For profit - Individual · 119 certified beds · CMS number 455802
Spanish Meadows, Brownsville, TX
CMS records 32 health deficiencies at Spanish Meadows in Brownsville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 29, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $11,001 in the last three years.
- 32deficiencies, 3 cycles (TX median 25)
- 15in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $11,001fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Spanish Meadows as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Spanish Meadows may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (15 deficiencies)
Standard inspection Jan 29, 2026. CMS counts 15 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 23, 2026 · Complaint inspection
2 deficiencies, highest D
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 24, 2026
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 24, 2026
May 29, 2026 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 1, 2026
Apr 18, 2026 · Complaint inspection
2 deficiencies, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 19, 2026
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 19, 2026
Jan 29, 2026 · Standard inspection
7 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 4, 2026
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 2, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 2, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 2, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 2, 2026
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 2, 2026
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 2, 2026
Dec 5, 2025 · Complaint inspection
1 deficiency, highest D
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2025
Sep 16, 2025 · Complaint inspection
2 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 20, 2025
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 17, 2025
Previous cycle: 13 deficiencies (standard inspection Oct 24, 2024)
Standard inspection Oct 24, 2024. CMS counts 13 health deficiencies and 6 fire safety deficiencies in this cycle.
Mar 7, 2025 · Complaint inspection
1 deficiency, highest D
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 27, 2025
Nov 26, 2024 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Nov 22, 2024
Oct 24, 2024 · Standard + complaint inspection
9 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 5, 2024
F802 · Enough kitchen and dining support staff
Requirement cited (CMS): Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 5, 2024
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Dec 5, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2024
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2024
F623 · Written notice before a move
Requirement cited (CMS): Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2024
Oct 17, 2024 · Complaint inspection
2 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 5, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2024
Earlier cycle: 4 deficiencies (standard inspection Aug 25, 2023)
Standard inspection Aug 25, 2023. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.
Feb 1, 2024 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 21, 2024
Aug 25, 2023 · Standard inspection
3 deficiencies, highest D
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 8, 2023
F838 · Facility-wide assessment of needs
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 8, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 8, 2023
Tags cited in more than one inspection
9 tags cited on more than one inspection date at Spanish Meadows; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F812 Food safety and sanitation | 3 | Jan 29, 2026; Oct 24, 2024; Aug 25, 2023 |
| F584 Safe, clean, homelike surroundings | 2 | Mar 7, 2025; Oct 17, 2024 |
| F609 Reporting suspected abuse and crimes | 2 | Apr 18, 2026; Oct 24, 2024 |
| F644 Coordinating with PASARR screening | 2 | Jul 23, 2026; Sep 16, 2025 |
| F695 Respiratory and oxygen care | 2 | Jan 29, 2026; Oct 24, 2024 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Jan 29, 2026; Feb 1, 2024 |
| F880 Infection prevention and control program | 2 | Jan 29, 2026; Oct 24, 2024 |
| F921 Safe, functional, sanitary building | 2 | Oct 24, 2024; Oct 17, 2024 |
| F925 Pest control | 2 | Dec 5, 2025; Aug 25, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Oct 17, 2024 | Fine | $11,001 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.13 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.16 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.84 h
- Nursing staff turnover
- 33.8% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Spanish Meadows, copied as published; Texas medians are ours.
Facility details
- Address
- 440 E Ruben Torres Blvd, Brownsville, TX 78520
- Phone
- (956) 546-7378
- County
- Cameron
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 119
- Average residents per day
- 95.2
- In Medicare/Medicaid since
- Apr 5, 1989
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How often are rooms cleaned and bed linens changed? (F584, cited 2 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 2 times)
- If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 2 times)
Other nursing homes in Brownsville
- Brownsville Nursing and Rehabilitation Center
Brownsville · 46 deficiencies - Mesa Hills Post Acute
Brownsville · 45 deficiencies - Fox Hollow Post Acute
Brownsville · 31 deficiencies - Alta Vista Rehabilitation and Healthcare
Brownsville · 26 deficiencies - Ebony Lake Nursing and Rehabilitation Center
Brownsville · 24 deficiencies - Las Alturas Nursing & Transitional Care Brownsvill
Brownsville · 14 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.