Timberwood Nursing And Rehabilitation Center
4001 HWY 59 NORTH, 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 - Individual · Chain: The Ensign Group
- Certified beds
- 120 · avg 93 residents/day
- Total nursing staff turnover
- 33.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,021 total
State licensing & capacity
- License number
- 145004
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 4 Medicare-only · 116 Medicaid/Medicare
- Current license effective
- May 1, 2025
- Current license expires
- May 1, 2028
- Initial license date
- March 28, 1988
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Livingston Care Associates, Inc
- Administrator
- Christopher Barley
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (12 on record)
- Livingston Care Associates, Inc.
Adp of The Snf · since 2025
- Jeffrey l Luna
Operational/managerial Control · since 2025
- Caretrust gp Llc
Adp of The Snf · since 2015
- Caretrust Reit Inc
Adp of The Snf · since 2015
- Christopher Barley
Operational/managerial Control · 100% · since 2015
- Ctr Partnership lp
Adp of The Snf · since 2015
+ 6 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 16)
- F0908·Jan 14, 2026
Environmental Deficiencies
Keep all essential equipment working safely.
- F0812·Jan 14, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Jan 14, 2026
Pharmacy Service Deficiencies
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.
- E0760·Jan 14, 2026
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0757·Jan 14, 2026
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E0755·Jan 14, 2026
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0627·Nov 19, 2025Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E0880·Oct 16, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20241 fine · $8,021
Most recent events
- Sep 12, 2024Fine · $8,021
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Oct 16, 2024. 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
Timberwood Nursing And Rehabilitation Center is a 120-bed Medicare- and Medicaid-certified nursing home in Livingston, TX, managed by Livingston Care Associates and owned by Liberty County Hospital District No 1. CMS rates it 3 stars overall, with a 2-star staffing rating and a 4-star quality-measures rating. Nursing staff turnover is exceptionally low — roughly 3 in 10 left in the past year, well below the Texas median of 5 in 10.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — a tier shared by about 32% of Texas nursing homes. Each resident receives about 192 minutes of nursing care per day, roughly 49 minutes less than at a 4-star-staffing facility in Texas. 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 192 minutes stretch thinner than the number alone suggests.
Nursing staff turnover runs at roughly 3 in 10 per year — below Texas's 25th-percentile cutoff, meaning turnover is better than about three-quarters of nursing homes in the state. RN turnover sits at the same level, also in the low tier. A long-stay resident is unlikely to cycle through many primary caregivers.
CMS recorded one fine totaling $8,021. About 30% of Texas nursing homes have no fines on record; the state median among facilities that do have fines is $20,699, so this facility's total falls well below that midpoint.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours average 2.72 minutes per resident per hour — lower than weekday figures — so ask specifically how many nurses and aides are on duty overnight and on Saturdays and Sundays.
RN presence each shift
Reported RN hours work out to about 21 minutes per resident per day; ask which shifts have a registered nurse physically on the floor rather than on call.
How the fine was resolved
CMS recorded one fine of $8,021 — ask what the deficiency was, what corrective steps were taken, and how the facility confirmed the problem was fixed.
Family Council availability
The facility has a Resident Council but no Family Council — ask how family members can formally raise concerns or receive updates on care issues.
Waitlist and bed availability
The facility is operating at 93 of 120 licensed beds — ask whether the beds currently available match the level of care your parent needs.
Management company's role day to day
The facility is licensed to a hospital district but managed by Livingston Care Associates — ask which entity sets staffing levels, care policies, and responds to complaints.
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.