All citations for Southbrook Healthcare, Inc

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, Inc

Last standard health inspection on record

January 30, 2025

Showing 1 to 19 of 19 citations

No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home has a plan to correct it (October 21, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 14, 2022).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 14, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 14, 2022).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 14, 2022).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 14, 2022).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pattern (more than a few residents). CMS level E.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 3, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (June 3, 2024).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home has a plan to correct it (October 21, 2022).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home has a plan to correct it (October 21, 2022).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home has a plan to correct it (October 21, 2022).
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 September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 17, 2022).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2022).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 14, 2022).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0521, Services Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 14, 2022).
No harm, with potential for more than minimal harm
Have an externally vented heating system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0522, Services Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 20, 2022).
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 September 14, 2022. Found during a standard inspection.
The home has a plan to correct it (October 21, 2022).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Isolated (one or a few residents). CMS level D.
Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home has a plan to correct it (October 21, 2022).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Isolated (one or a few residents). CMS level D.
Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home has a plan to correct it (October 21, 2022).
No harm, with potential for minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2022).

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.