Apex Secure Care: No Registered Nurses 6 Days - TX
Apex Secure Care Brownfield failed to maintain registered nurse coverage on October 4, October 5, October 11, October 12, October 19, and November 9, 2025. Federal inspectors found punch detail reports showing zero hours logged for registered nurse coverage on all six dates.
The facility employs three registered nurses according to staff rosters reviewed by inspectors in April. But when surveyors requested punch-in details for the six problem dates, the administrator responded via email that "unfortunately, facility did not have RN coverage dates requested."
During interviews, the administrator stated he was aware of the coverage gaps. "The RN who was scheduled to work chose not to work on those days," he told inspectors on April 15. The registered nurse was contracted through an agency, not employed directly by the facility.
Federal regulations require nursing homes to maintain registered nurse services for at least eight consecutive hours daily, seven days a week. The facility's own policy mirrors this requirement, stating its purpose is to "ensure that a Registered Nurse is available for supervision in the facility."
The administrator acknowledged potential consequences of the coverage failures. "A potential negative outcome was that there would be lack of supervision from an RN to ensure quality of care and quality of life to every resident," he told inspectors.
The facility was operating without a director of nursing during the coverage failures. The administrator explained that the director of nursing typically monitored registered nurse coverage and would contact agencies to ensure adequate staffing. "There was a DON employed at the facility during the time RN coverage was not met," he said, indicating the nursing director was present but failed to secure replacement coverage.
Staff had been trained on registered nurse coverage requirements, according to the administrator. He said he "expected there to be RN coverage daily or filled by the DON."
The nursing director situation became more complicated in April. The administrator told inspectors the director of nursing "resigned without notice" on April 9, 2026, just days before the federal inspection. He said he had hired a replacement who would start soon.
Business office manager interviews confirmed the documentation gaps. During an April 15 meeting, the manager stated that documents provided for registered nurse coverage "had the date at the top of the document and were blank to show there was no RN coverage on those dates."
The coverage failures occurred over a 67-day period that inspectors reviewed. Out of those 67 days, the facility failed to maintain the required eight hours of daily registered nurse coverage on six occasions, representing nearly 9 percent of the review period.
Federal inspectors determined the violations placed residents at risk of not having their nursing and medical needs met and receiving improper care. The inspection classified the violation as causing minimal harm or potential for actual harm, affecting some residents.
The facility's punch detail sheets, which track employee work hours, provided clear documentation of the coverage gaps. The administrator confirmed to inspectors that "the punch details sheets he had would reflect no hours for RN Coverage on those dates."
Apex Secure Care Brownfield's failure to maintain required nursing coverage highlights ongoing staffing challenges facing nursing homes nationwide. The administrator's acknowledgment that a contracted nurse simply "chose not to work" on scheduled days underscores the difficulty facilities face in ensuring consistent professional coverage.
The inspection found that despite having three registered nurses on staff and clear policies requiring daily coverage, the facility's systems failed to prevent or quickly address the coverage gaps that left residents without required nursing supervision for six full days.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Apex Secure Care Brownfield from 2026-04-14 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 12, 2026 · Our methodology
APEX SECURE CARE BROWNFIELD in BROWNFIELD, TX was cited for violations during a health inspection on April 14, 2026.
Apex Secure Care Brownfield failed to maintain registered nurse coverage on October 4, October 5, October 11, October 12, October 19, and November 9, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.
Frequently Asked Questions
- What happened at APEX SECURE CARE BROWNFIELD?
- Apex Secure Care Brownfield failed to maintain registered nurse coverage on October 4, October 5, October 11, October 12, October 19, and November 9, 2025.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in BROWNFIELD, TX, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from APEX SECURE CARE BROWNFIELD or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 675019.
- Has this facility had violations before?
- To check APEX SECURE CARE BROWNFIELD's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.