The Bradford At Brookside
301 WEST PARK DRIVE, Livingston, TX, 77351
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Cantex Continuing Care
- Certified beds
- 125 · avg 76 residents/day
- Total nursing staff turnover
- 57.1% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 80% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 311368
- Service type
- Medicare/medicaid
- Licensed capacity
- 125 beds
- Bed type breakdown
- 9 Medicare-only · 116 Medicaid/Medicare
- Current license effective
- March 1, 2026
- Current license expires
- March 1, 2029
- Initial license date
- May 1, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Livingston Health Care Center Ltd Co
- Administrator
- Jeremy Klinker
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Cantex Continuing Care chain — 38 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (6 on record)
- Livingston Health Care Center Ltd. Co.
Adp of The Snf · since 2025
- Victor Medina
Operational/managerial Control · since 2025
- Natysha Toliver
Adp of The Snf · since 2024
- Tyler County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
- (unnamed Owner)
Adp of The Snf · since 2022
- Sondra Williams
Corporate Officer · since 2007
Recent change of ownership
March 2023 (3 years ago) · acquired from The Bradford at Brookside
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 29)
- D0550·Aug 27, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0850·Aug 27, 2025
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
- D0760·Aug 27, 2025
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0755·Aug 27, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Aug 27, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0641·Aug 27, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0583·Aug 27, 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0580·Aug 27, 2025
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Aug 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Bradford at Brookside is a 125-bed nursing home in Livingston, Texas, licensed since 1972 and managed by Livingston Health Care Center Ltd Co under the Cantex Continuing Care chain. CMS rates it 4 stars overall, with a 4-star health inspection rating — but staffing draws a 2-star rating. The facility is running at 61% of licensed capacity, with 76 residents on average per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 203 minutes of nursing care per day — roughly 38 minutes less than at a 4-star-staffing facility in Texas, where the threshold is 241 minutes. Registered nurse time is 22 minutes per resident per day, compared with 37 minutes at the 4-star level. About 32% of Texas nursing homes share this staffing rating. Residents here also tend to need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 203 minutes stretch thinner than the raw number suggests.
RN turnover is the standout figure: roughly 8 in 10 registered nurses left in the past year. A long-stay resident will likely cycle through several primary RNs over the course of a year. Total nursing staff turnover, at 57%, sits just above the Texas 75th percentile of 60% — high, but the RN figure is the sharper concern.
The facility has had one administrator change in the past year, which places it in an elevated tier. Leadership continuity directly shapes how care policies are set and followed day to day.
The facility is running at 61% of its 125 licensed beds, with an average of 76 residents per day. Paired with the staffing and RN turnover figures, that occupancy level is part of the picture families should ask about directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current RN staffing and retention
With 80% of registered nurses leaving in the past year, ask how many RNs are currently on staff and how long they have been in their roles.
How nursing hours are scheduled
Residents here receive about 203 minutes of nursing care per day — ask how shifts are covered on weekends, when CMS data shows the facility logs 2.95 hours per resident, below its own weekday average.
Administrator tenure and transition
One administrator change occurred in the past year; ask who the current administrator is, how long they have been in the role, and whether department heads have stayed on through the transition.
Why beds are running below capacity
The facility averages 76 residents against 125 licensed beds — ask whether the lower census reflects a staffing decision, a referral pattern, or something else.
Short-stay outcomes and rehab planning
The short-stay quality measure rating is 2 stars; ask what percentage of short-stay residents return home and how discharge planning is handled.
Resident Council involvement
The facility has a Resident Council but no Family Council; ask how often it meets, what issues it has raised recently, and how family members typically raise concerns.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.