Hearth Record

Southbrooke Manor Nursing and Rehabilitation Cente

A nursing home in Edna, Texas 77957

1401 W Main St, Edna, Texas 77957. (361) 782-7614.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 12 citations in 6 months of the last 36. Last cited Feb 2026. Most serious: no actual harm, potential for more than minimal harm (D). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

2 health citations at the latest inspection cycle

The Texas average is 9.6.

Last standard inspection Feb 20, 2026.

Most serious in three years: E: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

12 citations in 6 months of the last 36. Last cited Feb 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.

12 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 12 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 5 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Feb 20, 2026: standard inspection2 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 21, 2026.

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

    Rule F0842. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 21, 2026.

Aug 6, 2025: complaint inspection1 citation
  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 8, 2025.

Apr 23, 2025: complaint inspection1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 24, 2025.

Nov 22, 2024: standard inspection5 citations
  • Ensure residents have reasonable access to and privacy in their use of communication methods.

    Rule F0576. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 26, 2024.

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 26, 2024.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 26, 2024.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 26, 2024.

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

    Rule F0944. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Nov 26, 2024.

Oct 17, 2024: complaint inspection2 citations
  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 18, 2024.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 18, 2024.

May 5, 2024: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 6, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jul 1, 1993.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as non profit, corporation.
  • 120 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 5 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

2.97 nurse hours per resident per day

The Texas average is 3.42.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeTexas average
Nurse hours per resident per day2.973.42
Of which registered nurses0.260.44
At weekends2.642.99
Nursing staff turnover44.6%50.8%
Registered nurse turnover80%49.8%
Administrators who left0Not given

Who owns it?

  • Citizens Medical Center County of Victoria owns 100% directly since Mar 1, 2014; Regency IHS of Southbrooke Manor LLC owns an unstated share directly since Mar 1, 2014.
  • Regency IHS of Southbrooke Manor LLC and Citizens Medical Center County of Victoria and Regency Integrated Health Services LLC run it.
  • 25 owners or officers are people: Russell Marshall (on the governing body (managing control)); Ben Galvin (on the governing body (managing control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Michael R Olson (corporate officer, 0%); Michael R Olson (on the governing body (managing control)); Molly Breanne Quinn-Frankel (additional disclosable party (controls, leases property to, or provides services to the home)); Luis A Guerra (on the governing body (managing control)); Courtney Korenek (runs it (operational or managerial control)); Courtney Korenek (additional disclosable party (controls, leases property to, or provides services to the home)); Patricia Gibson (on the governing body (managing control)); Barbara B Clapp (on the governing body (managing control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Antonio Carvajal (on the governing body (managing control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Paul B Holm (on the governing body (managing control)); Veronica Gonzales (on the governing body (managing control)); Nicole Kaufman (on the governing body (managing control)); Daniel S Baird (on the governing body (managing control)); Fariborz Gorouhi (on the governing body (managing control)); James F Neumann (on the governing body (managing control)); Ashlie Ann Thomas (on the governing body (managing control)); Donovan R Dekowski (runs it (operational or managerial control)); Donovan R Dekowski (additional disclosable party (controls, leases property to, or provides services to the home)); Daren A Cortese (on the governing body (managing control)); Elliot J Mandelbaum (on the governing body (managing control)).
  • Part of Wellsential Health (67 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Regency IHS of Southbrooke Manor LLCRuns it (operational or managerial control)100%Mar 1, 2014
Citizens Medical Center County of VictoriaOwns 5% or more directly100%Mar 1, 2014
Citizens Medical Center County of VictoriaRuns it (operational or managerial control)100%Mar 1, 2014
Csv Rhea Management Holdco, LLCOwns a share through other companiesMar 1, 2014
Regency IHS Rehab LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2014
Regency Texas Holdings LLCOwns a share through other companiesMar 1, 2014
Jack and Nancy Dwyer Workforce Development Center Inc.Owns a share through other companiesMar 1, 2014
Reg Operator Holdco LLCOwns a share through other companiesMar 1, 2014
Reg Hg Opco LLCOwns a share through other companiesMar 1, 2014
Reg Hg Opco 1, LLCOwns a share through other companiesMar 1, 2014
Regency IHS Master Tenant LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2014
Dwd TX Holdings LLCOwns a share through other companiesMar 1, 2014
Regency Integrated Health Services LLCRuns it (operational or managerial control)0%Mar 1, 2014
Regency Integrated Health Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 27, 2025
Regency IHS of Southbrooke Manor LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 27, 2025
Regency IHS of Southbrooke Manor LLCOwns a share directlyMar 1, 2014
1401 West Main Street LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2014
Regency IHS Clinical Consulting, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2014
Citizens Medical Center County of VictoriaAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 27, 2025

How do residents fare?

  • CMS rates its quality measures 3 of 5 (Texas average 3.8).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating4 of 5
Health inspections5 of 5
Staffing1 of 5
Quality measures3 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 36.9 miles, this one had the 11th most health citations at the latest inspection cycle (2; the middle value was 6.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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