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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $13,070 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
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.