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SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTE

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SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTE VS
Nursing Homes USA
General
City EDNA   0% Nursing Homes USA have EDNA
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1401 W MAIN ST  
Zip Code 77957  
Phone 3617827614  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Quality Measures Star Rating
3.31
Number of Certified Beds
120 
108.94
Total Number of Residents
99 
91.25
Percent of Occupied Beds
83 %
83.65 %
Health Survey Date 2/9/2012  
Fire Survey Date 2/8/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Partnership  7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
99 
91.38
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/17/2011
date Of Correction: 12/09/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/09/2009
date Of Correction: 04/24/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 11/17/2011
date Of Correction: 12/09/2011 
Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 07/27/2009
date Of Correction: 08/10/2009 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 04/09/2009
date Of Correction: 04/24/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
38.4 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
23.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
8.2 %
12.58 %
Percent of long-stay residents who lose too much weight
3.1 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
25 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
3.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
14.9-28 %
28.38 %
Percent of long-stay residents who were physically restrained
4.1 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
87.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
4.1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.8 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
16.6 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.5 %
9.22 %
Percent of long-stay residents who lose too much weight
4.3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
27.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
23 %
19.86 %
Percent of long-stay residents who were physically restrained
6.1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
17.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
85.7 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
82.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
6 %
17.34 %

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