Spanish Meadows in Brownsville, TX has an overall rating of 2 out of 5 stars. Its staffing rating is very low at 1 out of 5 stars, with reported nurse staffing of 3.31 hours per resident per day below the federal benchmark of 4.1; it also has a recent federal penalty and $11,001 in fines in the last 24 months.
Last inspection: January 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 3.3075.
Staffing detail
Registered nurses
0.16
Licensed practical nurses
1.28
Nurse aides
1.87
Weekend nursing
2.88
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.5%Improving
Residents with a fall causing major injury
1.7%Worsening
Residents with pressure ulcers (bedsores)
5.4%Worsening
Residents with a urinary tract infection
4.1%Improving
Residents who lost too much weight
5.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.2%Worsening
Residents whose ability to walk got worse
28.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.7%Worsening
Short-stay residents newly given an antipsychotic
1.1%Improving
Residents with a long-term catheter
0.5%Worsening
Residents with new or worsening incontinence
17.5%Improving
Residents with depressive symptoms
0.4%Worsening
Long-stay residents given the seasonal flu vaccine
98.8%Steady
Long-stay residents given the pneumonia vaccine
98%Improving
Short-stay residents given the seasonal flu vaccine
91.3%Steady
Short-stay residents given the pneumonia vaccine
97.2%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.
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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 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
87.8 residents on an average day (74% 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.