Apex Secure Care Brownfield
1101 E LAKE ST, Brownfield, TX, 79316-5629
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership
- Certified beds
- 108 · avg 73 residents/day
- Total nursing staff turnover
- 37.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $14,668 total
State licensing & capacity
- License number
- 148664
- Service type
- Medicare/medicaid
- Licensed capacity
- 108 beds
- Bed type breakdown
- 16 Medicare-only · 92 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- July 16, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Childress County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Meridian Ltc Ltd
- Administrator
- Raymond Garcia, Jr
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Parent entity
Childress County Hospital District
Disclosed owners (11 on record)
- Childress County Hospital District
Adp of The Snf · since 2025
- Emilee Stratton
Adp of The Snf · since 2025
- Holly Holcomb
Adp of The Snf · since 2025
- Meridian Ltc Ltd
Adp of The Snf · since 2025
- Paul f Chebib
Adp of The Snf · since 2025
- Raymond Garcia
Adp of The Snf · since 2025
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 31)
- E0842·Nov 25, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0761·Nov 25, 2025Complaint
Pharmacy Service Deficiencies
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.
- E0921·Feb 11, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0813·Feb 11, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0812·Feb 11, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0803·Feb 11, 2025
Nutrition and Dietary Deficiencies
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.
- D0679·Feb 11, 2025
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0644·Feb 11, 2025
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Federal penalties
By year
- 20241 fine · $15K
Most recent events
- Dec 4, 2024Fine · $15K
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Feb 11, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Apex Secure Care Brownfield is a 108-bed nursing home in Brownfield, TX, licensed since 1974 and currently operating at about 67% of capacity. CMS rates it 3 stars overall, with a 1-star staffing rating — each resident receives roughly 138 minutes of nursing care per day. Quality-of-care outcomes rate 5 stars. The licensee is Childress County Hospital District; day-to-day management is handled by Meridian Ltc Ltd.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 138 minutes of nursing care per day, about 103 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — sicker, or less mobile on average — so those 138 minutes stretch thinner than they would elsewhere.
Overall nursing staff turnover runs at about 4 in 10 per year, below Texas's 25th-percentile cutoff — better than about three-quarters of nursing homes in the state. RN turnover tells a different story: roughly 7 in 10 registered nurses left in the past year. Frontline nursing staff has been relatively stable, but the RN layer — the staff member who typically oversees care plans and manages complex medical situations — has cycled at a high rate.
CMS recorded one fine totaling $14,668. The state median fine amount among facilities that received any fine in Texas is $20,699, so this falls below that midpoint.
The facility is operating at roughly 67% of its 108 licensed beds — about 73 residents on an average day. Paired with 1-star staffing and high RN turnover, the lower census does not appear to be translating into stronger staffing ratios.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 1.99 minutes per resident per hour — ask specifically how many nurses and aides are on duty Saturday and Sunday nights.
RN coverage and care plan oversight
Seven in ten registered nurses left in the past year; ask who currently holds RN shifts and how care plans are reviewed when RN staffing changes.
Why occupancy is at 67 percent
The facility has about 35 empty beds; ask whether that reflects recent admissions trends, referral patterns, or something else affecting operations.
Management company's role day to day
Meridian Ltc Ltd manages operations under a Hospital District licensee; ask what decisions the management company controls versus the local board.
How the Resident Council works
A Resident Council meets here but no Family Council exists; ask how families currently raise concerns and whether a family council is planned.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.