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Southbrooke Manor Nursing And Rehabilitation Cente
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1401 W Main St
Edna, TX 77957
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Get driving directions
0 Recommendations
Details
| Type of Ownership | For profit - Partnership |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 120 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 02/09/2012
| Date of last standard health inspection: | 02/09/2012 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in TX: | 3 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in TX: | 0 - 19 |
Inspection, 01/07/2011
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate | 01/07/2011 | 00/09/2012 | Some | complete and organized clinical records on each re |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 01/07/2011 | 00/09/2012 | 2 | Some |
Inspection, 00/09/2002
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | 00/09/2002 | 01/06/2003 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 00/09/2002 | 01/06/2003 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 00/09/2002 | 01/06/2003 | 2 | Some |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 00/09/2002 | 01/06/2003 | 1 | Some |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep residents' personal and medical records private and confidential. | 00/09/2002 | 01/06/2003 | 2 | Few |
Inspection, 02/08/2001
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 02/08/2001 | 02/09/2001 | 2 | Few |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 02/08/2001 | 02/07/2002 | 1 | Some |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 02/08/2001 | 02/09/2001 | 2 | Some |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep residents' personal and medical records private and confidential. | 02/08/2001 | 02/09/2001 | 2 | Few |
Inspection, 00/08/2001
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/08/2001 | 00/09/2001 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 00/08/2001 | 00/09/2001 | 2 | Few |
| Keep all essential equipment working safely. | 00/08/2001 | 00/09/2001 | 2 | Few |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 00/08/2001 | 00/09/2001 | 2 | Some |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 00/08/2001 | 00/09/2001 | 2 | Some |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 00/08/2001 | 00/09/2001 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 00/08/2001 | 00/09/2001 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/08/2001 | 00/09/2001 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | 00/08/2001 | 01/01/2001 | 2 | Few |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in TX | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | NA |
| Total Number of Residents | 86 | 72 | 99 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
16 hours 19 minutes | 31 hours 3 minutes | 999 hours 59 minutes |
|
RN Hours per Resident per Day |
15 hours 30 minutes | 30 hours 13 minutes | 999 hours 59 minutes |
|
LPN/LVN Hours per Resident per Day |
15 hours 45 minutes | 31 hours 7 minutes | 999 hours 59 minutes |
|
CNA Hours per Resident per Day |
17 hours 14 minutes | 32 hours 3 minutes | 999 hours 59 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 02/08/2012
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 02/08/2012 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in TX: | 1 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in TX: | 0 - 1 |
Inspection, 00/08/2002
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Portable fire extinguishers. | 00/08/2002 | 01/06/2003 | 1 | Some |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 00/08/2002 | 01/06/2003 | 1 | Some |
Inspection, 02/08/2001
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 02/08/2001 | 01/01/2002 | 2 | Some |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 02/08/2001 | 02/09/2001 | 2 | Some |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 02/08/2001 | 02/09/2001 | 2 | Many |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 02/08/2001 | 02/08/2002 | 2 | Many |
Inspection, 00/07/2001
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 00/07/2001 | 00/08/2003 | 2 | Some |
| Portable fire extinguishers. | 00/07/2001 | 00/09/2001 | 2 | Some |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 00/07/2001 | 00/08/2003 | 2 | Many |
