The inspection at Apex Secure Care Brownfield, conducted on November 25, 2025, stemmed from a complaint.
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It was one of six deficiencies cited during the inspection.
The resident, identified in inspection records only as Resident 30, had a bowel movement on November 14, 2025, at 3:38 in the afternoon.
He was later transported by ambulance to a general acute care hospital to evaluate his medical condition.
What it did not show was how many of those hours were actually worked.
It was still down when inspectors arrived on January 2, 2026.
A complaint investigation completed November 24 cited the facility for a pattern of failures to ensure nurse aides met training and competency requirements.
The violations occurred at 4:30 p.m.
That's what inspectors found during a complaint investigation on November 25, 2025.
The deficiency affected many residents, according to the inspection report.
When they moved in, they signed an admission contract.
That conclusion came from the facility itself.