Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Songbird Lodge during CMS and state inspections, most recent first.
Surveyors observed that two residents had medications, including pill cups and respiratory treatments, left unattended at their bedsides without completed self-administration assessments or care plan documentation. Staff interviews confirmed that medications were sometimes left unsupervised, contrary to facility policy requiring observation during administration and secure storage. The DON acknowledged these lapses and the absence of required assessments.
A student nurse aide worked full-time without certification beyond the allowed period, risking inappropriate care for residents. The aide failed the skills test and did not retake it due to cost, as the facility only covered the first attempt. The DON was unaware of the certification time limit and had recently taken over monitoring responsibilities. No adverse effects were reported, but the potential risk was acknowledged.
The facility failed to conduct an annual performance review and provide 12 hours of in-service education for a nurse aide over two years. Interviews and record reviews revealed that the aide had not received a performance evaluation or completed the required training since her hire. The DON confirmed the lack of documentation and acknowledged the responsibility of department heads to ensure compliance. The aide was unaware of the mandatory training requirements, indicating a systemic issue in monitoring and enforcing compliance.
The facility failed to provide safe respiratory care for two residents with COPD, as their nasal cannulas and nebulizers were not stored properly, risking infection. Observations showed one resident's nasal cannula on the floor and another's nebulizer uncovered. Interviews with the administrator and DON confirmed the expectation to store equipment in plastic bags, aligning with facility policy.
The facility failed to secure medication carts on Hall A and Hall E, leaving them unlocked and unattended, which could allow unauthorized access to medications. Staff interviews revealed an understanding of the policy requiring carts to be locked when not in use, but this was not followed, posing a risk of drug diversion.
Medications Left Unattended at Bedside Without Proper Assessment or Security
Penalty
Summary
Surveyors found that the facility failed to store all drugs and biologicals in locked compartments, as required, for two residents. Medications, including pill cups with multiple medications and respiratory treatments such as inhalers and nebulizer solutions, were observed left unattended at the bedside of both residents. Neither resident had a completed assessment for self-administration of medication, and their care plans did not address self-administration or the use of lock boxes for medication storage. One resident, with severe cognitive impairment and multiple diagnoses including metabolic encephalopathy and depression, was found with a pill cup of medications and respiratory treatments at her bedside. She reported that medication aides routinely left her medications for her to take without supervision and that she did not know what the medications were. The other resident, who was cognitively intact but had diagnoses including dementia and anxiety, was also found with an open pill cup containing several medications left on her bedside table. She stated that staff had left medications at her bedside multiple times without ensuring they were taken. Interviews with staff, including the DON and medication aides, confirmed that medications were sometimes left at residents' bedsides without supervision, and that there was no documentation of self-administration assessments for these residents. Facility policy required that medications be administered as prescribed and that staff observe residents taking their medications, but these procedures were not followed. The DON acknowledged that medications should not be left at bedside unless a self-administration assessment was completed and appropriate storage, such as a lock box, was provided.
Failure to Ensure Timely Certification of Student Nurse Aide
Penalty
Summary
The facility failed to ensure that a student nurse aide (SNA A) was certified within the required time frame, as she had been working full-time since April 2023 without completing a training and competency evaluation program. SNA A had a CNA certification expiration date of May 2015 and had not passed the skills test required for certification. Despite working continuously at the facility, SNA A had not registered to retake the test due to the cost, as the facility only covered the first attempt. This oversight placed residents at risk of receiving inappropriate care from an individual whose skill level was not verified. The Director of Nursing (DON) was unaware of the time limit for certification and had recently assumed responsibility for monitoring CNA certifications. The previous Assistant Director of Nursing (ADON) was responsible for this task but was no longer employed at the facility. The DON acknowledged that SNA A was working without certification and that no negative effects had occurred to residents, although there was a potential risk of residents not receiving appropriate care. The facility's job description for a student nurse aide clearly stated the requirement to obtain certification within 120 days, which was not met in this case.
Failure to Conduct Annual Performance Review and In-Service Education
Penalty
Summary
The facility failed to conduct an annual performance review and provide 12 hours of in-service education for a specific nurse aide (SNA A) over the years 2024 and 2025. This deficiency was identified through interviews and record reviews, which revealed that SNA A had not received a performance evaluation or completed the required in-service education since her hire date in April 2023. The Director of Nursing (DON) confirmed the lack of documentation for these requirements and acknowledged the responsibility of department heads to ensure compliance with training and certification requirements. Interviews with the Administrator and SNA A highlighted a lack of awareness and enforcement of the mandatory training requirements. The Administrator expected employees to complete monthly scheduled training via a computer-based program, while SNA A was unaware of the state or federal requirements for in-service education. The DON could only provide documentation of a single new employee orientation in-service training from April 2023, indicating a systemic issue in monitoring and ensuring compliance with training requirements. This failure could potentially impact the quality of care provided to residents.
Failure to Provide Safe Respiratory Care
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for two residents, as observed during a survey. Resident #38, a female with severe cognitive impairment and chronic obstructive pulmonary disease (COPD), was found with her nasal cannula uncovered and the nasal prongs lying on the floor. Her care plan did not specify when the oxygen tubing needed to be changed, despite physician orders indicating a weekly change. Similarly, Resident #61, a male with moderate cognitive impairment and COPD, had his nebulizer uncovered on the nightstand. His care plan also lacked specific instructions for changing the oxygen tubing, although physician orders allowed for changes as needed. Interviews with the facility's administrator and Director of Nursing (DON) revealed that the expectation was for nebulizer mouthpieces and oxygen nasal cannulas to be stored in plastic bags when not in use to prevent cross-contamination and potential illness. The facility's policy on respiratory therapy infection prevention, revised in 2011, also required storing the circuit in a plastic bag between uses and discarding the administration setup every seven days. The failure to adhere to these standards placed residents at risk for infections and communicable diseases.
Medication Cart Security Lapse
Penalty
Summary
The facility failed to ensure that drugs and biologicals were secured and stored according to accepted professional principles, as observed in two of the five medication carts on Hall A and Hall E. On Hall E, the medication cart was found unlocked and unattended while the nurse was in a resident's room, out of the line of sight of the cart. The cart contained over-the-counter medications, prescription medications, insulin, breathing treatment medication, and a narcotic drawer that was locked with one lock. Similarly, on Hall A, the medication cart was observed unlocked and unattended with a resident nearby. LVN B admitted to not being aware of anyone being close to the cart and acknowledged the risk of residents accessing medications not prescribed to them. Interviews with staff, including LVN A and the Director of Nursing (DON), revealed an understanding that medication carts should be locked when not in use or under direct supervision. LVN A admitted to leaving the cart unattended and unlocked, recognizing the potential for drug diversion. The DON and the Administrator (ADM) both emphasized the expectation for medication carts to be locked to prevent unauthorized access. A review of the facility's policy confirmed that medication carts should be locked when not in use or under direct supervision, highlighting a deviation from established procedures.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Brownwood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pecan Bayou Nursing And Rehabilitation | 0.3 mi | — | 0 | 0 |
| Brownwood Nursing And Rehabilitation | 0.4 mi | — | 11 | 0 |
| Oak Ridge Manor | 0.4 mi | — | 5 | 0 |
| Cross Country Healthcare Center | 1.7 mi | — | 1 | 0 |
| Care Nursing & Rehabilitation | 6.4 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.