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Nursing homeFAID #12177

Timberwood Nursing and Rehabilitation Center

4001 HWY 59 NORTH, LIVINGSTON, TX, 77351
(936) 327-4446
ensignservices.net
120 licensed beds
★★★★★4/5CMS Five-Star overall3/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of TIMBERWOOD NURSING AND REHABILITATION CENTER
Photo via Google · Timberwood Nursing & Rehabilitation Center

Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
455745
Care type
Nursing home
County
Polk
Facility name
Timberwood Nursing and Rehabilitation Center
Street address
4001 HWY 59 NORTH
City / state / ZIP
Livingston, TX 77351
Phone
(936) 327-4446
Website
ensignservices.net

About this facility — Timberwood Nursing and Rehabilitation Center

Timberwood Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Livingston, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 12 senior care facilities in Livingston and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Timberwood Nursing and Rehabilitation Center 19 times across 9 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $8,021 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
The Ensign Group
Ownership type
For profit - Individual

Registered owners & officers

Liberty County Hospital District No 1
Direct owner — 100% stake — since 2015
Barley, Christopher
Governing body · Operational control · Additional disclosable party — since 2015
Burnam, Soon
Officer — since 2015
Caretrust Gp Llc
Additional disclosable party — since 2015
Caretrust Reit Inc
Additional disclosable party — since 2015
Ctr Partnership Lp
Additional disclosable party — since 2015
Ensign Services Inc
Additional disclosable party — since 2006
Keetch, Chad
Officer — since 2011
Livingston Care Associates, Inc.
Operational control · Additional disclosable party — since 2015
Luna, Jeffrey
Governing body · Operational control · Additional disclosable party — since 2025
Polk Health Holdings Llc
Additional disclosable party — since 2015
Stratton, Charles
Officer — since 2005

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1999-04-07
CMS overall rating
4 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$8,021 total
Last standard inspection
2026-01-14
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$353 per day (≈ $10,730/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
56% Medicaid · 8% Medicare · 36% private/other
Occupancy
79% (fiscal year 2023)
Vs. state median
27% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-01-14Health inspection6 citations
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-15
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-01-15
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2026-01-15
F-0761
E · No harm found
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 2026-01-15
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-15
F-0908
F · No harm found
Keep all essential equipment working safely.
Corrected 2026-01-15
2025-11-19Health inspectionComplaint-triggered1 citation
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-12-05
5 earlier / fire-safety inspections (12 citations)
2024-10-16Health inspection6 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-21
F-0690
D · No harm found
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 2024-10-21
F-0694
E · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-10-21
F-0726
D · No harm found
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 2024-10-21
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-21
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-10-21
2024-09-12Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-22
2023-08-23Health inspectionComplaint-triggered2 citations
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-24
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-08-24
2024-10-16Fire-safety inspection2 citations
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-10-18
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-18
2023-08-23Fire-safety inspection1 citation
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-14

Federal penalties

2024-09-12Fine$8,021
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455745.

Visitor reviews

What people say on Google.
4.4120 ratings on Google
★Susan Holbrook · 2026-04-24 · via Google

“Food is very bad. Most nursing staff is rude and called me a lyer when I ask for headache medicine early in the day still had not gotten it by 4 o'clock so I ask for it 3 times and was called a lyer that I didn't I had 4 other people that heard me. I will never be sent back to this place again.This the 3rd time here.It has gone down hill since I was here last.”

★★★★★M Lork · 2025-12-20 · via Google

“My 83-year-old mother was transferred to this facility. I was extremely leery upon going there and dealing with the staff who was extremely friendly, helpful, caring, I was very shocked because of the stereotype of nursing home facilities. It was clean the staff as I said were friendly and helpful when above and beyond.I would give this place a 5 star rating and the staff attend star.Because trul…”

★★★★★mel swiger · 2025-11-21 · via Google

“Timberwood was such a Charming place to walk into. I felt happiness all around things were cheerful the smiles were wonderful to see. I would recommend anybody even just visiting this place, they will not be disappointed”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 19 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered