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Nursing home report

Timberwood Nursing and Rehabilitation Center

Livingston, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
4 of 5 overall

Timberwood Nursing and Rehabilitation Center in Livingston, TX has an overall 4-star rating, with strong quality measures (5 stars) but weaker staffing (2 stars) and a below-benchmark nurse staffing level of 3.14 hours per resident per day versus the 4.1-hour federal benchmark. It also had $8,021 in fines over the last 24 months and a recent federal penalty; health inspection rating is 3 stars.

Facility ratings

Health inspections

Staffing

3.1357 hrs/resident/day

Quality measures

Last inspection: January 14, 2026Penalties, last 24 months: $8,021recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1357.

Staffing detail

Registered nurses
0.29
Licensed practical nurses
0.93
Nurse aides
1.92
Weekend nursing
2.66

Hours per resident per day.

Total staff turnover: 38%
Registered nurse turnover: 33%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

10.1%Improving

Residents with a fall causing major injury

4%Worsening

Residents with pressure ulcers (bedsores)

3.1%Improving

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

0.8%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

18.2%Improving

Residents whose ability to walk got worse

17.2%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

17.2%Improving

Short-stay residents newly given an antipsychotic

0.6%Worsening

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

14.5%Improving

Residents with depressive symptoms

2.4%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

99.5%Steady

Short-stay residents given the pneumonia vaccine

99.8%Steady

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to keep essential equipment working safely. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 908 — 42 CFR §483.90 — S/S: F

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: E

The home failed to ensure residents’ medications were free from unnecessary drugs. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 757 — 42 CFR §483.45(d) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $8,021 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $8,021 in total fines.

  • Federal fine

    Sep 12, 2024

    $8,021

Operator & ownership

Ownership
For profit - Individual
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
92.6 residents on an average day (77% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 27 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.