nursing home in Brownfield, TX
Apex Secure Care Brownfield
1101 E Lake St, Brownfield, TX 79316 · (806) 637-7561
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Apex Secure Care Brownfield at a glance
Apex Secure Care Brownfield is a 108-bed for-profit nursing home in Brownfield, Texas (Terry County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.3 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (April 14, 2026) found 12 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $27,738.
Nursing staff turnover is 55.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 108
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 22, 1992
- Resident/family council
- Resident
- County
- Terry County
- CMS Certification Number
- 675019
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.27 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.25 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.47 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.88 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 55.8% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 80% | 54.6% | 42.9% | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 109.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $27,738 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 108 | 113 | 107 | |
| Average residents per day | 63 | 76 | 86 | |
| Occupancy | 57.9% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.4% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.3% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 11.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.3% | 15.8% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 15.1% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9.1% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.6% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 43.3% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 24.2% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 85.5% | 98% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 77.5% | 96.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 40.4% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 39 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 14, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected May 18, 2026 |
| April 14, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected May 18, 2026 |
| April 14, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected May 18, 2026 |
| April 14, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected May 18, 2026 |
| April 14, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected May 18, 2026 |
| April 14, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected May 18, 2026 |
| April 14, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | J Immediate jeopardy, isolated | Corrected May 15, 2026 |
| April 14, 2026 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected May 15, 2026 |
| April 14, 2026 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected May 15, 2026 |
| April 14, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 15, 2026 |
| April 14, 2026 Standard | 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 · Tag F0727 | E Potential harm, pattern | Corrected May 15, 2026 |
| April 14, 2026 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 14, 2026 Standard | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Tag F0839 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 14, 2026 Standard | Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Tag F0924 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 14, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 14, 2026 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected May 15, 2026 |
| November 25, 2025 Complaint | 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 · Tag F0842 | E Potential harm, pattern | Corrected November 26, 2025 |
| November 25, 2025 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 26, 2025 |
| February 11, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected March 21, 2025 |
| February 11, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected March 21, 2025 |
| February 11, 2025 Standard | 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 · Tag F0585 | E Potential harm, pattern | Corrected March 21, 2025 |
| February 11, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected March 21, 2025 |
| February 11, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 21, 2025 |
| February 11, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 21, 2025 |
| February 11, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected March 21, 2025 |
| February 11, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected March 21, 2025 |
| February 11, 2025 Standard | 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 · Tag F0803 | D Potential harm, isolated | Corrected March 21, 2025 |
| February 11, 2025 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected March 21, 2025 |
| February 11, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 21, 2025 |
| February 11, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected March 21, 2025 |
| February 11, 2025 Standard | 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 · Tag F0584 | D Potential harm, isolated | Corrected March 21, 2025 |
| December 4, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 27, 2024 |
| June 28, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected August 9, 2024 |
| May 21, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 21, 2024 |
