Timberwood Nursing and Rehabilitation Center – Livingston, TX

CMS Verified | 2026-03-01

Timberwood Nursing And Rehabilitation Center

4001 Hwy 59 North, Livingston, TX 77351
(936) 327-4446
120 beds
All Livingston facilities
3.0*
Overall
3.0*
Health Inspection
4.0*
Quality Care
2.0*
Staffing
74.33
Score /100
#6238
National Rank

#6238
of 14703 facilities
National
57.6% position
#392
of 1177 in TX
State Rank
#1
of 4 in Polk
County Rank
#1
of 3 in Livingston
City Rank
#1
of 3 in ZIP 77351
ZIP Rank






About Timberwood Nursing And Rehabilitation CenterTimberwood Nursing And Rehabilitation Center is located at 4001 Hwy 59 North, Livingston, TX, reachable at (936) 327-4446. This For profit – Individual facility operates 120.0 certified beds and serves an average of 93 residents per day. It is part of the The Ensign Group network (329 facilities nationwide). Medicare and Medicaid services have been provided since 1999-04-07. The facility currently holds a average (3-star) overall CMS rating.
Facility

Timberwood Nursing And Rehabilitation Center

Address

4001 Hwy 59 North, Livingston, TX 77351

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 120 Certified Beds
  • Ownership: For profit – Individual
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: THE ENSIGN GROUP

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
⚠️ 2 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
74.33
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#6238 of 14703 nationally – #392 of 1177 in Texas

Who Is This Facility Best For?

Timberwood Nursing And Rehabilitation Center offers a mid-range care option in Livingston, TX. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

3 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightTimberwood Nursing And Rehabilitation Center currently provides 3 hours 12 minutes of total nurse staffing per resident per day, including 21 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is 33.8%, near the national average.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 12 minutes
Nurse Aide Hours1 hour 58 minutes
Licensed Practical Nurse (LPN) Hours53 minutes
Registered Nurse (RN) Hours21 minutes
Physical Therapist Hours9 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 43 minutes
Weekend Registered Nurse (RN) Hours13 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $8,021. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $8021.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 66.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#6,238
of 14,703
National
Top 42%
#392
TX State
Top 33% in TX
#1
of 4
️ Polk County
Best in county
#1
of 3
️ Livingston
Best in city
#1
of 3
ZIP 77351
Best in ZIP

Nationally, Timberwood Nursing And Rehabilitation Center ranks 6238th out of 14,703 facilities (composite score: 74.3/100), placing it in the above average nationwide. Within TX, it ranks 392nd out of 1,177 nursing homes. In Livingston, it ranks 1st out of 3 facilities. Among facilities sharing its ZIP code, it ranks 1st of 3. For 2026 staffing: total nurse hours rank #11,954 nationally and RN hours rank #12,020 nationally (#667 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.05 #11,386 / 14,703 #742 / 1,177 ⚠️ Bottom 25%
2023 3.14 #10,950 / 14,703 #669 / 1,177 Below average
2024 3.09 #11,915 / 14,703 #675 / 1,177 ⚠️ Bottom 25%
2025 2.96 #13,122 / 14,703 #895 / 1,177 ⚠️ Bottom 25%
2026 3.20 #11,954 / 14,703 #676 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.34 #11,903 / 14,703 #598 / 1,177 ⚠️ Bottom 25%
2023 0.31 #12,047 / 14,703 #604 / 1,177 ⚠️ Bottom 25%
2024 0.29 #12,562 / 14,703 #704 / 1,177 ⚠️ Bottom 25%
2025 0.22 #13,674 / 14,703 #977 / 1,177 ⚠️ Bottom 10%
2026 0.34 #12,020 / 14,703 #667 / 1,177 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Timberwood Nursing And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1999-04-07. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (936) 327-4446 or your local Medicaid office to verify current eligibility.

Timberwood Nursing And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 74.3/100, placing it #6238 of 14703 facilities nationally and #392 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Timberwood Nursing And Rehabilitation Center receives a reported average of 3 hours 12 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 21 minutes; Licensed Practical Nurse (LPN) — 53 minutes; Nurse Aide — 1 hour 58 minutes. On weekends, total nurse staffing is 2 hours 43 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 33.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $8,021. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $8,021, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 66.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Timberwood Nursing And Rehabilitation Center ranks 6238th out of 14,703 facilities (composite score: 74.3/100), placing it in the above average nationwide. Within TX, it ranks 392nd out of 1,177 nursing homes. In Livingston, it ranks 1st out of 3 facilities. Among facilities sharing its ZIP code, it ranks 1st of 3. For 2026 staffing: total nurse hours rank #11,954 nationally and RN hours rank #12,020 nationally (#667 in TX). Our composite quality score of 74.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Livingston, visit: https://nursinghomesnearme.org/texas/livingston/

Contact and Location

ADR
Address

4001 Hwy 59 North, Livingston, TX 77351
Get directions on Google Maps

TEL
LLC
Legal Name

LIBERTY COUNTY HOSPITAL DISTRICT NO. 1

MAP
Browse by Location

All Texas ·
Polk County ·
Livingston ·
ZIP 77351

Facility Details

Number of Certified Beds 120
Average Residents / Day 93 (78% occupancy)
Ownership Type For profit – Individual
Provider Type Medicare and Medicaid
County Polk County, TX
City Livingston, TX
ZIP Code 77351
Approved Since April 7, 1999
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 455745
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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