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Nursing home report

Apex Secure Care Brownfield

Brownfield, TX · Medicare-certified · 108 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

Apex Secure Care Brownfield has a 1-star overall rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (2.27 vs 4.1 hours/resident/day). It also had $27,738 in fines in the last 24 months, a recent federal penalty, and inspection citations for infection control, accident hazards/supervision, and food safety.

Facility ratings

Health inspections

Staffing

2.2742 hrs/resident/day

Quality measures

Last inspection: April 14, 2026Penalties, last 24 months: $27,738recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.2742.

Staffing detail

Registered nurses
0.25
Licensed practical nurses
0.55
Nurse aides
1.47
Weekend nursing
1.88

Hours per resident per day.

Total staff turnover: 56%
Registered nurse turnover: 80%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

12.9%15.4%Worsening

Residents with a fall causing major injury

6.7%6.6%No change

Residents with pressure ulcers (bedsores)

1.3%1.1%No change

Residents with a urinary tract infection

1.4%6.7%Worsening

Residents who lost too much weight

3.4%9.8%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

9.8%15.7%Worsening

Residents whose ability to walk got worse

14%5.4%Improving

Long-stay residents on antianxiety or sleep medication

42.9%44.4%Worsening

Residents with a long-term catheter

0%1.4%Worsening

Residents with new or worsening incontinence

28.7%19.5%Improving

Residents with depressive symptoms

1.4%1.8%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

85.5%

Long-stay residents given the pneumonia vaccine

73.3%83.6%Improving

Short-stay residents given the pneumonia vaccine

40.4%

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. PENALTY

    A federal payment denial was recorded.

  2. PENALTY

    A federal fine of $13,070 was recorded.

  3. STAFFING

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

  4. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  7. PENALTY

    A federal fine of $14,668 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $27,738 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Apr 14, 2026

    5 days
  • Federal fine

    Apr 14, 2026

    $13,070
  • Federal fine

    Dec 4, 2024

    $14,668

Operator & ownership

Ownership
For profit - Partnership
Occupancy
62.5 residents on an average day (58% 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.