2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Operated by Empire Spanish Meadows, Ltd under owner Rl Spanish Meadows, Spanish Meadows is a skilled nursing home in Brownsville, Texas. The community accepts Medicare, Medicaid, and private pay, giving families flexibility when arranging coverage for short-term post-acute care and longer-term nursing services. The 120-bed facility has an occupancy rate of 84%, with a steady market census.
Residents stay an average of about 128 days, including those recovering after surgery or hospitalization and requiring ongoing skilled nursing care. Rehabilitation services and short-term rehabilitation programs are available.
The facility also has a dedicated respiratory care and ventilator unit separate from its main nursing center. Serving residents with ventilator needs and other medically complex conditions, this specialized unit expands the home’s clinical capabilities. This level of service may matter to families seeking respiratory support or intensive nursing care.
Total nurse staffing averages 3 hours and 8 minutes per resident each day. Registered nurses, nurse aides, and licensed practical nurses are part of the staffing structure. There’s 24-hour staffing to support residents’ needs throughout the day and night.
The Brownsville location has a Walk Score of 2, so the area is highly car-dependent. Most family visits and errands require transportation. However, the facility’s location has access to local healthcare resources and the surrounding community. State inspections have shown compliance with health and life safety standards. No reported deficiencies have been noted.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Texas averages
Total nursing care
This home is ranked 185th out of 233 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 8m
14% below state avg
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
5 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Spanish Meadows is legally operated by Empire Spanish Meadows, Ltd.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 6 | This facility has 83% fewer total citations than a typical Texas nursing home (1 vs. TX avg 6).↓ 83% better |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
State average 7.4
Last Health inspection on Sep 2025
State average 25.9
State average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 26 citations resulted from standard inspections; 9 of 26 resulted from complaint investigations; and 2 of 26 came from combined inspections (standard and complaint).
50% better than State averageState average: 2
150% worse than State averageState average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
21% fewer staff per resident than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
All 23 LPN Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 32 CNA Staff are full-time employees. No contractors work on this role.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
189 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 0 | 32 | 12,586 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 23 | 0 | 23 | 8,333 | 92 | 100% | 8.8 |
| Qualified Activities Professional | 8 | 0 | 8 | 2,537 | 92 | 100% | 9.3 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,509 | 92 | 100% | 9 |
| RN Director of Nursing | 5 | 0 | 5 | 2,000 | 74 | 80% | 8.1 |
| Qualified Social Worker | 5 | 0 | 5 | 1,172 | 65 | 71% | 6.1 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,118 | 65 | 71% | 6.7 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,051 | 81 | 88% | 4.4 |
| Registered Nurse | 4 | 0 | 4 | 778 | 90 | 98% | 7.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 701 | 87 | 95% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 504 | 71 | 77% | 7.1 |
| Dietitian | 1 | 0 | 1 | 496 | 63 | 68% | 7.9 |
| Occupational Therapy Aide | 1 | 1 | 2 | 481 | 57 | 62% | 7.6 |
| Administrator | 2 | 0 | 2 | 440 | 55 | 60% | 8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 185 | 65 | 71% | 2.8 |
| Dental Services Staff | 1 | 0 | 1 | 112 | 35 | 38% | 3.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 82 | 47 | 51% | 1.7 |
| Medical Director | 0 | 1 | 1 | 35 | 13 | 14% | 2.7 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
82% lower than Texas averageTexas average: $80K
20% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 14, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.0
74% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
77% worse than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.4%
32% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
42.7%
164% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
34% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
70% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.1%
16% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
3.0%
271% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
4.9%
41% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
15.6%
97% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.9%
22% worse than Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.87
12% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.79
14% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
5% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
7% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.3%
In line with Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.6%
28% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.5%
71% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
76.0%
42% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.1%
