Nursing Home Record

For profit - Individual · 120 certified beds · CMS number 455745

Timberwood Nursing and Rehabilitation Center, Livingston, TX

CMS records 15 health deficiencies at Timberwood Nursing and Rehabilitation Center in Livingston, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 14, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $8,021 in the last three years.

Inspections and deficiencies

CMS findings for Timberwood Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Timberwood Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (7 deficiencies)

Standard inspection Jan 14, 2026. CMS counts 7 health deficiencies and 0 fire safety deficiencies in this cycle.

Jan 14, 2026 · Standard inspection

6 deficiencies, highest F

F908 · Equipment kept in safe working order

Requirement cited (CMS): Keep all essential equipment working safely.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jan 15, 2026

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jan 15, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 15, 2026

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 15, 2026

F757 · Avoiding unnecessary drugs

Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 15, 2026

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 15, 2026

Nov 19, 2025 · Complaint inspection

1 deficiency, highest D

F627 · Permitted transfers, discharge planning, and return rights

Requirement cited (CMS): Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 5, 2025
Previous cycle: 7 deficiencies (standard inspection Oct 16, 2024)

Standard inspection Oct 16, 2024. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.

Oct 16, 2024 · Standard inspection

6 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 21, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 21, 2024

F726 · Competent nurses and nurse aides

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 21, 2024

F694 · IV fluid administration

Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 21, 2024

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 21, 2024

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 21, 2024

Sep 12, 2024 · Complaint inspection

1 deficiency, highest J

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Jan 22, 2024
Earlier cycle: 1 deficiency (standard inspection Aug 23, 2023)

Standard inspection Aug 23, 2023. CMS counts 1 health deficiency and 1 fire safety deficiency in this cycle.

Aug 23, 2023 · Standard inspection

1 deficiency, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 24, 2023

Tags cited in more than one inspection

2 tags cited on more than one inspection date at Timberwood Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F812 Food safety and sanitation2Jan 14, 2026; Oct 16, 2024
F880 Infection prevention and control program2Oct 16, 2024; Aug 23, 2023

Fines and payment denials

DateTypeAmount / length
Sep 12, 2024Fine$8,021

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.28 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.30 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.67 h
Nursing staff turnover
40.5% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
4 of 5
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5

CMS figures for Timberwood Nursing and Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
4001 Hwy 59 North, Livingston, TX 77351
Phone
(936) 327-4446
County
Polk
Accepts
Medicare and Medicaid
Ownership
For profit - Individual
Chain (CMS)
The Ensign Group
Certified beds
120
Average residents per day
89.5
In Medicare/Medicaid since
Apr 7, 1999
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
  • How do staff track and report infections among residents? (F880, cited 2 times)
  • How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
  • How are residents and families involved in planning a discharge? (F627, cited 1 time)

Other nursing homes in Livingston and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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