Occupancy rate
84%
In line with Texas averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Texas
CMS overall rating
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.
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.
Spanish Meadows
Nursing Home in Texas
CMS overall rating
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.
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.
Spanish Meadows
Spanish Meadows has been serving the lower Rio Grande Valley community for over 30 years. The facility comprises a Rehabilitation Center, an Assisted Living facility, and a Long Term Care Nursing Unit. It provides excellent care in a warm and supportive environment.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
94
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
84.4%
Residents per day (avg)
89
Occupancy rate
84.4%
Residents per day (avg)
89
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
61% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$15.4M
Operating loss
-$1.2M
Privately-owned community
Operated by a business corporation.
Home revenue
$15.4M
Operating loss
-$1.2M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$16.6M
94-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Texas averageOccupied beds
79 / 94
Average residents
75 per day
Facility TypeType A
StatusLicensed
CountyCAMERON
CMS Certification Number455802
Owner NameEMPIRE SPANISH MEADOWS, LTD.
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Rehabilitation
Long Term Care Nursing
Specific ProgramsRespiratory Care and Ventilator Unit, Rehabilitation, Nursing Center, Assisted Living
Inspection History
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.
0 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Texas average: 6 citations
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Texas average: 1 enforcement action
Health Inspection History
Inspections
Total health inspections
10
Texas average 7.4
Last Health inspection on Sep 2025
Total health citations
26
Texas average 25.9
Citations per inspection
2.6
Texas 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).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
50% better than Texas averageTexas average: 2
Serious Health citations
1
1
150% worse than Texas averageTexas average: 0.4
1 critical citation
1 serious citation
23 moderate citations
1 minor citation
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 16, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 16, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 16, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 16, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 07, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 07, 2025
Corrected
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 26, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 26, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Texas The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
Spanish Meadows
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Brownsville
120
84.4%
+33%
3.13
-14%
3
26
2.6
2
89
-
-
Rl Spanish Meadows, Llc
$14.5M
$5.4M
36.9%
455802
Avir at Woodlands Villas
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Eastland
150
58.5%
-8%
3.66
+1%
1
35
3.5
3
70
-
-
Woodland Nursing Operations Llc
$8.5M
$2.3M
27.3%
675001
Argent Court Seguin LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Seguin
56
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Autumn Wind Mineola
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Mineola
90
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Avanti Senior Living at Flower Mound
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Flower Mound
98
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Places of interest near Spanish Meadows
8.3 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
101
Employees
98
Contractors
3
Staff to resident ratio
1.09:1
28% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
47
Average shift
8.2 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
34,902
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.6%
202 contractor hours this quarter
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 31 | 0 | 31 | 13,186 | 91 | 100% | 8.4 |
| Licensed Practical Nurse | 21 | 0 | 21 | 8,919 | 91 | 100% | 8.4 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,466 | 91 | 100% | 9.2 |
| Qualified Activities Professional | 6 | 0 | 6 | 2,132 | 91 | 100% | 9.6 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,090 | 81 | 89% | 5.4 |
| Registered Nurse | 4 | 0 | 4 | 1,008 | 81 | 89% | 9.4 |
| RN Director of Nursing | 2 | 0 | 2 | 1,008 | 64 | 70% | 8 |
| Physical Therapy Aide | 4 | 0 | 4 | 992 | 68 | 75% | 6.8 |
| Qualified Social Worker | 5 | 0 | 5 | 810 | 68 | 75% | 6.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 568 | 71 | 78% | 8 |
| Occupational Therapy Aide | 1 | 1 | 2 | 560 | 65 | 71% | 8 |
| Dietitian | 2 | 0 | 2 | 531 | 61 | 67% | 8.1 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 395 | 50 | 55% | 7.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 103 | 45 | 49% | 2.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 72 | 42 | 46% | 1.7 |
| Medical Director | 0 | 1 | 1 | 35 | 13 | 14% | 2.7 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 6 | 3 | 3% | 2 |
31 Certified Nursing Assistant
% of Days
100%
21 Licensed Practical Nurse
% of Days
100%
8 Medication Aide/Technician
% of Days
100%
6 Qualified Activities Professional
% of Days
100%
5 Speech Language Pathologist
% of Days
89%
4 Registered Nurse
% of Days
89%
2 RN Director of Nursing
% of Days
70%
4 Physical Therapy Aide
% of Days
75%
5 Qualified Social Worker
% of Days
75%
2 Other Dietary Services Staff
% of Days
78%
2 Occupational Therapy Aide
% of Days
71%
2 Dietitian
% of Days
67%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
2 Mental Health Service Worker
% of Days
55%
2 Physical Therapy Assistant
% of Days
49%
1 Occupational Therapy Assistant
% of Days
46%
1 Medical Director
% of Days
14%
1 Respiratory Therapy Technician
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
93 residents
Residents by payment source
Medicare
18 residents (19.4%)
Medicaid
58 residents (62.4%)
Private pay or other
17 residents (18.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.0
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.4%
Percent of long-stay residents whose need for help with daily activities has increased
21.4%
32% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
42.7%
Percent of long-stay residents whose ability to move independently worsened
42.7%
164% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
70% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
16% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.0%
Percent of long-stay residents with a urinary tract infection
3.0%
271% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.9%
Percent of long-stay residents who lose too much weight
4.9%
41% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.6%
Percent of long-stay residents who received an antipsychotic medication
15.6%
97% worse than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.9%
22% worse than Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
5% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
7% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.3%
In line with Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$15K
82% lower than Texas averageTexas average: $80K
Number of fines
2
20% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
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
Fines amount comparison
Fines amount comparison
This facility
$15K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
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.
Oct 17, 2024
$11K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2023
$4K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 14, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 14, 2023
22 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Spanish Meadows based on CMS SNF Cost Reports.
Occupancy Rate
84.4%
↑ 1.9pp vs 2022
Net Income
-$1.2M
↓ ~$1.1M vs 2022
Total Payroll
$6.0M
↑ ~$117.1K vs 2022
Profit Margin
-8.1%
↓ 7.5pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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