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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.