B

SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTE

1401 W MAIN ST, EDNA, TX 77957
Score: 83 / 100

Southbrooke Manor Nursing And Rehabilitation Cente earns a solid B grade from CMS data, with a score of 83/100. Performing above average across most metrics, this Edna facility ranks in the 92th percentile among Texas nursing homes.

With 3.02 total nurse hours per resident per day, Southbrooke Manor Nursing And Rehabilitation Cente falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 21 deficiencies at Southbrooke Manor Nursing And Rehabilitation Cente. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.02 3.8 Below Average
Registered Nurses (RN) 0.33 0.7 Below Average
Licensed Practical Nurses (LPN) 1.00 0.7 Above Average
Certified Nursing Assistants (CNA) 1.69 2.4 Below Average
Weekend Total Nursing 2.58 3.8 Below Average
Weekend RN Hours 0.21 0.7 Below Average

🔍 Inspection & Deficiency History

21
Total Deficiencies
Aug 5, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 19 Moderate
View recent deficiencies (5 shown)
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Aug 5, 2025 · Infection Control Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Apr 22, 2025 · Quality of Life and Care Deficiencies
  • Tag 0576 Severity E
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    Nov 21, 2024 · Resident Rights Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Nov 21, 2024 · Pharmacy Service Deficiencies
  • Tag 0583 Severity D
    Keep residents' personal and medical records private and confidential.
    Nov 21, 2024 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.7% 4.5% Better
Falls with major injury 4.0% 3.0% Worse
On antipsychotic medication 6.8% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 12.7% 14.0% Average
Excessive weight loss 0.8% 7.5% Better
New/worsened incontinence 12.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 83 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 21, 2024
Deficiencies (Cycle 1)
7