Spanish Meadows
440 E Ruben Torres Blvd · Brownsville, TX · 78520 · 9565467378
119 certified beds For profit - Individual
Why this verdict
- Federal penalties on record: $11,001 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.16 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 2 · $14,790 |
Inspection citations (30 in the current record)
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Potential for harm · D April 18, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 18, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 29, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 2, 2026 · Pharmacy Service
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Potential for harm · D January 29, 2026
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.
Corrected February 2, 2026 · Pharmacy Service
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Potential for harm · E January 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 2, 2026 · Nutrition and Dietary
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Potential for harm · D January 29, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected February 2, 2026 · Nutrition and Dietary
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Potential for harm · D January 29, 2026
Provide and implement an infection prevention and control program.
Corrected February 4, 2026 · Infection Control
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Potential for harm · D December 5, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected December 6, 2025 · Environmental
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Potential for harm · D September 16, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 16, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 7, 2025 · found via 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.
Corrected March 27, 2025 · Resident Rights
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Immediate jeopardy · J November 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · D October 24, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected December 5, 2024 · Quality of Life and Care
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Potential for harm · D October 24, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 5, 2024 · Quality of Life and Care
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Potential for harm · E October 24, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected December 5, 2024 · Nutrition and Dietary
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Potential for harm · E October 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 5, 2024 · Nutrition and Dietary
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Potential for harm · D October 24, 2024
Provide and implement an infection prevention and control program.
Corrected December 5, 2024 · Infection Control
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Potential for harm · D October 24, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 5, 2024 · Environmental
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Potential for harm · D October 24, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 24, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 5, 2024 · Resident Rights
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No harm found · C October 24, 2024
Post nurse staffing information every day.
Corrected December 5, 2024 · Nursing and Physician Services
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Potential for harm · D October 17, 2024 · found via 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.
Corrected December 5, 2024 · Resident Rights
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Potential for harm · E October 17, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 5, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 17, 2024 | Fine | $11,001 |
| August 14, 2023 | Fine | $3,789 |
| August 14, 2023 | Payment Denial | 22 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455802 · certified since April 5, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.