Texas › Cameron County › Brownsville
Spanish Meadows
440 E Ruben Torres Blvd, Brownsville, TX 78520
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Spanish Meadows, in Brownsville, Texas, is certified for 119 beds under for-profit, individual ownership.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 3.
Inspectors recorded 31 health deficiencies across the three most recent survey cycles (13, 13, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 26.1 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $11K.
Reported nurse staffing is 3.1 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 33.8%.
Compared with county, state and nation
| Measure | This facility | Cameron Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 31 | 26 | 25 | 28.7 |
| Citations per 100 beds | 26.1 | 21.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 33.8% | 37.7% | 52.1% | 45.8% |
| Fines listed | $11,001 | $8,434 | $16,801 | — |
County and state figures are medians across facilities (14 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Jan 2026, 24 Oct 2024.
Severity mix: J ×1 D ×23 E ×6 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 1 Jun 2026 |
| 18 Apr 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 19 Apr 2026 |
| 18 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Apr 2026 |
| 29 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0761 | 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. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Feb 2026 |
| 5 Dec 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 6 Dec 2025 |
| 16 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 20 Sep 2025 |
| 16 Sep 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 17 Sep 2025 |
| 7 Mar 2025 | F0584 | 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. | D | Complaint investigation | 27 Mar 2025 |
| 26 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 22 Nov 2024 |
| 24 Oct 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 5 Dec 2024 |
| 24 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Dec 2024 |
| 24 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Dec 2024 |
| 24 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 5 Dec 2024 |
| 24 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 5 Dec 2024 |
| 24 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 Dec 2024 |
| 24 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Dec 2024 |
| 24 Oct 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 5 Dec 2024 |
| 24 Oct 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 5 Dec 2024 |
| 17 Oct 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 5 Dec 2024 |
| 17 Oct 2024 | F0584 | 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. | D | Complaint investigation | 5 Dec 2024 |
| 1 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 21 Feb 2024 |
| 25 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 8 Sep 2023 |
| 25 Aug 2023 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Standard survey | 8 Sep 2023 |
| 25 Aug 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 8 Sep 2023 |
| 14 Aug 2023 | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | E | Complaint investigation | 11 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Oct 2024 | Fine | $11,001 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 33.8%, RNs 40.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.2% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.4% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Rl Spanish Meadows, LLC | General partnership interest | NOT APPLICABLE | 07/25/2013 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cameron County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Sun Valley Rehabilitation and Healthcare Center | Harlingen | 124 | 5 | 5 | 2 | 5 | 4.0 | — | 9 Jul 2025 |
| Veranda Rehabilitation and Healthcare | Harlingen | 100 | 5 | 4 | 2 | 18 | 18.0 | $8K | 9 Apr 2026 |
| Windsor Nursing and Rehabilitation Center of Harli | Harlingen | 154 | 5 | 4 | 2 | 17 | 11.0 | — | 2 Jul 2026 |
| Ebony Lake Nursing and Rehabilitation Center | Brownsville | 122 | 4 | 3 | 2 | 24 | 19.7 | — | 29 Apr 2026 |
| Golden Palms Rehabilitation and Retirement | Harlingen | 60 | 4 | 4 | 3 | 23 | 38.3 | $16K | 13 May 2026 |
| Harlingen Nursing and Rehabilitation Center | Harlingen | 120 | 3 | 2 | 2 | 19 | 15.8 | $6K | 24 Feb 2026 |
| Las Alturas Nursing & Transitional Care Brownsvill | Brownsville | 122 | 3 | 4 | 1 | 14 | 11.5 | $8K | 24 Jun 2026 |
| Mesa Hills Post Acute | Brownsville | 166 | 3 | 3 | 2 | 34 | 20.5 | $6K | 30 Apr 2026 |
All 14 facilities in Cameron County
Questions and answers
How many deficiencies has Spanish Meadows been cited for?
31 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Spanish Meadows been fined?
Yes. CMS lists fines totalling $11K in the period covered.
How does staffing at Spanish Meadows compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Spanish Meadows?
Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.
When was Spanish Meadows last inspected?
The most recent survey or investigation in the CMS record is dated 29 May 2026; the most recent standard health survey was 29 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.