Nursing homes › Texas › Timberwood Nursing and Rehabilitation Center
4001 Hwy 59 North, Livingston, TX 77351 · 9363274446 · 120 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates above its group average (3.2/5).
Total nurse staffing: 3.28 (Texas median: 3.27). RN hours: 0.30. Weekend total: 2.67. Nursing staff turnover: 40%.
All-time on record: 16 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-01-15 |
| 2026-01-14 | Keep all essential equipment working safely. | F | Health | corrected 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. | E | Health | corrected 2026-01-15 |
| 2026-01-14 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | corrected 2026-01-15 |
| 2026-01-14 | Ensure that residents are free from significant medication errors. | E | Health | corrected 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. | E | Health | corrected 2026-01-15 |
| 2025-11-19 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2025-12-05 |
| 2024-10-16 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Health | corrected 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. | E | Health | corrected 2024-10-21 |
| 2024-10-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 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. | D | Health | corrected 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. | D | Health | corrected 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. | D | Health | corrected 2024-10-21 |
| 2024-09-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-01-22 |
| 2023-08-23 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-08-24 |
| 2023-08-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2023-08-24 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-12 | Fine | $8,021 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO.1 | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/01/2015 |
| BARLEY, CHRISTOPHER | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2015 |
| LUNA, JEFFREY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/01/2025 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2015 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| STRATTON, CHARLES | Corporate Officer | Individual | NOT APPLICABLE | since 02/07/2005 |
| LIVINGSTON CARE ASSOCIATES, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2015 |
| BARLEY, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2015 |
| LUNA, JEFFREY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455745. Corrections: data@carerecords.org.