D

Timberwood Nursing and Rehabilitation Center

4001 Hwy 59 North, Livingston, TX 77351
Score: 54 / 100

Timberwood Nursing And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 61th percentile among Texas nursing homes, suggesting significant room for improvement.

With 3.20 total nurse hours per resident per day, Timberwood Nursing And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 16 deficiencies at Timberwood Nursing And Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.20 3.8 Below Average
Registered Nurses (RN) 0.34 0.7 Below Average
Licensed Practical Nurses (LPN) 0.89 0.7 Above Average
Certified Nursing Assistants (CNA) 1.97 2.4 Below Average
Weekend Total Nursing 2.72 3.8 Below Average
Weekend RN Hours 0.22 0.7 Below Average

🔍 Inspection & Deficiency History

16
Total Deficiencies
Jan 13, 2026
Most Recent Inspection
🟠 15 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jan 13, 2026 · Nutrition and Dietary Deficiencies
  • Tag 0908 Severity F
    Keep all essential equipment working safely.
    Jan 13, 2026 · Environmental Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Jan 13, 2026 · Pharmacy Service Deficiencies
  • Tag 0757 Severity E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    Jan 13, 2026 · Pharmacy Service Deficiencies
  • Tag 0760 Severity E
    Ensure that residents are free from significant medication errors.
    Jan 13, 2026 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.8% 4.5% Better
Falls with major injury 3.7% 3.0% Worse
On antipsychotic medication 10.7% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 26.6% 14.0% Worse
Excessive weight loss 0.4% 7.5% Better
New/worsened incontinence 16.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $8,021

How This Grade Was Calculated

This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Individual
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 13, 2026
Deficiencies (Cycle 1)
7