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Nursing home report

Songbird Lodge

Brownwood, TX · Medicare-certified · 121 beds

Needs attention
Government-runChain member
Data as of July 1, 2026
2 of 5 overall

Songbird Lodge in Brownwood, TX has an overall rating of 2 out of 5 stars, with especially low staffing at 1 out of 5 and nurse staffing below the federal benchmark (3.06 vs. 4.1 hours per resident per day). It also has a recent federal penalty and $10,210 in fines over the last 24 months, while health inspections are 3 stars and quality measures are 4 stars.

Facility ratings

Health inspections

Staffing

3.0559 hrs/resident/day

Quality measures

Last inspection: December 11, 2025Penalties, last 24 months: $10,210recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0559.

Staffing detail

Registered nurses
0.19
Licensed practical nurses
1.11
Nurse aides
1.76
Weekend nursing
2.58

Hours per resident per day.

Total staff turnover: 99%
Registered nurse turnover: 100%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

2.9%0%Improving

Residents with a fall causing major injury

6.8%4.8%Improving

Residents with pressure ulcers (bedsores)

3.6%5%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

4.9%18.2%Worsening

Residents whose ability to walk got worse

0%2.9%Worsening

Long-stay residents on antianxiety or sleep medication

18.6%18.2%No change

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

1.2%1.3%No change

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The home failed to have enough qualified staff to properly provide food and nutrition services. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 801 — 42 CFR §483.60 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E

The nursing home failed to ensure nurse aides were properly trained and competent to provide safe care. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 728 — 42 CFR §483.35(e) — S/S: E

The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $10,210 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $10,210 in total fines.

  • Federal fine

    Sep 6, 2024

    $10,210

Operator & ownership

Recent ownership change · Sep 1, 2022

Now operated by West Wharton County Hospital District, previously Hamilton County Hospital District.

Ownership
Government - Hospital district
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.2 stars avg
Occupancy
70.6 residents on an average day (58% of 121 beds)
Resident voice
Resident council
Medicare history
Certified for 23 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.