nursing home in Brownsville, TX
Spanish Meadows
440 E Ruben Torres Blvd, Brownsville, TX 78520 · (956) 546-7378
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Spanish Meadows at a glance
Spanish Meadows is a 119-bed for-profit nursing home in Brownsville, Texas (Cameron County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.1 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (January 29, 2026) found 15 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $11,001.
Nursing staff turnover is 33.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 119
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 5, 1989
- Resident/family council
- Resident
- County
- Cameron County
- CMS Certification Number
- 455802
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.13 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.16 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.81 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.84 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 33.8% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 40% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 15 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 70 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $11,001 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 119 | 113 | 107 | |
| Average residents per day | 95 | 76 | 86 | |
| Occupancy | 80% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.7% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.5% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 10.4% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.2% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 18.8% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.1% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 18.8% | 18% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 18% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.8% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.6% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 91.3% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.7% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 32 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 23, 2026 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 24, 2026 |
| July 23, 2026 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected July 24, 2026 |
| May 29, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 1, 2026 |
| April 18, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 19, 2026 |
| April 18, 2026 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected April 19, 2026 |
| January 29, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected February 13, 2026 |
| January 29, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected March 26, 2026 |
| January 29, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected February 26, 2026 |
| January 29, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 2, 2026 |
| January 29, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 2, 2026 |
| January 29, 2026 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected February 2, 2026 |
| January 29, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected February 2, 2026 |
| January 29, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 4, 2026 |
| January 29, 2026 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected February 2, 2026 |
| January 29, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected February 2, 2026 |
| December 5, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected December 6, 2025 |
| September 16, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected September 20, 2025 |
| September 16, 2025 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected September 17, 2025 |
| March 7, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 7, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected March 27, 2025 |
| November 26, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 22, 2024 |
| October 24, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 5, 2024 |
| October 24, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected December 5, 2024 |
| October 24, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected December 5, 2024 |
| October 24, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected December 5, 2024 |
| October 24, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 5, 2024 |
| October 24, 2024 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | E Potential harm, pattern | Corrected December 5, 2024 |
| October 24, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 5, 2024 |
| October 24, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected December 5, 2024 |
| October 24, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 5, 2024 |
| October 24, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 5, 2024 |
| October 24, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected December 5, 2024 |
| October 24, 2024 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected December 5, 2024 |
| October 24, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 5, 2024 |
| October 24, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected December 5, 2024 |
| October 17, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected December 5, 2024 |
| October 17, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected December 5, 2024 |
| February 1, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected February 21, 2024 |
| August 25, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected October 20, 2023 |
| August 25, 2023 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected September 8, 2023 |
| August 25, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected September 8, 2023 |
| August 25, 2023 Standard | 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. Administration Deficiencies · Tag F0838 | D Potential harm, isolated | Corrected September 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $11,001 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 17, 2024 | Fine | $11,001 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LOZANO, RAMIRO Individual | adp of the snf | NOT APPLICABLE | 12/30/2024 |
| MOLINAS, MIGUEL Individual | adp of the snf | NOT APPLICABLE | 01/30/2025 |
| VILLANUEVA, ANTONIO Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| LOZANO, RAMIRO Individual | corporate officer | NOT APPLICABLE | 07/25/2013 |
| LOZANO, RAMIRO Individual | direct ownership interest | NOT APPLICABLE | 07/25/2013 |
| RL SPANISH MEADOWS, LLC Organization | general partnership interest | NOT APPLICABLE | 07/25/2013 |
| LOZANO, RAMIRO Individual | limited partnership interest | NOT APPLICABLE | 07/25/2013 |
| CARRILLO, JOSE Individual | operational/managerial control | NOT APPLICABLE | 11/14/2023 |
| MOLINAS, MIGUEL Individual | operational/managerial control | NOT APPLICABLE | 01/30/2022 |
| VILLANUEVA, ANTONIO Individual | operational/managerial control | NOT APPLICABLE | 03/24/2025 |
Other nursing homes near Spanish Meadows
Ebony Lake Nursing and Rehabilitation Center
1001 Central Blvd, Brownsville, TX 78520 · 1.6 mi
Non-profit · 122 beds · Part of Wellsential Health
★★★★★4Above averageAlta Vista Rehabilitation and Healthcare
510 Paredes Line Rd, Brownsville, TX 78521 · 2.2 mi
For-profit · 100 beds · Part of The Ensign Group
★★★★★2Below average- ★★★★★2Below average
Las Alturas Nursing & Transitional Care Brownsvill
180 East Price Road, Brownsville, TX 78521 · 3.3 mi
For-profit · 122 beds
★★★★★3Average- ★★★★★1Much below average
Brownsville Nursing and Rehabilitation Center
320 Lorenaly Dr, Brownsville, TX 78520 · 5.1 mi
Non-profit · 120 beds · Part of Wellsential Health
★★★★★1Much below average
Frequently asked questions
What is Spanish Meadows's rating?
Spanish Meadows has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Spanish Meadows receive?
Its most recent standard health inspection found 15 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Spanish Meadows accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Spanish Meadows?
It is for profit - individual. The ownership section on this page lists the owners and managers reported to CMS.
Where is Spanish Meadows and how do I contact it?
Spanish Meadows is at 440 E Ruben Torres Blvd, Brownsville, TX 78520. Phone: (956) 546-7378.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.