Apex Secure Care Brownfield

1101 E Lake St · Brownfield, TX · 79316 · 8066377561

108 certified beds For profit - Partnership

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.

Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

RN staffing in the bottom 10% nationally

0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.65 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 64
Staffing 20% 36
Federal penalties 15% 58
Trend 10% 53
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.653.48 min · 4.1 strong
RN hours / resident-day0.220.55–0.75
Weekend hours / resident-day2.22≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)2 · $27,738

Inspection citations (39 in the current record)

  • Immediate jeopardy · J April 14, 2026

    Provide and implement an infection prevention and control program.

    Deficient, Provider has no plan of correction · Infection Control

  • Potential for harm · D April 14, 2026

    Keep residents' personal and medical records private and confidential.

    Deficient, Provider has no plan of correction · Resident Rights

  • Potential for harm · E April 14, 2026

    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.

    Deficient, Provider has no plan of correction · Resident Rights

  • Potential for harm · E April 14, 2026

    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.

    Deficient, Provider has no plan of correction · Nursing and Physician Services

  • Potential for harm · D April 14, 2026

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Deficient, Provider has no plan of correction · Nutrition and Dietary

  • Potential for harm · E April 14, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Deficient, Provider has no plan of correction · Nutrition and Dietary

  • Potential for harm · D April 14, 2026

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Deficient, Provider has no plan of correction · Administration

  • Potential for harm · D April 14, 2026

    Keep all essential equipment working safely.

    Deficient, Provider has no plan of correction · Environmental

  • Potential for harm · E April 14, 2026

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Deficient, Provider has no plan of correction · Environmental

  • Potential for harm · D April 14, 2026

    Put firmly secured handrails on each side of hallways.

    Deficient, Provider has no plan of correction · Environmental

  • Potential for harm · D November 25, 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 November 26, 2025 · Pharmacy Service

  • Potential for harm · E November 25, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected November 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 21, 2025 · Resident Rights

  • Potential for harm · D February 11, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 21, 2025 · Resident Rights

  • Potential for harm · D February 11, 2025

    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.

    Corrected March 21, 2025 · Resident Rights

  • Potential for harm · E February 11, 2025

    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.

    Corrected March 21, 2025 · Resident Rights

  • Potential for harm · D February 11, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected March 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2025

    Provide activities to meet all resident's needs.

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · D February 11, 2025

    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 March 21, 2025 · Nutrition and Dietary

  • Potential for harm · E February 11, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 21, 2025 · Nutrition and Dietary

  • Potential for harm · D February 11, 2025

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected March 21, 2025 · Nutrition and Dietary

  • Potential for harm · E February 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 21, 2025 · Infection Control

  • Potential for harm · E February 11, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected March 21, 2025 · Environmental

  • Immediate jeopardy · J December 4, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 27, 2024 · Quality of Life and Care

  • Potential for harm · D June 28, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected August 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 14, 2026Fine$13,070
December 4, 2024Fine$14,668

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 675019 · certified since January 22, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.