Timberwood Nursing and Rehabilitation Center in Livingston, TX has a 4 out of 5 overall rating, with strong quality measures (5/5) but weaker staffing (2/5) and a health inspection rating of 3/5. Reported staffing is 3.28 hours per resident per day, below the federal benchmark of 4.1, and the facility had $8,021 in fines in the last 24 months plus a recent federal penalty.
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 3.2831.
Staffing detail
Registered nurses
0.30
Licensed practical nurses
1.03
Nurse aides
1.96
Weekend nursing
2.67
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 38%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
12.5%4.8%Improving
Residents with a fall causing major injury
0%5.5%Worsening
Residents with pressure ulcers (bedsores)
3.5%2.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%1.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13%1.7%Improving
Residents whose ability to walk got worse
9.2%3.3%Improving
Long-stay residents on antianxiety or sleep medication
16.4%11.9%Improving
Short-stay residents newly given an antipsychotic
0%2.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.9%5.3%Improving
Residents with depressive symptoms
3.4%1.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99.5%—
Short-stay residents given the pneumonia vaccine
100%100%No change
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
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 · 346 homes · 3.2 stars avg
Occupancy
89.5 residents on an average day (75% 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.