Non profit - Corporation · 120 certified beds · CMS number 675159
Southbrooke Manor Nursing and Rehabilitation Cente, Edna, TX
CMS records 15 health deficiencies at Southbrooke Manor Nursing and Rehabilitation Cente in Edna, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 20, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 15deficiencies, 3 cycles (TX median 25)
- 2in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Southbrooke Manor Nursing and Rehabilitation Cente as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Southbrooke Manor Nursing and Rehabilitation Cente may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (2 deficiencies)
Standard inspection Feb 20, 2026. CMS counts 2 health deficiencies and 0 fire safety deficiencies in this cycle.
Feb 20, 2026 · Standard inspection
2 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 21, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 21, 2026
Previous cycle: 9 deficiencies (standard inspection Nov 22, 2024)
Standard inspection Nov 22, 2024. CMS counts 9 health deficiencies and 1 fire safety deficiency in this cycle.
Aug 6, 2025 · Complaint inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 8, 2025
Apr 23, 2025 · Complaint inspection
1 deficiency, highest D
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 24, 2025
Nov 22, 2024 · Standard inspection
5 deficiencies, highest E
F944 · Quality program training
Requirement cited (CMS): Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Nov 26, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 26, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 26, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 26, 2024
F576 · Phone, mail, and internet access
Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 26, 2024
Oct 17, 2024 · Complaint inspection
2 deficiencies, highest E
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 18, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 18, 2024
Earlier cycle: 4 deficiencies (standard inspection Sep 22, 2023)
Standard inspection Sep 22, 2023. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.
May 5, 2024 · Complaint inspection
1 deficiency, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 6, 2024
Sep 22, 2023 · Standard + complaint inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 25, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 25, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 25, 2023
Tags cited in more than one inspection
4 tags cited on more than one inspection date at Southbrooke Manor Nursing and Rehabilitation Cente; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 2 | Nov 22, 2024; Oct 17, 2024 |
| F761 Drug labeling and secure storage | 2 | Nov 22, 2024; Oct 17, 2024 |
| F812 Food safety and sanitation | 2 | Feb 20, 2026; Sep 22, 2023 |
| F880 Infection prevention and control program | 2 | Aug 6, 2025; Sep 22, 2023 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.07 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.30 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.63 h
- Nursing staff turnover
- 40.6% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 3 of 5
CMS figures for Southbrooke Manor Nursing and Rehabilitation Cente, copied as published; Texas medians are ours.
Facility details
- Address
- 1401 W Main St, Edna, TX 77957
- Phone
- (361) 782-7614
- County
- Jackson
- Accepts
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Chain (CMS)
- Wellsential Health
- Certified beds
- 120
- Average residents per day
- 84.3
- In Medicare/Medicaid since
- Jul 1, 1993
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
Other nursing homes in Edna and the same chain
- Longview Hill Nursing and Rehabilitation Center
Longview · 60 deficiencies - Guadalupe Valley Nursing and Rehabilitation Center
Seguin · 52 deficiencies - Town and Country Nursing and Rehabilitation Center
Boerne · 51 deficiencies - Heritage Park Rehabilitation and Skilled Nursing C
Austin · 49 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.