Texas › Terry County › Brownfield
Apex Secure Care Brownfield
1101 E Lake St, Brownfield, TX 79316
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Apex Secure Care Brownfield is a For-profit, partnership nursing home in Brownfield, Texas, certified for 108 beds and caring for about 63 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (12, 12, 15 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 36.1 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $28K and 1 payment denial.
Reported nurse staffing is 2.3 hours per resident per day (0.3 RN), below the Texas median of 3.3; nursing staff turnover is 55.8%.
Compared with county, state and nation
| Measure | This facility | Terry Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 39 | 39 | 25 | 28.7 |
| Citations per 100 beds | 36.1 | 36.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.3 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 55.8% | 55.8% | 52.1% | 45.8% |
| Fines listed | $27,738 | $27,738 | $16,801 | — |
County and state figures are medians across facilities (2 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Apr 2026, 11 Feb 2025.
Severity mix: J ×2 D ×22 E ×14 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | J | Standard survey | 15 May 2026 |
| 14 Apr 2026 | F0584 | 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. | E | Standard survey | 15 May 2026 |
| 14 Apr 2026 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 15 May 2026 |
| 14 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 May 2026 |
| 14 Apr 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 15 May 2026 |
| 14 Apr 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 15 May 2026 |
| 14 Apr 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 15 May 2026 |
| 14 Apr 2026 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Standard survey | 15 May 2026 |
| 14 Apr 2026 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 15 May 2026 |
| 14 Apr 2026 | F0924 | Put firmly secured handrails on each side of hallways. | D | Standard survey | 15 May 2026 |
| 25 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 26 Nov 2025 |
| 25 Nov 2025 | F0761 | 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. | D | Complaint investigation | 26 Nov 2025 |
| 11 Feb 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 21 Mar 2025 |
| 11 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Mar 2025 |
| 11 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Mar 2025 |
| 11 Feb 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 21 Mar 2025 |
| 11 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 21 Mar 2025 |
| 11 Feb 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 21 Mar 2025 |
| 11 Feb 2025 | F0584 | 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. | D | Standard survey | 21 Mar 2025 |
| 11 Feb 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 21 Mar 2025 |
| 11 Feb 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 21 Mar 2025 |
| 11 Feb 2025 | F0803 | 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. | D | Standard survey | 21 Mar 2025 |
| 11 Feb 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 21 Mar 2025 |
| 4 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Nov 2024 |
| 28 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 9 Aug 2024 |
| 21 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 21 Jun 2024 |
| 21 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 21 Jun 2024 |
| 21 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Jun 2024 |
| 9 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Feb 2024 |
| 9 Jan 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 16 Feb 2024 |
| 9 Jan 2024 | F0584 | 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. | E | Standard survey | 16 Feb 2024 |
| 9 Jan 2024 | F0803 | 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. | E | Standard survey | 16 Feb 2024 |
| 9 Jan 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 16 Feb 2024 |
| 9 Jan 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 16 Feb 2024 |
| 9 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Feb 2024 |
| 9 Jan 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 16 Feb 2024 |
| 9 Jan 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 16 Feb 2024 |
| 9 Jan 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 16 Feb 2024 |
| 9 Jan 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 16 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Apr 2026 | Payment denial | — | 5 days |
| 14 Apr 2026 | Fine | $13,070 | |
| 4 Dec 2024 | Fine | $14,668 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 55.8%, RNs 80.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.4% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, partnership. Legal business name: Childress County Hospital District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Theora Management Systems Inc | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 12/01/2023 |
| Meridian LTC Ltd | Direct ownership interest | NOT APPLICABLE | 12/01/2014 |
| Childress County Hospital District | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 12/01/2014 |
| Sss Holdings LP | Limited partnership interest | NOT APPLICABLE | 12/01/2023 |
| Childress County Hospital District | Adp of the snf | NOT APPLICABLE | 01/23/2025 |
| Meridian LTC Ltd | Adp of the snf | NOT APPLICABLE | 01/23/2025 |
| Theora Management Systems Inc | Adp of the snf | NOT APPLICABLE | 01/23/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Terry County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Brownfield Rehabilitation and Care Center | Brownfield | 54 | 5 | 5 | 2 | 16 | 29.6 | — | 14 Aug 2025 |
All 2 facilities in Terry County
Questions and answers
How many deficiencies has Apex Secure Care Brownfield been cited for?
39 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Apex Secure Care Brownfield been fined?
Yes. CMS lists fines totalling $28K in the period covered, plus 1 payment denial.
How does staffing at Apex Secure Care Brownfield compare?
Reported total nurse staffing is 2.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Apex Secure Care Brownfield?
Ownership type is for-profit, partnership. Organisations in the CMS ownership record include Theora Management Systems Inc, Meridian LTC Ltd and Childress County Hospital District. Individual owners and managers are not listed on this site.
When was Apex Secure Care Brownfield last inspected?
The most recent survey or investigation in the CMS record is dated 14 Apr 2026; the most recent standard health survey was 14 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.