GoodStanding

Nursing home report

Spanish Meadows

Brownsville, TX · Medicare-certified · 119 beds

Needs attention
For-profit
Data as of July 1, 2026
2 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.1346 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  8. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  9. 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.