Spanish Meadows in Brownsville, TX has a 2 out of 5 overall rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (3.13 vs. 4.1 hours per resident per day). It also has $11,001 in fines over the last 24 months and a recent federal penalty; health inspection and quality measures are each 3 stars.
Last inspection: May 29, 2026Penalties, last 24 months: $11,001recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1346.
Staffing detail
Registered nurses
0.16
Licensed practical nurses
1.17
Nurse aides
1.81
Weekend nursing
2.84
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
12.7%10.4%Improving
Residents with a fall causing major injury
1.4%4.3%Worsening
Residents with pressure ulcers (bedsores)
3.5%5.2%Worsening
Residents with a urinary tract infection
4.2%1.5%Improving
Residents who lost too much weight
2.9%8.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.4%22%No change
Residents whose ability to walk got worse
—22%—
Long-stay residents on antianxiety or sleep medication
18.3%17.5%Improving
Short-stay residents newly given an antipsychotic
2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.4%17.5%Improving
Residents with depressive symptoms
0%3.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—91.3%—
Short-stay residents given the pneumonia vaccine
97.6%98.8%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: E
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $11,001 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $14,790 in total fines · 1 payment denial.
Federal fine
Oct 17, 2024
$11,001
Medicare/Medicaid payment denial
Aug 14, 2023
22 days
Federal fine
Aug 14, 2023
$3,789
Operator & ownership
Ownership
For profit - Individual
Occupancy
95.2 residents on an average day (80% of 119 beds)
Resident voice
Resident council
Medicare history
Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.