In line with Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
22% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Spanish Meadows from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #66 / 219Payroll costs — State benchmarkedThis home is ranked 66th out of 219 homes in Texas. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #45 / 200Payroll % of net patient revenue — State benchmarkedThis home is ranked 45th out of 200 homes in Texas. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (61% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
8.3 miles from city center
Estimated distance in miles from Brownsville's city center to Spanish Meadows's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Windsor Nursing and Rehabilitation Center of Harlingen | NH MC RC SNF | Harlingen | 154
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79.7%
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79.7%
TX AVG
66.3
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2.99
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12
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25.9
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3.0
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44
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44
TX AVG
42
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#647 / 1346 | Regency Ihs Of Harlingen Manor LLC | $10.4MFiscal year ending 12/2023
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$10.4MFiscal year ending 12/2023
TX AVG
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#58 / 219 | $4.5MFiscal year ending 12/2023
Facility
$4.5MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#122 / 219 | 43.6%Fiscal year ending 12/2023
Facility
43.6%Fiscal year ending 12/2023
TX AVG
71.6%
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| Parkwood Assisted Living | NH AL HOS MC PC RC SNF | Bedford | 84
Facility
84
TX AVG
78
Rank
#443 / 981 | - | - | 4.87
Facility
4.87
TX AVG
3.63
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$0
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$81.8k
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#1 / 238 | 15
Facility
15
TX AVG
25.9
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#53 / 235 | 3.8
Facility
3.8
TX AVG
3.7
Rank
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34
Facility
34
TX AVG
42
Rank
#866 / 1346 | Lcs Phc Operator Mm LLC | $8.2MFiscal year ending 12/2023
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$8.2MFiscal year ending 12/2023
TX AVG
$9.3M
Rank
#124 / 219 | $5.8MFiscal year ending 12/2023
Facility
$5.8MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#68 / 219 | 70.3%Fiscal year ending 12/2023
Facility
70.3%Fiscal year ending 12/2023
TX AVG
71.6%
Rank
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| Methodist Retirement Communities – Creekside Retirement Community | NH AL HC MC SNF | Huntsville | 56
Facility
56
TX AVG
78
Rank
#619 / 981 | - | - | 5.49
Facility
5.49
TX AVG
3.63
Rank
#9 / 233 | -67% | +51% | $0
Facility
$0
TX AVG
$81.8k
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#1 / 238 | 13
Facility
13
TX AVG
25.9
Rank
#37 / 235 | 3.3
Facility
3.3
TX AVG
3.7
Rank
#125 / 235 | - | 41 | - |
87
Facility
87
TX AVG
42
Rank
#14 / 1346 | Methodist Retirement Communities | $6.1MFiscal year ending 12/2023
Facility
$6.1MFiscal year ending 12/2023
TX AVG
$9.3M
Rank
#177 / 219 | $4.9MFiscal year ending 12/2023
Facility
$4.9MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#111 / 219 | 79.7%Fiscal year ending 12/2023
Facility
79.7%Fiscal year ending 12/2023
TX AVG
71.6%
Rank
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| Marbridge Village | NH AL SNF | Manchaca | 96
Facility
96
TX AVG
78
Rank
#365 / 981 |
90.7%
Facility
90.7%
TX AVG
66.3
Rank
#21 / 175 | +37% | 4.64
Facility
4.64
TX AVG
3.63
Rank
#38 / 233 | -12% | +28% | $45.8k
Facility
$45.8k
TX AVG
$81.8k
Rank
#162 / 238 | 14
Facility
14
TX AVG
25.9
Rank
#45 / 235 | 4.7
Facility
4.7
TX AVG
3.7
Rank
#203 / 235 | - | 83 | - |
49
Facility
49
TX AVG
42
Rank
#541 / 1346 | Scott Mcavoy | $7.6MFiscal year ending 06/2024
Facility
$7.6MFiscal year ending 06/2024
TX AVG
$9.3M
Rank
#134 / 219 | $8.0MFiscal year ending 06/2024
Facility
$8.0MFiscal year ending 06/2024
TX AVG
$5.4M
Rank
#30 / 219 | 105.5%Fiscal year ending 06/2024
Facility
105.5%Fiscal year ending 06/2024
TX AVG
71.6%
Rank
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| Spanish Meadows | NH AL SNF | Brownsville | 94
Facility
94
TX AVG
78
Rank
#383 / 981 | - | - | 3.13
Facility
3.13
TX AVG
3.63
Rank
#185 / 233 | -52% | -14% | $14.8k
Facility
$14.8k
TX AVG
$81.8k
Rank
#91 / 238 | 26
Facility
26
TX AVG
25.9
Rank
#156 / 235 | 2.6
Facility
2.6
TX AVG
3.7
Rank
#59 / 235 | 2 | 88 | - |
2
Facility
2
TX AVG
42
Rank
#1337 / 1346 | Rl Spanish Meadows, LLC | $8.2MFiscal year ending 12/2023
Facility
$8.2MFiscal year ending 12/2023
TX AVG
$9.3M
Rank
#122 / 219 | $5.9MFiscal year ending 12/2023
Facility
$5.9MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#66 / 219 | 71.1%Fiscal year ending 12/2023
Facility
71.1%Fiscal year ending 12/2023
TX AVG
71.6%
Rank
#45 / 200 | 455802 |
Spanish Meadows is legally operated by Empire Spanish Meadows, Ltd.
Spanish Meadows has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.
Spanish Meadows's occupancy is 84.4%.
No, Spanish Meadows has a no-pet policy.
Spanish Meadows is registered as a for-profit in TX.
Spanish Meadows has 94 beds.
Spanish Meadows has had 1 reported citation since 2025 according to records from Texas Health and Human Services (HHSC).
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