| May 21, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 21, 2024 |
| May 21, 2024 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected June 21, 2024 |
| January 9, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected February 16, 2024 |
| January 9, 2024 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected February 16, 2024 |
| January 9, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected February 16, 2024 |
| January 9, 2024 Standard | 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 · Tag F0803 | E Potential harm, pattern | Corrected February 16, 2024 |
| January 9, 2024 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected February 16, 2024 |
| January 9, 2024 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected February 16, 2024 |
| January 9, 2024 Standard | 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 · Tag F0693 | D Potential harm, isolated | Corrected February 16, 2024 |
| January 9, 2024 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected February 16, 2024 |
| January 9, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected February 16, 2024 |
| January 9, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 16, 2024 |
| January 9, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected February 16, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $27,738 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 14, 2026 | Payment Denial | 5 days from May 13, 2026 |
| April 14, 2026 | Fine | $13,070 |
| December 4, 2024 | Fine | $14,668 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SPORE, SCOTT Individual | 5% or greater direct ownership interest | — | 12/01/2023 |
| THEORA MANAGEMENT SYSTEMS INC Organization | 5% or greater direct ownership interest | — | 12/01/2023 |
| CHILDRESS COUNTY HOSPITAL DISTRICT Organization | 5% or greater indirect ownership interest | — | 12/01/2014 |
| CHEBIB, PAUL Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| CHILDRESS COUNTY HOSPITAL DISTRICT Organization | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| GARCIA, RAYMOND Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| HOLCOMB, HOLLY Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| MERIDIAN LTC LTD Organization | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| SPORE, SCOTT Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| STRATTON, EMILEE Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| THEORA MANAGEMENT SYSTEMS INC Organization | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| HOLCOMB, HOLLY Individual | corporate officer | NOT APPLICABLE | 05/29/2021 |
| STRATTON, EMILEE Individual | corporate officer | NOT APPLICABLE | 03/18/2018 |
| BRITTON, CARL Individual | direct ownership interest | NOT APPLICABLE | 12/01/2023 |
| CHEBIB, PAUL Individual | direct ownership interest | NOT APPLICABLE | 12/01/2023 |
| MERIDIAN LTC LTD Organization | direct ownership interest | NOT APPLICABLE | 12/01/2014 |
| WOLCOTT, ROGER Individual | direct ownership interest | NOT APPLICABLE | 12/01/2023 |
| SSS HOLDINGS LP Organization | limited partnership interest | NOT APPLICABLE | 12/01/2023 |
| HOLCOMB, HOLLY Individual | managing control - governing body | NOT APPLICABLE | 05/29/2021 |
| STRATTON, EMILEE Individual | managing control - governing body | NOT APPLICABLE | 03/18/2018 |
| CHEBIB, PAUL Individual | operational/managerial control | NOT APPLICABLE | 12/30/2024 |
| GARCIA, RAYMOND Individual | operational/managerial control | NOT APPLICABLE | 01/10/2025 |
| SPORE, SCOTT Individual | operational/managerial control | NOT APPLICABLE | 12/01/2014 |
| CHEBIB, PAUL Individual | w-2 managing employee | NOT APPLICABLE | 12/01/2023 |
| GARCIA, RAYMOND Individual | w-2 managing employee | NOT APPLICABLE | 06/15/2019 |
Other nursing homes near Apex Secure Care Brownfield
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For-profit · 54 beds · Part of Fundamental Healthcare
★★★★★5Much above averageLynwood Nursing and Rehabilitation
803 S. Alamo, Levelland, TX 79336 · 16.3 mi
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★★★★★4Above averageLevelland Nursing and Rehabilitation Center
210 West Avenue, Levelland, TX 79336 · 29.3 mi
For-profit · 87 beds · Part of Fannin County Hospital District
★★★★★3AverageCrown Point Health Suites
6640 Iola Avenue, Lubbock, TX 79424 · 30.1 mi
Government · 108 beds
- CMS high performer
★★★★★5Much above averageHansford County Hospital District DBA Lakeridge Nu
4403 74th St, Lubbock, TX 79424 · 31.2 mi
For-profit · 90 beds · Part of Gulf Coast LTC Partners
★★★★★2Below averageAvir at Lubbock
4710 Slide Rd, Lubbock, TX 79414 · 32.2 mi
For-profit · 117 beds · Part of Avir Health Group
- Special Focus candidate
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Apex Secure Care Brownfield's rating?
Apex Secure Care Brownfield has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Apex Secure Care Brownfield receive?
Its most recent standard health inspection found 12 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Apex Secure Care Brownfield accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Apex Secure Care Brownfield?
It is for profit - partnership. The ownership section on this page lists the owners and managers reported to CMS.
Where is Apex Secure Care Brownfield and how do I contact it?
Apex Secure Care Brownfield is at 1101 E Lake St, Brownfield, TX 79316. Phone: (806) 637-7561.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.