SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTE

1401 W MAIN ST
EDNA, TX, 77957
3617827614
CCN: 675159
5
Overall
4
Health
2
Staffing
5
Quality
ChainWELLSENTIAL HEALTH
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
MEDICAL OF WASHINGTON COUNTY
1128a1
Excluded 1990-06-21
UNITED MEMORIAL MEDICAL CENTER
1128b7
Excluded 2023-12-14
Ownership
NameRole%
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA5% OR GREATER DIRECT OWNERSHIP INTEREST100%
OLSON, MICHAELCORPORATE OFFICERNOT APPLICABLE
REGENCY IHS OF SOUTHBROOKE MANOR LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DEKOWSKI, DONOVANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KORENEK, COURTNEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
REGENCY INTEGRATED HEALTH SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CITIZENS MEDICAL CENTER COUNTY OF VICTORIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (21)
2025-08-06 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2025-04-23 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-11-22 · Health
B
F944 · Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
E
F761 · 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.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
E
F576 · Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
2024-10-17 · Health
E
F761 · 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.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-05-05 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-09-22 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2023-08-31 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2022-07-29 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · 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.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
B
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.02
3.68
RN Hrs/Resident/Day
0.33
0.54
LPN Hrs/Resident/Day
1.00
0.81
CNA Hrs/Resident/Day
1.69
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01