Timberwood Nursing and Rehabilitation Center

4001 Hwy 59 North, Livingston, TX 77351 · CCN 455745 · 120 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections3 of 5CMS staffing2 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2024-09-12 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.52

state median 2.67

Weekend staffing gap

−15%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.09

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

31

with residents present

Nursing staff turnover

41%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $8,021 in fines.

DateTypeAmount
2024-09-12Fine$8,021

Ownership

Ownership type: For profit - Individual. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Potential for more than minimal harm: 15 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-01-14F0755Pharmacy Service DeficienciesEnot recorded
2026-01-14F0757Pharmacy Service DeficienciesEnot recorded
2026-01-14F0760Pharmacy Service DeficienciesEnot recorded
2026-01-14F0761Pharmacy Service DeficienciesEnot recorded
2026-01-14F0812Nutrition and Dietary DeficienciesFnot recorded
2026-01-14F0908Environmental DeficienciesFnot recorded
2025-11-19F0627Resident Rights DeficienciesDnot recorded
2024-10-16F0550Resident Rights DeficienciesDnot recorded
2024-10-16F0690Quality of Life and Care DeficienciesDnot recorded
2024-10-16F0694Quality of Life and Care DeficienciesEnot recorded
2024-10-16F0726Nursing and Physician Services DeficienciesDnot recorded
2024-10-16F0812Nutrition and Dietary DeficienciesEnot recorded
2024-10-16F0880Infection Control DeficienciesEnot recorded
2024-09-12F0689Quality of Life and Care DeficienciesJnot recorded
2023-08-23F0755Pharmacy Service DeficienciesDnot recorded
2023-08-23F0880Infection Control DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Timberwood Nursing and Rehabilitation Center, Livingston” at medicare.gov/care-compare.