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Timberwood Nursing and Rehabilitation Center

All states › Texas › Livingston › Timberwood Nursing and Rehabilitation Center

4001 Hwy 59 North Livingston, TX 77351 · Polk County

(936) 327-4446

All 3 nursing homes in Livingston, TX (3 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 455745 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Timberwood Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Timberwood Nursing and Rehabilitation Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8. Inspectors issued 15 citations in the last three years. CMS imposed 1 penalty, including $8,021 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.28 hours per resident per day at Timberwood Nursing and Rehabilitation Center, about the same as the Texas median of 3.30 (US median: 3.72). About 0.35 of those hours are from registered nurses. On weekends it falls to 2.66 hours, 19% below its all-week average. Ask how weekends are staffed. 37.7% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.

Nursing care per resident per day 3.28 hours
About the Texas median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.35 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.66 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 37.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 37.5% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 89 About 74% of beds filled, on average
OwnershipFor profit - Individual
Payment acceptedMedicare and Medicaid
Certified sinceApril 1999
Part of a chainThe Ensign Group
Legal business nameLIBERTY COUNTY HOSPITAL DISTRICT NO 1

Paying for care at Timberwood Nursing and Rehabilitation Center: Medicare and Medicaid

Timberwood Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on January 14, 2026 and found 6 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 15 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 15 citations at Timberwood Nursing and Rehabilitation Center across 5 inspection dates, 2 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 12, 2024 (complaint inspection). The most common areas cited were pharmacy service (4) and quality of life and care (3). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, September 12, 2024).

January 14, 2026 · 6 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 15, 2026)

FKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Jan 15, 2026)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jan 15, 2026)

EEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Jan 15, 2026)

EEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Jan 15, 2026)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jan 15, 2026)

November 19, 2025 · 1 citation · includes complaint inspection

DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0627 · Complaint inspection · Deficient, Provider has date of correction (Dec 5, 2025)

October 16, 2024 · 6 citations

EProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (Oct 21, 2024)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 21, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 21, 2024)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Oct 21, 2024)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Oct 21, 2024)

DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (Oct 21, 2024)

September 12, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jan 22, 2024)

August 23, 2023 · 1 citation

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 24, 2023)

Questions to ask on a tour of Timberwood Nursing and Rehabilitation Center

  1. Inspectors cited the home at the immediate-jeopardy level on September 12, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $8,021 in fines.

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

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 2/5 4/5
August 2026 4/5 3/5 2/5 5/5
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Location

Hospitals near Timberwood Nursing and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

The Bradford at Brookside Livingston · 5.4 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 125 beds · Medicaid
Woodland Park Nursing & Rehab Shepherd · 12.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 100 beds · Medicaid
Pine Ridge Health Care LLP Livingston · 16.4 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 120 beds · Medicaid
Cleveland Health Care Center Cleveland · 23.1 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 142 beds · Medicaid
Corrigan LTC Partners Corrigan · 24.9 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 2/5 86 beds · Medicaid

More nursing homes near Timberwood Nursing and Rehabilitation Center ›   All nursing homes in Livingston ›

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Other The Ensign Group nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/livingston/timberwood-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.