SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTE
1401 W MAIN ST, EDNA, TX 77957 · CCN 675159
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 85.2
- Phone
- 3617827614
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-22 | 7 | 9.1 | 9.5 | -2.1 better |
| 2 | 2023-09-22 | 6 | 9.4 | 9.8 | -3.4 better |
| 3 | 2022-07-29 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.02 | 44.8% |
| RN staffing (reported) | 0.33 | 40.0% |
| Total nurse staffing (adjusted) | 3.51 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- WELLSENTIAL HEALTH
- Facilities in chain
- 67
- Chain avg overall
- 2.80 / 5
Inspection citations (21)
- DF0880Provide and implement an infection prevention and control program.2025-08-06 · Health · corrected 2025-08-08
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-23 · Health · corrected 2025-04-24
Potential for more than minimal harm
- EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-11-22 · Health · corrected 2024-11-26
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-11-22 · Health · corrected 2024-11-26
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-22 · Health · corrected 2024-11-26
Potential for more than minimal harm
- EF0761Ensure 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.2024-11-22 · Health · corrected 2024-11-26
Potential for more than minimal harm
- BF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-11-22 · Health · corrected 2024-11-26
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-17 · Health · corrected 2024-10-18
Potential for more than minimal harm
- EF0761Ensure 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.2024-10-17 · Health · corrected 2024-10-18
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-22 · Health · corrected 2023-09-25
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-22 · Health · corrected 2023-09-25
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-09-22 · Health · corrected 2023-09-25
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-08-31 · Health · corrected 2023-09-04
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-07-29 · Health · corrected 2022-08-20
Potential for more than minimal harm
- BF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-07-29 · Health · corrected 2022-08-20
Potential for minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-07-29 · Health · corrected 2022-08-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-07-29 · Health · corrected 2022-08-20
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-07-29 · Health · corrected 2022-08-20
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-07-29 · Health · corrected 2022-08-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-07-29 · Health · corrected 2022-08-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CITIZENS MEDICAL CENTER COUNTY OF VICTORIA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-03-01 |
| CITIZENS MEDICAL CENTER COUNTY OF VICTORIA | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-03-01 |
| REGENCY IHS OF SOUTHBROOKE MANOR LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-03-01 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-03-01 |
| DEKOWSKI, DONOVAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-03-01 |
| KORENEK, COURTNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-08 |
| OLSON, MICHAEL | Individual | CORPORATE OFFICER | — | 2015-11-12 |
Other facilities in EDNA
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.