Timberwood Nursing and Rehabilitation Center
4001 Hwy 59 North · Livingston, TX · 77351 · 9363274446
120 certified beds For profit - Individual Chain: The Ensign Group
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.66 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 1 · $8,021 |
Inspection citations (16 in the current record)
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Potential for harm · E January 14, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 15, 2026 · Pharmacy Service
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Potential for harm · E January 14, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 15, 2026 · Pharmacy Service
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Potential for harm · E January 14, 2026
Ensure that residents are free from significant medication errors.
Corrected January 15, 2026 · Pharmacy Service
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Potential for harm · E January 14, 2026
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.
Corrected January 15, 2026 · Pharmacy Service
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Potential for harm · F January 14, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 15, 2026 · Nutrition and Dietary
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Potential for harm · F January 14, 2026
Keep all essential equipment working safely.
Corrected January 15, 2026 · Environmental
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Potential for harm · D November 19, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected December 5, 2025 · Resident Rights
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Potential for harm · D October 16, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 21, 2024 · Resident Rights
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Potential for harm · D October 16, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · E October 16, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · D October 16, 2024
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.
Corrected October 21, 2024 · Nursing and Physician Services
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Potential for harm · E October 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 21, 2024 · Nutrition and Dietary
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Potential for harm · E October 16, 2024
Provide and implement an infection prevention and control program.
Corrected October 21, 2024 · Infection Control
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Immediate jeopardy · J September 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 22, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 24, 2023 · Pharmacy Service
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Potential for harm · E August 23, 2023
Provide and implement an infection prevention and control program.
Corrected August 24, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 12, 2024 | Fine | $8,021 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455745 · certified since April 7, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.