Southbrooke Manor Nursing And Rehabilitation Cente
Why this grade
Federal inspection star: 4
Federal staffing star: 2
Federal quality star: 3
-5: Minor deficiency, Feb 20, 2026 · -5: Minor deficiency, Aug 6, 2025 · -5: Minor deficiency, Apr 23, 2025 · -5: Minor deficiency, Oct 17, 2024 · -5: Minor deficiency, May 5, 2024
Inspection history
Findings from federal nursing-home surveys published by CMS. Severity letters come from the official inspection grid.
- ·health survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care PlanningSeverity EPotential for more than minimal harm - ·health survey
Provide and implement an infection prevention and control program.
Infection ControlSeverity DPotential for more than minimal harm - ·health survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and CareSeverity DPotential for more than minimal harm - ·health survey
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
AdministrationSeverity BPotential for minimal harm - ·health 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 PlanningSeverity DPotential for more than minimal harm - ·health survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and CareSeverity DPotential for more than minimal harm - ·health 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 PlanningSeverity DPotential for more than minimal harm - ·health survey
Provide and implement an infection prevention and control program.
Infection ControlSeverity EPotential for more than minimal harm