Source: Data.Medicare.gov
Source: Data.Medicare.gov
Nursing home quality measures come from Southbrooke Manor Nursing And Rehabilitation Cente resident assessment data that nursing homes routinely collect on the residents at specified intervals during their stay. These measures assess the Southbrooke Manor Nursing And Rehabilitation Cente resident's physical and clinical conditions and abilities, as well as preferences and life care wishes. These assessment data have been converted to develop quality measures that give consumers another source of information that shows how well Southbrooke Manor Nursing And Rehabilitation Cente is caring for their resident's physical and clinical needs
These quality measures were selected because they are important. They show ways in which nursing homes are different from one another. There are things that nursing homes can do to improve their quality measure percentages. The quality measures have been validated and are based on the best research currently available.
| Quality Measure | Facility Score | Texas Average | National Average |
| Percentage of high risk long-stay residents with pressure ulcers | 4.4% | 6.4% | 5.8% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% | 87.7% | 93.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% | 90.2% | 94.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% | 3.5% | 3.3% |
| Percentage of long-stay residents who have depressive symptoms | 3% | 5.7% | 5.5% |
| Percentage of long-stay residents who lose too much weight | 3.3% | 6.1% | 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 34.1% | 27.3% | 23.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.1% | 21.3% | 17.4% |
| Percentage of long-stay residents who self-report moderate to severe pain | 10.7% | 8.9% | 8.5% |
| Percentage of long-stay residents who were physically restrained | 2.2% | 0.5% | 0.8% |
| Percentage of long-stay residents whose ability to move independently worsened | 27.3% | 21% | 18.2% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.5% | 19.3% | 15.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% | 3.2% | 3.1% |
| Percentage of long-stay residents with a urinary tract infection | 1.1% | 4.8% | 4.9% |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder | 37.9% | 47.2% | 46.3% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.2% | 71% | 81.1% |
| Percentage of short-stay residents who made improvements in function | 61.5% | 55.4% | 63.5% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% | 3.1% | 2.2% |
| Percentage of short-stay residents who self-report moderate to severe pain | 27.1% | 16.2% | 17.1% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.5% | 69.6% | 80.3% |
| Percentage of short-stay residents with pressure ulcers that are new or worsened | 1.5% | 1.1% | 1.3% |
Source: Data.Medicare.gov
Each nursing home that provides services to people with Medicare or Medicaid is required to make the results of its last full inspection available at the nursing home for the public to review. If an inspection team finds that a nursing home doesn't meet a specific standard, it issues a deficiency citation. The federal government may impose penalties on nursing homes for serious deficiencies or for deficiencies that the nursing home fails to correct for a long period of time. For example, Medicare may assess a fine, deny payment to the nursing home, assign a temporary manager, or install a state monitor.
These inspections assess whether the nursing home meets certain "minimum" standards. If a nursing home has no deficiencies, it means that it met the minimum standards at the time of the inspection. Inspections don't identify nursing homes that give outstanding care.
While reading these reports, keep in mind that the quality of a nursing home may get much better or much worse in a short period of time. These changes can occur when a nursing home's administrator or ownership changes, or when a nursing home's finances suddenly change.
| Survey Date | Survey Type | Scope | Severity | Deficiency |
|---|---|---|---|---|
| Jul 02, 2015 | Health | Pattern | L2 | Provide necessary care and services to maintain or improve the highest well being of each resident . |
| Jul 02, 2015 | Health | Pattern | L2 | Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. |
| Jul 02, 2015 | Health | Pattern | L2 | Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. |
| Jul 02, 2015 | Health | Pattern | L2 | Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. |
| Jul 02, 2015 | Health | Pattern | L2 | Have a program that investigates, controls and keeps infection from spreading. |
| Jul 02, 2015 | Health | Pattern | L2 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Jul 02, 2015 | Health | Pattern | L2 | Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. |
| Jul 02, 2015 | Health | Isolated | L2 | Keep accurate, complete and organized clinical records on each resident that meet professional standards. |
| Jul 01, 2015 | Fire Safety | Pattern | L2 | Walls that prevent smoke from passing through and would resist fire for at least one hour. |
| Jul 01, 2015 | Fire Safety | Pattern | L2 | Portable fire extinguishers. |
Source: Data.Medicare.gov
Southbrooke Manor Nursing And Rehabilitation Cente is a Government - County nursing home
| Name | Owner Type | Role | Ownership Percentage |
|---|---|---|---|
| BLAND, JOE | Individual | DIRECTOR | NOT APPLICABLE |
| BLAND, JOE | Individual | OFFICER | NOT APPLICABLE |
| CITIZENS MEDICAL CENTER COUNTY OF VICTORIA | Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CITIZENS MEDICAL CENTER COUNTY OF VICTORIA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| CLEMMONS, ANDREW | Individual | OFFICER | NOT APPLICABLE |
| DAY, DONALD | Individual | OFFICER | NOT APPLICABLE |
| DAY, DONALD | Individual | DIRECTOR | NOT APPLICABLE |
| GUERRA, LUIS | Individual | DIRECTOR | NOT APPLICABLE |
| HARTMAN, JENNIFER | Individual | DIRECTOR | NOT APPLICABLE |
| HOLM, PAUL | Individual | DIRECTOR | NOT APPLICABLE |
| HSL CHILDREN'S TR | Organization | PARTNERSHIP INTEREST | NOT APPLICABLE |
| HSL FAMILY, LTD. | Organization | PARTNERSHIP INTEREST | NOT APPLICABLE |
| KI HOLDINGS, LTD | Organization | PARTNERSHIP INTEREST | NOT APPLICABLE |
| KI HOLDINGS, LTD | Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KIVOWITZ INVESTMENTS, INC. | Organization | PARTNERSHIP INTEREST | NOT APPLICABLE |
| KIVOWITZ, BROOKE | Individual | PARTNERSHIP INTEREST | NOT APPLICABLE |
| KIVOWITZ, COURTNEY | Individual | PARTNERSHIP INTEREST | NOT APPLICABLE |
| LACERDA, BETHANY | Individual | PARTNERSHIP INTEREST | NOT APPLICABLE |
| LACERDA, LLC | Organization | PARTNERSHIP INTEREST | NOT APPLICABLE |
| MARSHA KIVOWITZ CREDIT SHELTER TR UW 05262000 | Organization | PARTNERSHIP INTEREST | NOT APPLICABLE |
| MARSHA KIVOWITZ EXEMPT MRTL TR UW 05262000 | Organization | PARTNERSHIP INTEREST | NOT APPLICABLE |
| MARSHA KIVOWITZ MRTL TR UW 05262000 | Organization | PARTNERSHIP INTEREST | NOT APPLICABLE |
| OLSON, MICHAEL | Individual | OFFICER | NOT APPLICABLE |
| PALLANEZ, GABRIEL | Individual | MANAGING EMPLOYEE | NOT APPLICABLE |
| PALLANEZ, GABRIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| REGENCY POST-ACUTE HEALTHCARE SYSTEM, INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER, INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Source: Data.Medicare.gov
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