All states › Texas › Brownfield › Apex Secure Care Brownfield
1101 E Lake St Brownfield, TX 79316 · Terry County
All 2 nursing homes in Brownfield, TX (2 take Medicaid)
CMS certification number 675019 · See this home on Medicare Care Compare
Is Apex Secure Care Brownfield a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Apex Secure Care Brownfield as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.32 hours per resident per day at Apex Secure Care Brownfield, below the Texas median of 3.30 (US median: 3.72). About 0.18 of those hours are from registered nurses. On weekends it falls to 1.96 hours, 16% below its all-week average. Ask how weekends are staffed. 59.1% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Apex Secure Care Brownfield: Medicare and Medicaid
Apex Secure Care Brownfield is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 14, 2026 and found 10 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 39 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 39 citations at Apex Secure Care Brownfield across 7 inspection dates, 7 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 14, 2026. The most common areas cited were nutrition and dietary (9) and resident rights (8). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level J, April 14, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
April 14, 2026 · 10 citations
JProvide and implement an infection prevention and control program.
EHonor 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.
EHave 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DKeep residents' personal and medical records private and confidential.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEmploy staff that are licensed, certified, or registered in accordance with state laws.
DKeep all essential equipment working safely.
DPut firmly secured handrails on each side of hallways.
November 25, 2025 · 2 citations · includes complaint inspection
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DEnsure 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.
February 11, 2025 · 11 citations
EHonor 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide activities to meet all resident's needs.
DEnsure 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.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
December 4, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 28, 2024 · 1 citation · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
May 21, 2024 · 3 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide and implement an infection prevention and control program.
January 9, 2024 · 11 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure that residents are fully informed and understand their health status, care and treatments.
EHonor 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.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DEnsure 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.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Questions to ask on a tour of Apex Secure Care Brownfield
- Inspectors cited the home at the immediate-jeopardy level on April 14, 2026 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 28, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- The home averages about 58% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $23,164 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 14, 2026 | Fine | $8,496 |
| Apr 14, 2026 | Payment Denial | 5 days of payments denied |
| Dec 4, 2024 | Fine | $14,668 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
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Location
Hospitals near Apex Secure Care Brownfield
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.6 mi
Brownfield Regional Medical Center BrownfieldEmergency roomMedian ER visit 1h 52m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.