Home›Texas›Polk County›Timberwood Nursing and Rehabilitation Center
D
Poor

Timberwood Nursing and Rehabilitation Center

4001 Hwy 59 North · Livingston, TX 77351

9363274446 · For profit - Individual

120 beds93 residents118 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Timberwood Nursing and Rehabilitation Center receives an overall staffing grade of D (Poor). With 3.2045 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3433 HPRD, below the recommended 0.75. It is 0.69 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.8% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2045 HPRD — needs 0.28 more hours per resident per day.
⚠️RN staffing (0.3433 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2045hrs/resident/day▼ 0.69
CMS benchmark: 3.48
RN HPRD
0.3433hrs/resident/day▼ 0.34
Recommended: 0.75
Weekend Drop-off
19.8%
3.3945 weekday → 2.7222 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4782hrs/resident/day
Direct care aides
LPN HPRD
0.8922hrs/resident/day
Licensed practical nurses
Consistency
0.3729std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Polk County Average-0.40 HPRD
3.60
03.20 HPRD
vs. Texas State Average-0.20 HPRD
3.40
03.20 HPRD
vs. National Average-0.69 HPRD
3.90
03.20 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Timberwood Nursing and Rehabilitation Center ★
Livingston · This facility
—
D
3.20450.3433★★★☆☆
DAYTON NURSING AND REHABILITATION
DAYTON
41.2 mi
D
3.60740.3689★★☆☆☆
PARADIGM AT KOUNTZE
KOUNTZE
42.2 mi
B
3.48570.5565★★★★☆
THE WOODLANDS NURSING AND REHABILITATION CENTER
The Woodlands
47.4 mi
D
3.44120.3864★★★☆☆
Kennedy Health & Rehab
Lufkin
48.3 mi
F
2.99590.1952★☆☆☆☆
PARKWOOD IN THE PINES
LUFKIN
48.7 mi
F
3.30950.2205★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
16
Total Deficiencies
$8,021
Fines Assessed
Jan 14, 2026Health
6 deficiencies cited
▼
Nov 19, 2025Health
1 deficiency cited
▼
Oct 16, 2024Health
6 deficiencies cited
▼
Sep 12, 2024Health
1 deficiency cited· Includes actual harm
▼
Aug 23, 2023Health
2 deficiencies cited
▼

Penalty History

Sep 12, 2024Fine
$8,021
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.