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Nursing home report

APEX SECURE CARE BROWNFIELD

BROWNFIELD, TX · Medicare-certified · 108 beds

Needs attention
For-profit
2 of 5 overall

APEX SECURE CARE BROWNFIELD has an overall 2 out of 5 stars, with 2-star health inspections and 1-star staffing, while quality measures are 5 stars. Reported nurse staffing is 2.65 hours per resident per day versus the 4.1 federal benchmark, and the facility had $14,668 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.6541 hrs/resident/day

Quality measures

Last inspection: April 14, 2026Penalties, last 24 months: $14,668recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6541.

Staffing detail

Registered nurses
0.22
Licensed practical nurses
0.69
Nurse aides
1.74
Weekend nursing
2.22

Hours per resident per day.

Total staff turnover: 56%
Registered nurse turnover: 83%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

10.8%Improving

Residents with a fall causing major injury

5.2%Improving

Residents with pressure ulcers (bedsores)

4.7%Improving

Residents with a urinary tract infection

1.4%Worsening

Residents who lost too much weight

8.3%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

10.7%Worsening

Residents whose ability to walk got worse

12.4%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

43%Worsening

Residents with a long-term catheter

0.6%Improving

Residents with new or worsening incontinence

23.8%Improving

Residents with depressive symptoms

1.6%Steady

Long-stay residents given the seasonal flu vaccine

85.5%Steady

Long-stay residents given the pneumonia vaccine

77%Worsening

Short-stay residents given the pneumonia vaccine

41.4%Steady

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $14,668 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $14,668 in total fines.

  • Federal fine

    Dec 4, 2024

    $14,668

Operator & ownership

Ownership
For profit - Partnership
Occupancy
64.6 residents on an average day (60% of 108 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.