Southbrooke Manor Nursing And Rehabilitation Center

Inspection findings

1. Feb 20, 2026 Health · 2 findings
   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Feb 21, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Feb 21, 2026 · CMS health inspection

2. Aug 6, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 8, 2025 · CMS health inspection

3. Apr 23, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 24, 2025 · CMS health inspection

4. Nov 22, 2024 Health · 6 findings
   • Not serious Scope/severity E

     F0576 Resident Rights Deficiencies

     Ensure residents have reasonable access to and privacy in their use of communication methods.

     Corrected Nov 26, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Nov 26, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Nov 26, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Nov 26, 2024 · CMS health inspection

   • Not serious Scope/severity B

     F0944 Administration Deficiencies

     Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

     Corrected Nov 26, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Nov 26, 2024 · CMS fire safety

5. Oct 17, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Oct 18, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Oct 18, 2024 · CMS health inspection

6. May 5, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected May 6, 2024 · CMS health inspection

7. Sep 22, 2023 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Sep 25, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 25, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 25, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Sep 29, 2023 · CMS fire safety

8. Aug 31, 2023 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 4, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• CARVAJAL, ANTONIO — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 03/01/2014
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 03/01/2014
• GALVIN, BEN — managing control - governing body, NOT APPLICABLE, since 06/16/2014
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• GONZALES, VERONICA — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• GOROUHI, FARIBORZ — managing control - governing body, NOT APPLICABLE, since 07/01/2023
• GUERRA, LUIS — managing control - governing body, NOT APPLICABLE, since 01/01/2009
• HOLM, PAUL — managing control - governing body, NOT APPLICABLE, since 01/01/2007
• KAUFMAN, NICOLE — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• KORENEK, COURTNEY — adp of the snf, NOT APPLICABLE, since 08/08/2023
• KORENEK, COURTNEY — operational/managerial control, NOT APPLICABLE, since 08/08/2023
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• MARSHALL, RUSSELL — managing control - governing body, NOT APPLICABLE, since 04/23/2014
• NEUMANN, JAMES — managing control - governing body, NOT APPLICABLE, since 05/31/2016
• OLSON, MICHAEL — managing control - governing body, NOT APPLICABLE, since 11/12/2015
• OLSON, MICHAEL — corporate officer, NOT APPLICABLE, since 11/12/2015
• QUINN-FRANKEL, MOLLY — adp of the snf, NOT APPLICABLE, since 01/01/2025
• THOMAS, ASHLIE — managing control - governing body, NOT APPLICABLE, since 07/01/2023
• 1401 WEST MAIN STREET LLC — adp of the snf, NOT APPLICABLE, since 03/01/2014
• CITIZENS MEDICAL CENTER COUNTY OF VICTORIA — 5% or greater direct ownership interest, 100%, since 03/01/2014
• CITIZENS MEDICAL CENTER COUNTY OF VICTORIA — operational/managerial control, NOT APPLICABLE, since 03/01/2014
• CITIZENS MEDICAL CENTER COUNTY OF VICTORIA — adp of the snf, NOT APPLICABLE, since 03/27/2025
• CSV RHEA MANAGEMENT HOLDCO, LLC — indirect ownership interest, NOT APPLICABLE, since 03/01/2014
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 03/01/2014
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 03/01/2014
• REG HG OPCO 1, LLC — indirect ownership interest, NOT APPLICABLE, since 03/01/2014
• REG HG OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 03/01/2014
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 03/01/2014
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 03/01/2014
• REGENCY IHS MASTER TENANT LLC — adp of the snf, NOT APPLICABLE, since 03/01/2014
• REGENCY IHS OF SOUTHBROOKE MANOR LLC — adp of the snf, NOT APPLICABLE, since 03/27/2025
• REGENCY IHS OF SOUTHBROOKE MANOR LLC — direct ownership interest, NOT APPLICABLE, since 03/01/2014
• REGENCY IHS OF SOUTHBROOKE MANOR LLC — operational/managerial control, NOT APPLICABLE, since 03/01/2014
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 03/01/2014
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 03/01/2014
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 03/27/2025
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 03/01/2014