Nursing home in Brownfield, Texas
Apex Secure Care Brownfield
Medicare and Medicaid
1101 E Lake St, Brownfield, TX 79316
(806) 637-7561
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home2
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Apr 14, 2026. CMS counts 12 health deficiencies in rating cycle 1.
- This nursing home12
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 39 health deficiencies on 7 inspection dates since Sep 30, 2023. By level of harm: 2 immediate jeopardy, 37 potential for harm.
- 2 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 37 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Apr 14, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | J Immediate jeopardy, isolated | Standard | Deficient, Provider has date of correction May 15, 2026 |
| Apr 14, 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.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 15, 2026 |
| Apr 14, 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.Nursing and Physician Services Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 15, 2026 |
| Apr 14, 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 15, 2026 |
| Apr 14, 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 15, 2026 |
| Apr 14, 2026 | F0583 | Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 15, 2026 |
| Apr 14, 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 15, 2026 |
| Apr 14, 2026 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 15, 2026 |
| Apr 14, 2026 | F0908 | Keep all essential equipment working safely.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 15, 2026 |
| Apr 14, 2026 | F0924 | Put firmly secured handrails on each side of hallways.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 15, 2026 |
Show the other 29 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Nov 25, 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Nov 26, 2025 |
| Nov 25, 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 26, 2025 |
| Feb 11, 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.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 11, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 11, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 11, 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 11, 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 11, 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 11, 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.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 11, 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 11, 2025 | F0679 | Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 11, 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.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Feb 11, 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 21, 2025 |
| Dec 4, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Nov 27, 2024 |
| Jun 28, 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Aug 9, 2024 |
| May 21, 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jun 21, 2024 |
| May 21, 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jun 21, 2024 |
| May 21, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jun 21, 2024 |
| Jan 9, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
| Jan 9, 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
| Jan 9, 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.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
| Jan 9, 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.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
| Jan 9, 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
| Jan 9, 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
| Jan 9, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
| Jan 9, 2024 | F0692 | Provide enough food/fluids to maintain a resident's health.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
| Jan 9, 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.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
| Jan 9, 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
| Jan 9, 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 16, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home2.27 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.25 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home55.8%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 3 penalties for this nursing home: 2 fines totaling $27,738, and 1 payment denial. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 108 |
|---|---|
| Average residents per day | 62.5 |
| Ownership | For profit - Partnership |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Not part of a chain in the CMS file |
| Legal business name | CHILDRESS COUNTY HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Jan 22, 1992 |
| County | Terry |
| CMS certification number | 675019 |
Also in Brownfield
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Brownfield Rehabilitation and Care Center | 54 | For profit - Individual |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Brownfield Regional Medical Center | Not available | Acute Care Hospitals | Yes |