Southbrooke Manor Nursing and Rehabilitation Cente
1401 W Main St, Edna, TX 77957
Southbrooke Manor Nursing and Rehabilitation Cente is a nursing home in Edna, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionFebruary 20, 2026 (8 months ago)
- Health citations since September 22, 202315 (Texas average 28)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
Email alerts for this home open soon.
CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on February 20, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 21, 2026.
CMS has cited this home for F0812 2 times since 2023.
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on February 21, 2026.
Health inspection on August 6, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 8, 2025.
CMS has cited this home for F0880 2 times since 2023.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on April 23, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on April 24, 2025.
Health inspection on November 22, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0576. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure residents have reasonable access to and privacy in their use of communication methods.
CMS lists it as corrected on November 26, 2024.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on November 26, 2024.
CMS has cited this home for F0761 2 times since 2024.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on November 26, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on November 26, 2024.
CMS has cited this home for F0656 2 times since 2024.
Citation F0944. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
CMS lists it as corrected on November 26, 2024.
Fire safety inspection on November 22, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on November 26, 2024.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on October 17, 2024
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on October 18, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on October 18, 2024.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.2 to 2.9 hours per resident per day.
Health inspection on May 5, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 6, 2024.
CMS update of April 25, 2024
Ownership
CMS lists this home under a new chain.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on September 22, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 25, 2023.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 25, 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on September 25, 2023.
Fire safety inspection on September 22, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 29, 2023.
CMS star ratings
- 4 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (361) 782-7614
- Last standard health inspection
- February 20, 2026 (8 months ago)
- Certified beds
- 120
- Residents per day, on average
- 84.3
- Ownership type
- Non profit - Corporation
- Legal business name
- Citizens Medical Center County of Victoria
- Chain
- Wellsential Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (15 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CITIZENS MEDICAL CENTER COUNTY OF VICTORIA5% or greater direct ownership interest · 100% · since 03/01/2014
- REGENCY IHS OF SOUTHBROOKE MANOR LLCDirect ownership interest · not applicable · since 03/01/2014
- CSV RHEA MANAGEMENT HOLDCO, LLCIndirect ownership interest · not applicable · since 03/01/2014
- DWD TX HOLDINGS LLCIndirect ownership interest · not applicable · since 03/01/2014
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCIndirect ownership interest · not applicable · since 03/01/2014
Show 9 more
- REG HG OPCO 1, LLCIndirect ownership interest · not applicable · since 03/01/2014
- REG HG OPCO LLCIndirect ownership interest · not applicable · since 03/01/2014
- REG OPERATOR HOLDCO LLCIndirect ownership interest · not applicable · since 03/01/2014
- REGENCY TEXAS HOLDINGS LLCIndirect ownership interest · not applicable · since 03/01/2014
- CITIZENS MEDICAL CENTER COUNTY OF VICTORIAOperational/managerial control · not applicable · since 03/01/2014
- REGENCY IHS OF SOUTHBROOKE MANOR LLCOperational/managerial control · not applicable · since 03/01/2014
- REGENCY INTEGRATED HEALTH SERVICES LLCOperational/managerial control · not applicable · since 03/01/2014
- DEKOWSKI, DONOVANOperational/managerial control · not applicable · since 03/01/2014
- KORENEK, COURTNEYOperational/managerial control · not applicable · since 08/08/2023
Questions
When was Southbrooke Manor Nursing and Rehabilitation Cente last inspected?
CMS lists February 20, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Southbrooke Manor Nursing and Rehabilitation Cente have?
CMS lists 15 health citations since September 22, 2023. CMS also calls these deficiencies.
Has Southbrooke Manor Nursing and Rehabilitation Cente been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Southbrooke Manor Nursing and Rehabilitation Cente?
Its CMS overall star rating is 4 of 5.
Is Southbrooke Manor Nursing and Rehabilitation Cente a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.