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Nursing home report

Timberwood Nursing and Rehabilitation Center

Livingston, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.2831 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 3.2831.

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).

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).

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

  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 · 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.