All citations for Southbrook Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Southbrook Healthcare Center

Last standard health inspection on record

May 27, 2025

Showing 26 to 50 of 58 citations

  1. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2020).

  2. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2020).

  3. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2020).

  4. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2020).

  5. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2020).

  6. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of December 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2020).

  7. No harm, with potential for more than minimal harm

    Honor the resident's right to manage his or her financial affairs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0567, Resident Rights Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  8. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  9. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  10. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  11. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  12. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  13. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  15. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of February 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

  17. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 4, 2025).

  18. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

  19. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 9, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  20. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 25, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  21. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2023).

  22. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2023).

  23. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2023).

  24. No harm, with potential for more than minimal harm

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0646, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2023).

  25. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.