Apex Secure Care Brownfield
Nursing Home · 1101 E Lake St, Brownfield, TX 79316 · 8066377561
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 2.0 / 5 | high |
| Staffing | 1.1 / 5 | high |
| Clinical outcomes | 2.8 / 5 | high |
| Enforcement | 4.2 / 5 | high |
| Financial stability | 3.8 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 108 |
| Ownership | For Profit - Partnership |
| Operator | Childress County Hospital District |
| Certified since | 1992-01-22 |
| CMS overall star | 2 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$ of 5 · ~$249/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 2 immediate jeopardy · 0 actual harm · 37 potential for harm · 0 minor
- Federal fines: $14,668 · payment denials: 0 · penalty actions: 1
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-14 | Keep residents' personal and medical records private and confidential. (Resident Rights Deficiencies, tag 0583) | D | open |
| 2026-04-14 | 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 0584) | E | open |
| 2026-04-14 | 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 0727) | E | open |
| 2026-04-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Nutrition and Dietary Deficiencies, tag 0804) | D | open |
| 2026-04-14 | 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 0812) | E | open |
| 2026-04-14 | Employ staff that are licensed, certified, or registered in accordance with state laws. (Administration Deficiencies, tag 0839) | D | open |
| 2026-04-14 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | J · immediate jeopardy | open |
| 2026-04-14 | Keep all essential equipment working safely. (Environmental Deficiencies, tag 0908) | D | open |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 2.65 hrs/resident/day (expected 3.34 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.22 hrs/resident/day (expected 0.59 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.74 · LPN 0.69 hrs/resident/day
- Weekend total staffing: 2.22 hrs/resident/day (expected 2.96 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 55.6% · RN turnover 83.3% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.20 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 7 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 5.2% | 5.6 → 6.7 → 4 → 4.6 | worse than 83% of US homes · TX median 3% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0.6% | 2.5 → 0 → 0 → 0 | worse than 61% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 1.4% | 0 → 1.4 → 0 → 4.8 | worse than 61% of US homes · TX median 0.3% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 4.7% | 10.7 → 1.3 → 3.5 → 3.2 | worse than 55% of US homes · TX median 3.4% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 12.4% | 3.7 → 14 → 24.9 → 5.4 | better than 56% of US homes · TX median 13% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 10.7% | 1.6 → 9.8 → 16.7 → 15.7 | better than 61% of US homes · TX median 14.8% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 10.8% | 12 → 12.9 → 10 → 8 | better than 62% of US homes · TX median 8.1% |
What this costs
- This facility's reported avg daily charge: $249/day · $$ (price tier 2 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2025-08. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 95% Medicaid · 2% Medicare · 3% other/private · 69% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Terry County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Brownfield Regional Medical Center | Brownfield | Yes | — | Acute care |
Compare nearby
- A- Brownfield Rehabilitation And Care Center · Brownfield
Full interactive report card → CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Terry County nursing homes coverage. Spot an error? Tell us.