Senior Care Records.

Southbrooke Manor Nursing and Rehabilitation Cente

1401 W MAIN ST, Edna, TX, 77957

Nursing home120 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 3 deficiencies against Southbrooke Manor Nursing and Rehabilitation Cente in Edna, Texas at its most recent standard inspection on 2026-02-20, 1 of them arising from complaints. Medicare rates it 4 out of 5 overall.

4 / 5Medicare overall rating
120certified beds
3deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.15
Potential for minimal harmThe least serious band.1
Most recent

The last 16 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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

Nutrition and Dietary Deficiencies · F0812 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm

E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies · F0842 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-08-06 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2025-04-23 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure residents have reasonable access to and privacy in their use of communication methods.

Resident Rights Deficiencies · F0576 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0761 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm

E

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · F0583 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm

D

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Administration Deficiencies · F0944 · 2024-11-22 · standard survey · No actual harm, potential for minimal harm

B

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.

Pharmacy Service Deficiencies · F0761 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm

E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2024-05-05 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Nutrition and Dietary Deficiencies · F0812 · 2023-09-22 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2023-09-22 · standard survey · No actual harm, potential for more than minimal harm

E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies · F0657 · 2023-09-22 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2023-08-31 · from a complaint · No actual harm, potential for more than minimal harm

E
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.06526
Nursing staff turnoverShare of nursing staff who left in a year40.6%
Ownership

Who owns Southbrooke Manor Nursing and Rehabilitation Cente

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
CITIZENS MEDICAL CENTER COUNTY OF VICTORIAOrganization100%since 03/01/2014
REGENCY IHS OF SOUTHBROOKE MANOR LLCOrganizationNOT APPLICABLEsince 03/01/2014
CSV RHEA MANAGEMENT HOLDCO, LLCOrganizationNOT APPLICABLEsince 03/01/2014
DWD TX HOLDINGS LLCOrganizationNOT APPLICABLEsince 03/01/2014
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganizationNOT APPLICABLEsince 03/01/2014
REG HG OPCO 1, LLCOrganizationNOT APPLICABLEsince 03/01/2014
REG HG OPCO LLCOrganizationNOT APPLICABLEsince 03/01/2014
REG OPERATOR HOLDCO LLCOrganizationNOT APPLICABLEsince 03/01/2014
REGENCY TEXAS HOLDINGS LLCOrganizationNOT APPLICABLEsince 03/01/2014
BAIRD, DANIELIndividualNOT APPLICABLEsince 04/13/2021
CARVAJAL, ANTONIOIndividualNOT APPLICABLEsince 05/16/2024
CLAPP, BARBARAIndividualNOT APPLICABLEsince 06/01/2021

Part of the WELLSENTIAL HEALTH group.

Contact

Ask Southbrooke Manor Nursing and Rehabilitation Cente a question

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What is needed

Southbrooke Manor Nursing and Rehabilitation Cente has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 3617827614 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675159.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction