| LIVINGSTON CARE ASSOCIATES, INC. Organization | adp of the snf | NOT APPLICABLE | 11/03/2025 |
| LUNA, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| POLK HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2015 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 05/01/2015 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| STRATTON, CHARLES Individual | corporate officer | NOT APPLICABLE | 02/07/2005 |
| BARLEY, CHRISTOPHER Individual | managing control - governing body | NOT APPLICABLE | 05/01/2015 |
| LUNA, JEFFREY Individual | managing control - governing body | NOT APPLICABLE | 10/01/2025 |
| BARLEY, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 05/01/2015 |
| LIVINGSTON CARE ASSOCIATES, INC. Organization | operational/managerial control | NOT APPLICABLE | 05/01/2015 |
| LUNA, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 10/01/2025 |
Other nursing homes near Timberwood Nursing and Rehabilitation Center
The Bradford at Brookside
301 West Park Drive, Livingston, TX 77351 · 5.4 mi
For-profit · 125 beds · Part of Cantex Continuing Care
★★★★★3AverageWoodland Park Nursing & Rehab
101 Woodland Park Dr, Shepherd, TX 77371 · 12.4 mi
Government · 100 beds · Part of Gulf Coast LTC Partners
★★★★★1Much below average- ★★★★★4Above average
Cleveland Health Care Center
903 E Houston St, Cleveland, TX 77327 · 23.1 mi
Non-profit · 142 beds · Part of Health Services Management
★★★★★4Above averageCorrigan LTC Partners
300 Hyde St, Corrigan, TX 75939 · 24.9 mi
Government · 86 beds · Part of Gulf Coast LTC Partners
★★★★★1Much below averageGroveton Nursing Home
1020 W 1st St, Groveton, TX 75845 · 30.4 mi
For-profit · 47 beds · Part of Creative Solutions in Healthcare
★★★★★3Average
Frequently asked questions
What is Timberwood Nursing and Rehabilitation Center's rating?
Timberwood Nursing and Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Timberwood Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 7 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Timberwood Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Timberwood Nursing and Rehabilitation Center?
It is for profit - individual and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Timberwood Nursing and Rehabilitation Center and how do I contact it?
Timberwood Nursing and Rehabilitation Center is at 4001 Hwy 59 North, Livingston, TX 77351. Phone: (936) 327-4446.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.