SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTE - EDNA, TX

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Addresss:

1401 W MAIN ST
EDNA, TX, 77957

Phone (make sure to verify first before calling): (361) 782-7614

Number of Certified Beds: 120
Total Number of Residents: 99
Percent of Occupied Beds: 83%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Partnership
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: Stars
Quality Measures Star Rating: 3 Stars

Other nearby nursing homes

EDNA DIALYSIS CENTER (2.08 miles)
GANADO NURSING AND REHABILITATION CENTER LLC (GANADO, 11.05 miles)
JACKSON COUNTY HOSPITAL DISTRICT HOME CARE (GANADO, 11.01 miles)
LINWOOD PLACE (VICTORIA, 20.37 miles)
SOUTHBROOKE MANOR INC (0.97 miles)
TWIN PINES NURSING AND REHABILITATION CENTER (VICTORIA, 20.13 miles)
TWIN PINES NURSING HOME (VICTORIA, 20.13 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.11

Certified Nurse Aides - Full Time: 34.20

Certified Nurse Aides - Part Time: 1.09

Food Service Personnel - Full Time: 9.97

Housekeeping Personnel - Full Time: 10.90

Licensed Practical/ Vocational Nurses - Full Time: 10.19

Licensed Practical/ Vocational Nurses - Part Time: 1.23

Medical Directors - Under Contract: 0.03

Nurses With Administrative Duties - Full Time: 6.39

Physical Therapists - Under Contract: 0.37

Registered Nurses - Full Time: 1.20

Rn Director Of Nursing - Full Time: 2.11

Activities Professionals - Full Time: 1.57

Occupational Therapists - Under Contract: 0.33

Pharmacists - Under Contract: 0.11

Speech Pathologists - Under Contract: 0.16

Physician Extenders - Under Contract: 0.14

Dietitians - Full Time: 0.26

Registered Nurses - Part Time: 0.99

Occupational Therapy Assistants - Under Contract: 1.43

Social Workers - Part Time: 0.89

Housekeeping Personnel - Part Time: 1.20

Nurse Aides In Training - Part Time: 1.50

Medication Aides/ Technicians - Part Time: 0.43

Medication Aides/ Technicians - Full Time: 7.29

Number Of Beds

Total: 120

Total Certified: 109

Provided Services

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Offsite To Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Offsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Offsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Offsite To Residents

Physician Extender Services Are Provided Onsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Offsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	31.7%
Texas:	20.4%

Percent of long-stay residents who self-report moderate to severe pain

Here:	30.0%
Texas:	11.4%

Percent of long-stay high-risk residents with pressure ulcers

Here:	4.0%
State:	7.2%

Percent of long-stay residents who lose too much weight

Here:	1.0%
State:	6.7%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	39.6%
Texas:	46.0%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	3.7%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	1.0%
State:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	10.9%
State:	9.3%

Percent of long-stay residents who were physically restrained

Here:	8.2%
Texas:	1.6%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	3.1%
Texas:	3.5%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	99.0%
State:	91.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	99.0%
Texas:	91.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	74.1%
State:	74.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	38.6%
State:	28.5%

Complaint Deficiency

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Potential for minimal harm
- Scope: Many
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Limit the charges against the personal funds of a resident for items or services for which payment is made under Medicare or Medicaid
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Potential for minimal harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Potential for minimal harm
- Scope: Some
Portable fire extinguishers
- Harm: Potential for minimal harm
- Scope: Some
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Potential for minimal harm
- Scope: Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Few

SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTE - EDNA, TX

Quality Measures

Complaint Deficiency

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