Southbrooke Manor Nursing And Rehabilitation Cente
Edna, Jackson County, Texas · CCN 675159 · Non-profit (Corporation) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Southbrooke Manor Nursing And Rehabilitation Cente 4 of 5 overall as of August 2026. 120 certified beds, 84 residents a day on average. 16 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 2 of 5 |
Staffing
| Total nurse staffing | 3.06526 hours per resident per day |
|---|---|
| Registered nurses | 0.30019 hours per resident per day |
| Weekend total | 2.63207 hours per resident per day |
| Nursing staff turnover | 40.6% (registered nurses 28.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-21 |
| 2026-02-20 | 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 · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-21 |
| 2025-08-06 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-08 |
| 2025-04-23 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-24 |
| 2024-11-22 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · tag F0576 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-11-26 |
| 2024-11-22 | 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 · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-11-26 |
| 2024-11-22 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-26 |
| 2024-11-22 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-26 |
| 2024-11-22 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · tag F0944 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2024-11-26 |
| 2024-10-17 complaint survey |
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 · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-18 |
| 2024-10-17 complaint survey |
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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-18 |
| 2024-05-05 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-06 |
| 2023-09-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-25 |
| 2023-09-22 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-25 |
| 2023-09-22 complaint survey |
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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-25 |
| 2023-08-31 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-04 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Citizens Medical Center County Of Victoria Organization | 5% or greater direct ownership interest | 100% | 2014-03-01 |
| 1401 West Main Street LLC Organization | adp of the snf | — | 2014-03-01 |
| Citizens Medical Center County Of Victoria Organization | adp of the snf | — | 2025-03-27 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2014-03-01 |
| Regency Ihs Master Tenant LLC Organization | adp of the snf | — | 2014-03-01 |
| Regency Ihs Of Southbrooke Manor LLC Organization | adp of the snf | — | 2025-03-27 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2014-03-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-03-27 |
| Regency Ihs Of Southbrooke Manor LLC Organization | direct ownership interest | — | 2014-03-01 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2014-03-01 |
| Reg Hg Opco 1, LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2014-03-01 |
| Citizens Medical Center County Of Victoria Organization | operational/managerial control | — | 2014-03-01 |
| Regency Ihs Of Southbrooke Manor LLC Organization | operational/managerial control | — | 2014-03-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2014-03-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2014-03-01 |
| Korenek, Courtney Individual | adp of the snf | — | 2023-08-08 |
| Quinn-Frankel, Molly Individual | adp of the snf | — | 2025-01-01 |
| Olson, Michael Individual | corporate officer | — | 2015-11-12 |
| Baird, Daniel Individual | managing control - governing body | — | 2021-04-13 |
| Carvajal, Antonio Individual | managing control - governing body | — | 2024-05-16 |
| Clapp, Barbara Individual | managing control - governing body | — | 2021-06-01 |
| Cortese, Daren Individual | managing control - governing body | — | 2021-08-10 |
| Galvin, Ben Individual | managing control - governing body | — | 2014-06-16 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Gonzales, Veronica Individual | managing control - governing body | — | 2024-05-16 |
| Gorouhi, Fariborz Individual | managing control - governing body | — | 2023-07-01 |
| Guerra, Luis Individual | managing control - governing body | — | 2009-01-01 |
| Holm, Paul Individual | managing control - governing body | — | 2007-01-01 |
| Kaufman, Nicole Individual | managing control - governing body | — | 2021-08-10 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Marshall, Russell Individual | managing control - governing body | — | 2014-04-23 |
| Neumann, James Individual | managing control - governing body | — | 2016-05-31 |
| Olson, Michael Individual | managing control - governing body | — | 2015-11-12 |
| Thomas, Ashlie Individual | managing control - governing body | — | 2023-07-01 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2014-03-01 |
| Korenek, Courtney Individual | operational/managerial control | — | 2023-08-08 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Southbrooke Manor Nursing And Rehabilitation Cente.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jackson County.