Apex Secure Care Brownfield

In the surveyor’s words

From the most serious findings on record at Apex Secure Care Brownfield, in the surveyor’s own words.

• Immediate jeopardy, patternF689May 16, 2022

  Based on observation, interviews and record review, the facility failed to ensure the resident's environment remained as free from accidents and hazards as possible, and each resident received adequate supervision and assistance to prevent incidents for 5 of 5 residents (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) reviewed for incidents of aggression. Staff failed to consistently implement one to one supervision for Resident #1 to prevent her from being punched in the throat by Resident #2: however, no injuries were noted. […]

• Immediate jeopardy, isolatedF880Apr 14, 2026

  Based on observation, interview, and record review, the facility failed to establish and maintain an effective Infection Control Program designed to provide a safe, sanitary, and comfortable environment and help prevent the development and transmission of communicable diseases and infections for 2 of 11 residents (Resident #32 and Resident #36) reviewed for infection control. LVN A provided wound care to Resident #32 with contaminated supplies: scissors and dermal wound cleanser (often no-rinse spray solutions designed to remove dirt, debris, and exudate from acute and chronic wounds) after she had used the same supplies to provide wound care for Resident #36 who had a positive wound culture on 4/8/26 for STREPTOCOCCUS AGALACTIAE (GROUP-B) (an opportunistic bacteria that can cause skin and… […]

• Immediate jeopardy, isolatedF689Dec 4, 2024

  Based on observations, interviews, and record review, the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents for 1 of 3 residents (Resident #1) reviewed for accidents and supervision. 1. The facility failed to ensure Resident #1 received direct supervision from staff on while smoking when Monitor Tech A was observed on a cell phone while assigned to monitor residents in the smoking area on 11/22/2024. 2. Monitor Tech A failed to follow protective measures put in place to use cigarette extenders and smoking aprons for residents' safety while residents were outside smoking, resulting in a burn to Resident #1 on 11/22/2024. 3. An Immediate Jeopardy situation was determined to have existed on 11/22/24. […]

• Immediate jeopardy, isolatedF600Feb 6, 2021

  Based on observation, interview and record review, the facility failed to ensure the resident had the right to be free from neglect for 1 of 5 residents (Resident #1) reviewed for Neglect. The facility failed to ensure care, observations or assessment was made for Resident #1 during a12-hour shift after the staff had reported a change in condition (running a fever, nauseated, low oxygen stats). Resident #1 was found expired after staff failed to check on or provide care for a 12-hour shift. […]

• Immediate jeopardy, isolatedF684Feb 6, 2021

  Based on observation, interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice. The facility failed to provide care, observation or assessment for 1 of 5 residents (Resident #1) reviewed for Quality of Care. The facility failed to ensure care, observations or assessment was made for Resident #1 during a 12-hour shift after the staff had reported a change in condition (fever, body aches, nauseated, low O2 stats) for Resident #1. Resident was found expired after the 12-hour shift. […]