Texas ›Brownfield

Apex Secure Care Brownfield

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1101 E Lake St, Brownfield, TX 79316 (opens Google Maps) · Terry County · (806) 637-7561· 108 certified beds · avg 63 residents/day · certified since Jan 22, 1992 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

2/5
Health inspection rating (on-site)
inspected Apr 14, 2026
2
Serious findings on record
most recent Apr 14, 2026
$27,738
Fines, last 3 years
2.49
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Apr 14, 2026 · F-0880

The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 15, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Dec 4, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Nov 27, 2024 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 39 inspection findings. Open the full record below to read every finding.

  1. J · Immediate jeopardy, isolated

    The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880

  2. E · Potential for more than minimal harm, pattern

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584

  3. E · Potential for more than minimal harm, pattern

    The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. F-0727

View all 39 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Apr 14, 2026▲ J · Immediate jeopardy, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Apr 14, 2026E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Apr 14, 2026E · Potential for more than minimal harm, patternThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727
Apr 14, 2026E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 14, 2026E · Potential for more than minimal harm, patternThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Apr 14, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Apr 14, 2026D · Potential for more than minimal harm, isolatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Apr 14, 2026D · Potential for more than minimal harm, isolatedThe facility employed staff who were not licensed, certified, or registered as required by state law. · F-0839
Apr 14, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
Apr 14, 2026D · Potential for more than minimal harm, isolatedThe facility did not have firmly secured handrails on both sides of its hallways. · F-0924
Nov 25, 2025E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Nov 25, 2025D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Feb 11, 2025E · Potential for more than minimal harm, patternThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Feb 11, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Feb 11, 2025E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Feb 11, 2025E · Potential for more than minimal harm, patternThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Feb 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Feb 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Feb 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Feb 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Feb 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Feb 11, 2025D · Potential for more than minimal harm, isolatedThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Feb 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · F-0813
Dec 4, 2024▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jan 9, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jan 9, 2024E · Potential for more than minimal harm, patternThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Jan 9, 2024E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jan 9, 2024E · Potential for more than minimal harm, patternThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Jan 9, 2024E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Jan 9, 2024E · Potential for more than minimal harm, patternThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
Jan 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Jan 9, 2024D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Jan 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Jan 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 10).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 16
Serious citations (G–L): 1
2025
All citations: 13
Serious citations (G–L): 0
2026
All citations: 10
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2024161J ▲
2025130E
2026101J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $27,738, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Apr 14, 2026Fine$13,070
Apr 14, 2026Payment Denial5 days from May 13, 2026
Dec 4, 2024Fine$14,668

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.49
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.28
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.05
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.493.463.95bottom 3% in Texas; bottom 3% in the U.S.
Registered Nurse hours0.280.440.69bottom 23% in Texas; bottom 8% in the U.S.
Weekend total nurse staffing2.053.043.50bottom 2% in Texas; bottom 2% in the U.S.
Weekend RN hours (not acuity-adjusted)0.160.340.48bottom 11% in Texas; bottom 6% in the U.S.
Total nursing staff turnover (%)55.855.345.8bottom 42% in Texas; bottom 23% in the U.S.
RN turnover (%)80.054.642.9bottom 21% in Texas; bottom 6% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.27, RN 0.25, weekend 1.88.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.27 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Apex Secure Care Brownfield. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Partnership

Owner / managerTypeRoleStakeSince
Britton, CarlIndividualDirect Ownership InterestNOT APPLICABLE12/01/2023
Chebib, PaulIndividualDirect Ownership InterestNOT APPLICABLE12/01/2023
Childress County Hospital DistrictOrganization5% or Greater Indirect Ownership Interest—12/01/2014
Meridian LTC LTDOrganizationDirect Ownership InterestNOT APPLICABLE12/01/2014
Spore, ScottIndividual5% or Greater Direct Ownership Interest—12/01/2023
Theora Management Systems INCOrganization5% or Greater Direct Ownership Interest—12/01/2023
Wolcott, RogerIndividualDirect Ownership InterestNOT APPLICABLE12/01/2023
Chebib, PaulIndividualW-2 Managing EmployeeNOT APPLICABLE12/01/2023
Chebib, PaulIndividualOperational/Managerial ControlNOT APPLICABLE12/30/2024
Chebib, PaulIndividualADP of the SNFNOT APPLICABLE01/23/2025
Childress County Hospital DistrictOrganizationADP of the SNFNOT APPLICABLE01/23/2025
Garcia, RaymondIndividualW-2 Managing EmployeeNOT APPLICABLE06/15/2019
Garcia, RaymondIndividualOperational/Managerial ControlNOT APPLICABLE01/10/2025
Garcia, RaymondIndividualADP of the SNFNOT APPLICABLE01/23/2025
Holcomb, HollyIndividualManaging Control - Governing BodyNOT APPLICABLE05/29/2021
Holcomb, HollyIndividualCorporate OfficerNOT APPLICABLE05/29/2021
Holcomb, HollyIndividualADP of the SNFNOT APPLICABLE01/23/2025
Meridian LTC LTDOrganizationADP of the SNFNOT APPLICABLE01/23/2025
Spore, ScottIndividualOperational/Managerial ControlNOT APPLICABLE12/01/2014
Spore, ScottIndividualADP of the SNFNOT APPLICABLE01/23/2025

Showing 20 of 25 parties CMS has on file for this facility; 5 are not displayed. The full list is in the CMS Ownership dataset.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "How many hours a day is a registered nurse physically in the building, including weekends?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
  • "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
  • "Could I join residents for a meal to see the food quality and temperature for myself?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 56% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 25 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Brownfield Rehabilitation and Care Center0.8 miBrownfield, TX★★★★★5/5
Lynwood Nursing and Rehabilitation16.3 miLevelland, TX★★★★☆3/5

Compare this facility with the 2 closest →

All facilities in Brownfield →

Facility data as of CMS processing date 2026-08-01. CCN 675019.

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