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Nursing HomeMedicaid Investigative

Apex Secure Care Brownfield

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1101 E Lake St, Brownfield, TX 79316108 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.4/5

based on 17 Google reviews

5
4
3
2
1

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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (13 vs median 8.0)
  • High RN turnover (71%)

Above average in Texas · Critically understaffed (RN) · Significantly below average staffing · $14,668 in fines

Source: Medicare data

What this means for your family

While some residents find a sense of family and warmth here, the recent history of serious allegations regarding neglect, theft, and poor communication is deeply concerning. If you choose this facility, you must be extremely vigilant, perform frequent unannounced visits, and closely monitor both hygiene and medication administration.

Google Reviews

Google Reviews

17 reviews on Google
Families should approach this facility with extreme caution due to serious allegations of neglect, theft, and poor communication. While some long-term residents and family members have praised the staff's friendliness and the facility's sense of community, there are frequent reports of medical neglect, unprofessionalism, and even legal disputes regarding resident eviction and property.

Quality Themes

Tap a score for details
Food1.0Staff3.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms2.0Value1.0

Strengths

  • Friendly and professional nursing staff
  • Strong sense of community/family atmosphere
  • Effective communication from specific care team members

Concerns

  • Allegations of medical neglect and poor hygiene (mentioned by 2 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 2 reviewers)
  • Poor communication and difficulty reaching staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'19(2)'21(1)'23(2)'25(1)'26(1)

Distribution · 17 analyzed

5
4
4
2
3
0
2
1
1
10

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the friendly and professional nursing staff here; how does that care team typically communicate daily updates to family members?
  • 2Since we want to ensure our loved one is always well-attended to, what specific protocols are in place to ensure consistent hygiene and personal care throughout the day?
  • 3Could you tell us more about the dining experience and how much input residents have regarding their meal options and schedules?
  • 4In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?
  • 5What kind of daily activities or community events are available to help residents stay engaged and feel like part of the family atmosphere?
  • 6How does the facility manage staffing levels during busy shifts to ensure that every resident's medical needs are met promptly?

Personalized based on this facility's data


Key Review Excerpts

The staff basically adopts you and does iit for everyone. Through this Covid experience they are top notch always,making sure we are safe.

Current resident · 2020★★★★★

My brother has been here two months and I’m extremely happy with the way he’s being taken care of. The staff have been helpful, professional and friendly.

Resident's family member · 2019★★★★★

They neglected my wife there they don't give her a shower or wash her up and the staff didn't give her dinner at all untily wife ask for it and it was after 8:30pm then the staff brought her food then threw it in the garbage...

Spouse of resident · 2021☆☆☆☆
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.22hrs
29%
Registered nurses for medical care
Total Nursing
2.65hrs
65%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
83%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

4

measures

Worse Than Avg

7

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility43.0%
Worse than Avg
Here
43.0%
US
19.5%
TX
18.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility77.0%
Worse than Avg
Here
77.0%
US
93.4%
TX
96.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility85.5%
Worse than Avg
Here
85.5%
US
95.5%
TX
98.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
12.1%
TX
2.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility23.8%
Worse than Avg
Here
23.8%
US
19.4%
TX
14.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
14.4%
TX
16.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility41.4%
Worse than Avg
Here
41.4%
US
81.8%
TX
89.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
1penalties
Above state avg (9.1)
7 complaint-triggered
$14,668 in fines

This facility shows concerning patterns with 34 deficiencies across 7 surveys, including 7 complaint-triggered issues where families filed reports about problems. Recurring issues involve nutrition and dietary services, environmental safety and cleanliness, and resident rights protections. While most deficiencies appear corrected, the pattern of repeated problems in basic care areas and multiple family complaints suggests potential ongoing quality concerns that warrant careful consideration.

Apr 14, 2026Routine
16
0880Immediate jeopardy · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0839Potential for harm · IsolatedCorrected

Administration Deficiencies

Employ staff that are licensed, certified, or registered in accordance with state laws.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0924Potential for harm · IsolatedCorrected

Environmental Deficiencies

Put firmly secured handrails on each side of hallways.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Nov 25, 2025Complaint
2
0842Potential for harm · PatternCorrected

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.

0761Potential for harm · IsolatedCorrected

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.

Feb 11, 2025Routine
26
0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0803Potential for harm · IsolatedCorrected

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.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0803Potential for harm · IsolatedCorrected

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.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Dec 4, 2024Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 28, 2024Complaint
1
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

May 21, 2024Complaint
3
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Dec 4, 2024

$14,668

Ownership & Operations

Who Operates This Facility

Owner / Operator

Childress County Hospital District

Organization Type

for profit

Management Company

MERIDIAN LTC LTD

Administrator

RAYMOND GARCIA, JR

Ownership & Management

Owners

Theora Management Systems INC

Owner · Organization

Spore, Scott

Owner

Meridian Ltc Ltd

Owner · Organization

Britton, Carl

Owner

Chebib, Paul

Owner

Wolcott, Roger

Owner

Childress County Hospital District

Owner (parent company) · Organization

Key personnel

Holcomb, HollyManaging Control - Governing BodyStratton, EmileeManaging Control - Governing BodyChebib, PaulW-2 Managing EmployeeGarcia, RaymondW-2 Managing EmployeeHolcomb, HollyOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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