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Nursing HomeMedicaid

Timberwood Nursing and Rehabilitation Center

Strong Medicare quality ratings; families often praise exceptional activities and social programs. Still worth an in-person visit.

4001 Hwy 59 North, Livingston, TX 77351120 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 116 Google reviews

5
4
3
2
1
Timberwood Nursing and Rehabilitation Center Nursing Home in Livingston, TX — Street View
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What this means for your family

This facility is an excellent choice for families prioritizing rehabilitation and social engagement, as their therapy and activities departments are standout features. However, you should proactively communicate with management regarding specific care needs, as some family members have experienced dismissive attitudes from certain staff members.

Google Reviews

Google Reviews

116 reviews analyzed
Families considering Timberwood can expect a facility that is highly praised for its cleanliness, recent renovations, and an exceptional activities department. While many reviewers highlight a warm, family-like atmosphere and excellent rehabilitation services, there are recurring concerns regarding the attitude of specific management or nursing staff and occasional issues with room temperature and communication.

Quality Themes

Tap a score for details
Food9.0Staff8.0Clean9.0Activities10.0MedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Exceptional activities and social programs
  • Clean and well-maintained facility with recent upgrades
  • Professional and skilled rehabilitation therapy
  • Friendly and attentive nursing staff

Concerns

  • Unprofessional or rude behavior from specific staff/management (mentioned by 3 reviewers)
  • Issues with room temperature and humidity

Rating Trends

Tap a year to see what changed

234'16(2)'19(3)'21(2)'23(3)'25(53)'26(2)

Distribution

5
95
4
4
3
2
2
3
1
10
29 reviews posted between Mar 21, 2025Mar 27, 2025 · 28 were 5-star
15 reviews posted between Mar 23, 2025Mar 27, 2025 · 15 were 5-star

How They Respond to Reviews

7%response rate
Good

The owner provides highly personalized and detailed responses to 5-star reviews, often mirroring specific details mentioned by the reviewer. For negative reviews, they use a consistent, professional template aimed at inviting further private communication.

Questions for Your Tour

  • 1We've heard wonderful things about your social programs; could you tell us more about the specific types of activities available to keep residents engaged?
  • 2The facility looks very clean and well-maintained; have there been any recent upgrades to the resident rooms or common areas?
  • 3Since we want to ensure our loved one is comfortable, how do you manage the temperature and humidity levels in the resident rooms?
  • 4We noticed you are very active in responding to feedback; how does the management team use resident and family input to improve care?
  • 5With the rehabilitation services being a highlight here, how do you coordinate therapy sessions with the daily nursing care?
  • 6How is the nursing team structured during the night shifts to ensure medical emergencies are handled promptly?

Personalized based on this facility's data


Key Review Excerpts

The staff at Timberwood was amazing! My ex husband was in there for rehab after a lengthy hospitalization due to kidney and heart failure. They were patient with him despite how difficult and confused he was at that time.

Rehab patient's family · 2025★★★★★

The staff is so accommodating and very friendly! The facility looks fantastic (super clean and smells great!) The staff smiles while speaking to you and offers help if you need it!

Visitor · 2025★★★★★

The therapists are very knowledgeable. I love going there for therapy. Wonderful facility and therapists!!

Rehab patient · 2024★★★★★
Source: 116 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
38%
Registered nurses for medical care
Total Nursing
3.14hrs
76%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.4%
Better than Avg
Here
2.4%
US
12.1%
TX
2.5%
Polk
3.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Polk
96.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.1%
Mixed vs Avgs
Here
10.1%
US
15.4%
TX
9.4%
Polk
11.1%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
5.3%
TX
3.2%
Polk
5.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.5%
Mixed vs Avgs
Here
14.5%
US
19.4%
TX
14.2%
Polk
19.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.2%
Worse than Avg
Here
18.2%
US
14.4%
TX
16.1%
Polk
13.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
79.7%
TX
88.0%
Polk
84.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
81.8%
TX
89.2%
Polk
90.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
TX
1.5%
Polk
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Near state avg (9.1)
3 complaint-triggered
$8,021 in fines

Families have filed complaints that led to documented issues including unsafe medication management and improper resident transfers. The facility shows recurring problems with medication management, infection control, and fire safety systems across multiple surveys from 2023-2026. While all deficiencies have correction dates, the pattern of repeat violations in critical areas like pharmacy services and safety systems suggests ongoing operational challenges that families should carefully evaluate.

Jan 14, 2026Routine
6
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0757ModerateCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0760ModerateCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761ModerateCorrected

Pharmacy Service Deficiencies

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.

Nov 19, 2025Complaint
1
0627MinorCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Oct 16, 2024Routine
8
0694ModerateCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0726MinorCorrected

Nursing and Physician Services Deficiencies

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.

Sep 12, 2024Complaint
1
0689Severe

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 23, 2023Routine
2
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 23, 2023Complaint
1
0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Federal Penalties

Fine

Sep 12, 2024

$8,021

Ownership & Operations

Who Operates This Facility

Owner / Operator

Kirbyville I Enterprises, LLC

Organization Type

for profit

Management Company

LIVINGSTON CARE ASSOCIATES, INC

Administrator

CHRISTOPHER BARLEY

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 39 of 84

Ownership & Management

Owners

Liberty County Hospital District no. 1

Owner · Organization

100%

Key personnel

Barley, ChristopherManaging Control - Governing BodyLuna, JeffreyManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / DirectorStratton, CharlesOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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