Songbird Lodge
2500 Songbird Cir · Brownwood, TX · 76801 · 3256464750
121 certified beds Government - Hospital district Chain: Creative Solutions in Healthcare Hospital-based
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.20 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
98% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.20 | 0.55–0.75 |
| Weekend hours / resident-day | 2.85 | ≈ weekday level |
| Nursing turnover / year | 98% | median 45% |
| Fines (3-yr window) | 1 · $10,210 |
Inspection citations (18 in the current record)
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Potential for harm · D December 11, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 11, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 11, 2025 · found via complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected December 12, 2025 · Nursing and Physician Services
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Potential for harm · D December 11, 2025 · found via complaint
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.
Corrected December 12, 2025 · Pharmacy Service
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Potential for harm · F December 11, 2025 · found via complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected December 12, 2025 · Nutrition and Dietary
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Potential for harm · E December 11, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected December 12, 2025 · Nutrition and Dietary
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Potential for harm · F December 11, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 12, 2025 · Nutrition and Dietary
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Potential for harm · D December 11, 2025 · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected December 12, 2025 · Administration
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Potential for harm · E December 11, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected December 12, 2025 · Administration
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No harm found · C December 11, 2025 · found via complaint
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected December 12, 2025 · Resident Rights
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Potential for harm · E December 9, 2025 · found via complaint
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.
Corrected December 10, 2025 · Pharmacy Service
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Potential for harm · E March 14, 2025 · found via complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected March 15, 2025 · Nursing and Physician Services
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Potential for harm · D March 14, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected March 15, 2025 · Nursing and Physician Services
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Potential for harm · D September 6, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 7, 2024 · Quality of Life and Care
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Potential for harm · D September 6, 2024 · found via complaint
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.
Corrected September 7, 2024 · Pharmacy Service
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Potential for harm · D July 11, 2023 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 1, 2023 · Quality of Life and Care
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Potential for harm · E July 11, 2023 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 1, 2023 · Quality of Life and Care
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Potential for harm · E July 11, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 1, 2023 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 6, 2024 | Fine | $10,210 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675959 · certified since April 10, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.