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Data / Nursing homes / Texas / Apex Secure Care Brownfield

Apex Secure Care Brownfield, Brownfield, TX: 1 star rating, fined $23,164 across 2 fines and had 1 payment denial

Apex Secure Care Brownfield in Brownfield, TX is owned by Meridian LTC LTD and Theora Management Systems Inc, is rated 1 of 5 stars by Medicare, and was fined $23,164 across 2 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 39 health citations from inspections in that time, the latest survey on April 14, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
1101 E Lake St, Brownfield, TX 79316
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
108
Residents per day
62 on average
Ownership type
For profit, partnership
Legal business name
Childress County Hospital District
Fines
$23,164 across 2 fines, three years to October 1, 2026
Payment denials
1
Health citations
39, of which 2 with actual harm or immediate jeopardy
Latest survey
April 14, 2026
CMS Certification Number
675019
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 14, 2026Fine$8,496Not listeddata.cms.gov
April 14, 2026Payment denialNot listedMay 13, 20265data.cms.gov
December 4, 2024Fine$14,668Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 14, 2026F880Provide and implement an infection prevention and control program.J: isolated, immediate jeopardyCorrectedMay 15, 2026data.cms.gov
April 14, 2026F924Put firmly secured handrails on each side of hallways.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 14, 2026F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 14, 2026F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 14, 2026F839Employ staff that are licensed, certified, or registered in accordance with state laws.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 14, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 14, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 14, 2026F727Have 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 14, 2026F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
April 14, 2026F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
November 25, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 26, 2025data.cms.gov
November 25, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 26, 2025data.cms.gov
February 11, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 11, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 11, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 11, 2025F803Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 11, 2025F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 11, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 11, 2025F585Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 11, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 11, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
February 11, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2025data.cms.gov
December 4, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceNovember 27, 2024data.cms.gov
June 28, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 9, 2024data.cms.gov
May 21, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 21, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 21, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
January 9, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 9, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 9, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 9, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 9, 2024F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 9, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 9, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 9, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 9, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 9, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 18 individual or personal trusts (4 owners, 7 managers, 2 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Meridian LTC LTDDirect ownerNot listedDecember 1, 2014data.cms.gov
Theora Management Systems IncDirect ownerNot listedDecember 1, 2023data.cms.gov
Childress County Hospital DistrictIndirect ownerNot listedDecember 1, 2014data.cms.gov
SSS Holdings LPLimited partnerNot listedDecember 1, 2023data.cms.gov
Childress County Hospital DistrictAdditional disclosable partyNot listedJanuary 23, 2025data.cms.gov
Meridian LTC LTDAdditional disclosable partyNot listedJanuary 23, 2025data.cms.gov
Theora Management Systems IncAdditional disclosable partyNot listedJanuary 23, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.