Nursing home
Timberwood Nursing and Rehabilitation Center
4001 Hwy 59 North, Livingston, TX 77351 · Map
For profit - Individual · Part of The Ensign Group (329 facilities) · 120 certified beds
Timberwood Nursing and Rehabilitation Center is a Medicare-certified nursing home in Livingston, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.20 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jan 14, 2026 cited 7 deficiencies.
- 1 fine totaling $8,021In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Timberwood Nursing and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.20 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.34 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.97 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 33.8% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 14, 2026 inspection was corrected by January 15, 2026
Penalties in CMS records: 1 fine totaling $8,021, 1 total penalty.
What inspectors found at Timberwood Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
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 · Jan 14, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Jan 14, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 16, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 16, 2024 · Full report (PDF) - Potential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Oct 16, 2024 · Full report (PDF) - Potential for harm
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 · Oct 16, 2024 · Full report (PDF) - Potential for harm
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 · Oct 16, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4001 Hwy 59 North
Livingston, TX 77351 - CMS certification #
- 455745
- Ownership
- For profit - Individual
- Certified beds
- 120
- Avg residents/day
- 93.0
- Provider type
- Medicare and Medicaid
- First certified
- 1999-04-07
- Chain
- The Ensign Group (329 facilities)
- Setting
- Rural
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Timberwood Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Timberwood Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour round the clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Chi St Lukes Health Memorial Livingston, Livingston. 8.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- The Bradford at Brookside, Livingston. 5.4 miles away, straight line.
- Nearest home health agency office
- Enhabit Home Health, Livingston. 4.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire Brothers Pharmacy. 3.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77351 as rural (rural area).
- Dialysis within 15 miles
- Fkc Livingston, Livingston, 5.1 miles away, straight line (CMS rating 1 of 5 stars)
Aqua Dialysis Livingston, Livingston, 5.1 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 37 Medicare hospices tell CMS they serve ZIP code 77351.
1St Quality Hospice LLC, office in Livingston, 3.9 miles away, straight line
Harbor Hospice Of Livingston Lp, office in Livingston, 3.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Gentiva, office in Livingston, 5.1 miles away, straight line - Nearest geriatric medicine practice
- Cs Pacs 3 Southwest, LLC, Dayton. 41.3 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively moderate, inland flooding very low, wildfire relatively low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Timberwood Nursing and Rehabilitation Center a good nursing home?
CMS gives Timberwood Nursing and Rehabilitation Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Timberwood Nursing and Rehabilitation Center staffed?
Timberwood Nursing and Rehabilitation Center reports 3.20 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Timberwood Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Timberwood Nursing and Rehabilitation Center have?
Timberwood Nursing and Rehabilitation Center is certified for 120 beds.