Timberwood Nursing And Rehabilitation Center
Livingston, Polk County, Texas · CCN 455745 · For-profit (Individual) · part of The Ensign Group (342 facilities, chain average 3.2 stars)
CMS rates Timberwood Nursing And Rehabilitation Center 4 of 5 overall as of August 2026. 120 certified beds, 90 residents a day on average. 16 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $8,021.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 3.28311 hours per resident per day |
|---|---|
| Registered nurses | 0.30098 hours per resident per day |
| Weekend total | 2.66905 hours per resident per day |
| Nursing staff turnover | 40.5% (registered nurses 37.5%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-01-15 |
| 2026-01-14 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-01-15 |
| 2026-01-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-15 |
| 2026-01-14 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-15 |
| 2026-01-14 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-15 |
| 2026-01-14 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-15 |
| 2025-11-19 complaint survey |
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · tag F0627 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-05 |
| 2024-10-16 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-21 |
| 2024-10-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-21 |
| 2024-10-16 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-21 |
| 2024-10-16 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-21 |
| 2024-10-16 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-21 |
| 2024-10-16 | 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. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-21 |
| 2024-09-12 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-01-22 |
| 2023-08-23 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-24 |
| 2023-08-23 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-24 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-12 | Fine | $8,021 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Liberty County Hospital District No 1 Organization | 5% or greater direct ownership interest | 100% | 2015-05-01 |
| Caretrust Gp LLC Organization | adp of the snf | — | 2015-05-01 |
| Caretrust Reit Inc. Organization | adp of the snf | — | 2015-05-01 |
| Ctr Partnership Lp Organization | adp of the snf | — | 2015-05-01 |
| Ensign Services Inc. Organization | adp of the snf | — | 2006-04-05 |
| Livingston Care Associates, Inc. Organization | adp of the snf | — | 2025-11-03 |
| Polk Health Holdings LLC Organization | adp of the snf | — | 2015-05-01 |
| Livingston Care Associates, Inc. Organization | operational/managerial control | — | 2015-05-01 |
| Barley, Christopher Individual | adp of the snf | — | 2015-05-01 |
| Luna, Jeffrey Individual | adp of the snf | — | 2025-10-01 |
| Burnam, Soon Individual | corporate officer | — | 2015-05-01 |
| Keetch, Chad Individual | corporate officer | — | 2011-03-01 |
| Stratton, Charles Individual | corporate officer | — | 2005-02-07 |
| Barley, Christopher Individual | managing control - governing body | — | 2015-05-01 |
| Luna, Jeffrey Individual | managing control - governing body | — | 2025-10-01 |
| Barley, Christopher Individual | operational/managerial control | — | 2015-05-01 |
| Luna, Jeffrey Individual | operational/managerial control | — | 2025-10-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Timberwood Nursing And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Polk County.