Southbrooke Manor Nursing And Rehabilitation Cente

D64
CMS
★★★★4 of 5
Beds
120
Owner
Non profit - Corporation

Why this grade

Health inspections
B
80

Federal inspection star: 4

Staffing
F
40

Federal staffing star: 2

Quality measures
D
60

Federal quality star: 3

Safety
C
70

-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 Planning
    Severity E
    Potential for more than minimal harm
  • ·health survey

    Provide and implement an infection prevention and control program.

    Infection Control
    Severity D
    Potential for more than minimal harm
  • ·health survey

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

    Quality of Life and Care
    Severity D
    Potential for more than minimal harm
  • ·health survey

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

    Administration
    Severity B
    Potential 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 Planning
    Severity D
    Potential 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 Care
    Severity D
    Potential 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 Planning
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Provide and implement an infection prevention and control program.

    Infection Control
    Severity E
    Potential for more than minimal harm