Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.25 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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Apex Secure Care Brownfield has 108 certified beds in Brownfield, Texas. The CMS overall rating is 1 of 5, compared with the Texas average of 2.6. The CMS health inspection rating is 2 of 5, compared with the Texas average of 2.8. The CMS staffing rating is 1 of 5. The latest standard health survey on Apr 14, 2026 lists 10 deficiencies, compared with the Texas average of 5.6. CMS records a fine of $13,070 dated Apr 14, 2026. CMS records a fine of $14,668 dated Dec 4, 2024. Total nurse staffing is 2.27 hours per resident day in 2026Q1, compared with the Texas average of 3.39.
CMS nursing home
Also known publicly as Apex Secure Care
Brownfield, TX
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 675019.
At a glance
1 of 5
2 of 5
1 of 5
4 of 5
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
State regulatory evidence
Texas Health and Human Services Commission is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
Texas Health and Human Services Commission
State regulatory data · checked Aug 2026
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.25 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Apr 14, 2026 cited 10 deficiencies.
View inspection evidenceCMS-published records list 26 ownership or control parties.
View ownership evidenceCMS records show a $13,070 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
12 currently connected nursing homes share this CMS organization identity with CHILDRESS COUNTY HOSPITAL DISTRICT.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Dec 1, 2023
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Dec 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Dec 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 23, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 23, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 23, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 23, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 23, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 23, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 23, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 23, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · CORPORATE OFFICER
Association date reported to CMS: May 29, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 18, 2018
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Dec 1, 2023
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Dec 1, 2023
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Dec 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Dec 1, 2023
Organization · LIMITED PARTNERSHIP INTEREST
Association date reported to CMS: Dec 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 29, 2021
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 18, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 30, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 10, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2014
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Dec 1, 2023
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jun 15, 2019
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 13 across TX.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Keep residents' personal and medical records private and confidential.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Employ staff that are licensed, certified, or registered in accordance with state laws.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Keep all essential equipment working safely.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Put firmly secured handrails on each side of hallways.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Provide activities to meet all resident's needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Nov 27, 2024)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 9, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 21, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 21, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 21, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
Penalties & enforcement
Published fine amount: $13,070.00
Payment denial length: 5 days
Published fine amount: $14,668.00
Questions to ask
Facility history
13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
CMS recorded a Medicare payment denial lasting 5 days.
CMS · Recorded event date · View related evidence
CMS recorded a $13,070 civil monetary penalty.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 2.65 to 2.27 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
2.65 → 2.27
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 2.31 to 2.65 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
2.31 → 2.65
CMS · Reported in a source release · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing decreased from 0.29 to 0.17 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.29 → 0.17
CMS · Reported in a source release · View related evidence
11 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $14,668 civil monetary penalty.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.435 | 1.88 |
| RN categories | 0.292 | 0.161 |
Contract staff accounted for 1% of reported nursing hours included in this quarter calculation.
PBJ reports zero combined RN-category hours on 2 days with a positive MDS census in this quarter.
Reported RN-category hours per resident day were 0.036 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 2.174 | 0.292 | 0.416 | 1.113 | 1% | 91 |
| 2025Q3 | 2.306 | 0.169 | 0.47 | 1.105 | 1.8% | 92 |
| 2025Q4 | 2.654 | 0.218 | 0.694 | 1.282 | 1% | 92 |
| 2026Q1 | 2.274 | 0.254 | 0.553 | 1.041 | 1% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
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