01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-14 | 12 | 2026-04-14 | 6 |
| Cycle 2 | 2025-02-11 | 12 | 2025-02-11 | 2 |
| Cycle 3 | 2024-01-09 | 15 | 2024-01-09 | 0 |
CMS CCN 6750192026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Apex Secure Care Brownfield
1101 E Lake St · Brownfield, TX 79316 · Terry County
Certified beds108CMS provider file
Recent citation rows47current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
47 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-14 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-14 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-14 · HEALTHF0727Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-14 · HEALTHF0804Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-14 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-14 · HEALTHF0839Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-14 · HEALTHF0880Severity J · isolated immediate jeopardy
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-14 · HEALTHF0908Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-14 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-14 · HEALTHF0924Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-14 · FIREK0222Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-05-182026-04-14 · FIREK0351Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-05-182026-04-14 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-05-182026-04-14 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-05-182026-04-14 · FIREK0374Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2026-05-182026-04-14 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-05-182025-11-25 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-11-25 · HEALTHF0842Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-02-11 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-03-212025-02-11 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-03-212025-02-11 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-03-212025-02-11 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-03-212025-02-11 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-03-212025-02-11 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-03-2103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-04-14 | Fine | $13,070 | 0 |
| 2026-04-14 | Payment Denial | $0 | 5 |
| 2024-12-04 | Fine | $14,668 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- THEORA MANAGEMENT SYSTEMS INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 12/01/2023
- SPORE, SCOTTIndividual · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 12/01/2023
- MERIDIAN LTC LTDOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/01/2014
- BRITTON, CARLIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/01/2023
- CHEBIB, PAULIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/01/2023
- WOLCOTT, ROGERIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/01/2023
- CHILDRESS COUNTY HOSPITAL DISTRICTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 12/01/2014
- HOLCOMB, HOLLYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/29/2021
- STRATTON, EMILEEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/18/2018
- CHEBIB, PAULIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 12/01/2023
- GARCIA, RAYMONDIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 06/15/2019
- HOLCOMB, HOLLYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/29/2021
- STRATTON, EMILEEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/18/2018
- CHEBIB, PAULIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/30/2024
- GARCIA, RAYMONDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/10/2025
- SPORE, SCOTTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2014
- SSS HOLDINGS LPOrganization · LIMITED PARTNERSHIP INTERESTNOT APPLICABLE · since 12/01/2023
- CHILDRESS COUNTY HOSPITAL DISTRICTOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/23/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.27per resident day
RN hours0.25per resident day
Weekend nurse hours1.88per resident day
Staff turnover55.8%CMS reported field
06 / LOCAL RECORDS
Open the Brownfield ledger →