455 El Paso Rd, Brownsville, TX 78520
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
Call for pricing
Prices not published
About Spanish Meadows
Spanish Meadows provides skilled nursing and rehabilitation services in Brownsville, Texas, where experienced medical staff focus on recovery and restoring independence. We combine clinical expertise with compassionate care for patients transitioning through acute health challenges.
Community at a glance
Capacity
119 residents
Location
Brownsville, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
440 E Ruben Torres Blvd, Brownsville, Texas 78520
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on January 29, 2026, state inspectors cited 15 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 8 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Spanish Meadows once in the last three years, $11,001 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 8 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 10 minutesBelow the Texas average |
| Nursing staff who left in the past year | 34%Below the Texas average |
2 administrators have left the home in the past year.
Inspections
29 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 23, 2026 · Complaint investigation · 2 citations
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 24, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 24, 2026
May 29, 2026 · Complaint investigation · 1 citation
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 1, 2026
April 18, 2026 · Complaint investigation · 2 citations+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 19, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 19, 2026
January 29, 2026 · Standard inspection · 7 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 2, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 2, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 4, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 2, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 2, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 2, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 2, 2026
December 5, 2025 · Complaint investigation · 1 citation+
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Dec 6, 2025
September 16, 2025 · Complaint investigation · 2 citations+
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 20, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 17, 2025
March 7, 2025 · Complaint investigation · 1 citation+
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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 27, 2025
November 26, 2024 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Nov 22, 2024
October 24, 2024 · Standard inspection · 9 citations+
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 5, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 5, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 5, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Dec 5, 2024Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 5, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 5, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 5, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Dec 5, 2024Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Dec 5, 2024
October 17, 2024 · Complaint investigation · 2 citations+
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Dec 5, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 5, 2024
February 1, 2024 · Complaint investigation · 1 citation+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 21, 2024
Fines and payment denials
1 fine totaling $11,001 in the last three years.
- October 17, 2024Fine: $11,001
About the home, per Medicare
- Ownership
- For profit - Individual
- Legal business name
- Empire Spanish Meadows Ltd
- Medicare-certified beds
- 119
- Average residents per day
- 95
- Accepts
- Medicare and Medicaid
- First certified
- April 5, 1989
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 455802
Location
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440 E Ruben Torres BlvdBrownsville, TX 78520
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Questions about Spanish Meadows
How did Spanish Meadows do on its last inspection?+
State inspectors visited on January 29, 2026 and cited 15 health deficiencies, 8 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Spanish Meadows?+
Nurses and aides spend 3 hours 8 minutes with each resident per day, including 10 minutes from registered nurses. 34% of nursing staff left over the past year.
Has Spanish Meadows been fined by Medicare?+
Yes. Medicare fined Spanish Meadows once in the last three years, totaling $11,001.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.