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Southbrooke Manor Nursing And Rehabilitation Cente in Edna, TX

1401 W Main St, Edna, TX 77957
3617827614
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Overall CMS Rating

5.0/5

vs State Average: 2.8 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.1/5

5.0/5

Quality Measures

vs State Average: 3.8/5

0 penaltiesin last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
0Penalties in last 3 years
0Fines issued
CitationDateDescriptionSeverity
F880Aug 6, 2025Provide and implement an infection prevention and control program.D
Apr 23, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
F576Nov 22, 2024Ensure residents have reasonable access to and privacy in their use of communication methods.E
F583Nov 22, 2024Keep residents' personal and medical records private and confidential.D
Nov 22, 2024Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.B
Score
2.0
State Average
2.1
National Average
2.9
0.3RN Hours / Resident / Day
3.0Total Nurse Hours / Resident / Day
40.0%RN Turnover Rate
Score
5.0
State Average
3.8
National Average
3.6
5.0Long-Stay QM Rating
5.0Short-Stay QM Rating
85.2Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTCITIZENS MEDICAL CENTER COUNTY OF VICTORIA
OPERATIONAL/MANAGERIAL CONTROLCITIZENS MEDICAL CENTER COUNTY OF VICTORIA
OPERATIONAL/MANAGERIAL CONTROLREGENCY IHS OF SOUTHBROOKE MANOR LLC
OPERATIONAL/MANAGERIAL CONTROLREGENCY INTEGRATED HEALTH SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROLDEKOWSKI, DONOVAN
OPERATIONAL/MANAGERIAL CONTROLKORENEK, COURTNEY
CORPORATE OFFICEROLSON, MICHAEL
Recent Penalties

No penalty records found.

Frequently Asked Questions

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