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 13 of 13 citations

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

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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.