Nursing HomeInspections

Timberwood Nursing and Rehabilitation Center

Nursing home in Livingston, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (936) 327-4446Send a messageMap ↗

Public-record details

Address
4001 Hwy 59 North, Livingston, TX 77351
Phone
(936) 327-4446
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
455745
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
120
Average residents per day
90
Ownership
For-profit, individual
Legal business name
Liberty County Hospital District No 1
Chain
The Ensign Group (342 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 7, 1999
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455745. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 14, 2026. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 23, 2023 to Jan 14, 2026): 3 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jan 14, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jan 14, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jan 14, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jan 14, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jan 14, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Jan 14, 2026Keep all essential equipment working safely.
Environmental		F
Potential for more than minimal harm, widespread
Nov 19, 2025Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 16, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Oct 16, 2024Provide 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		D
Potential for more than minimal harm, isolated
Oct 16, 2024Ensure 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		D
Potential for more than minimal harm, isolated
Oct 16, 2024Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Oct 16, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 16. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,021 in the last three years.

Sep 12, 2024Fine: $8,021

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.28 hours
Registered nurse (RN) time per resident per day
0.30 hours
Nurse aide time per resident per day
1.96 hours
Total nurse staffing on weekends
2.67 hours
Nursing staff turnover (yearly)
41%
RN turnover (yearly)
38%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Livingston

Pine Ridge Health Care LLP1620 US 59 N · Livingston, TX 77351 · (936) 327-5415 · For-profit21 health citations in 3 inspection cycles · last standard inspection May 20, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)The Bradford at Brookside301 West Park Drive · Livingston, TX 77351 · (936) 328-5021 · For-profit31 health citations in 3 inspection cycles · last standard inspection Aug 27, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)

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