Nursing Home

Spanish Meadows

Overview of 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.
(956) 546-7378

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
Texas average: 3.0/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Texas average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Texas average: 2.4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Texas average: 4.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 8m per day

This home provides 17% less nursing time per resident than the Texas average.

Texas average: 3h 46m per day

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.

Lower demand than the Texas average
Occupancy rate 84.4%
Residents per day (avg) 89
Occupancy rate
84.4%
Residents per day (avg)
89

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

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
$15,407,302.00
Operating loss
$-1,184,301.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.4M
34.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.2M
Total costs $16.6M
Bed community size
94-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
84%
In line with Texas average
Occupied beds
79 / 94
Average residents 75 per day

License details

Facility type
Type A
Status Licensed
County: CAMERON

Additional licensing details

CMS Certification Number: 455802

Ownership & operating entity

Owner name: EMPIRE SPANISH MEADOWS, LTD.

Care Services

Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Rehabilitation
Assisted Living
Long Term Care Nursing

Programs & Activities

Specific Programs
Respiratory Care and Ventilator Unit, Rehabilitation, Nursing Center, Assisted Living
Contact Spanish Meadows

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

Penalties 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
Citations per inspection
2.6

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 More info 1
50% better than Texas average

Texas average: 2


Serious Health citations More info 1
150% worse than Texas average

Texas average: 0.4

1 critical citation More info Texas average: 2

1 serious citation More info Texas average: 0.4

23 moderate citations More info Texas average: 23

1 minor citation More info Texas average: 0.4
Citations history (last 3 years)
Care Planning moderate citation Sep 16, 2025
Corrected

Care Planning moderate citation Sep 16, 2025
Corrected

Resident Rights moderate citation Mar 07, 2025
Corrected

Quality of Care critical citation Nov 26, 2024
Corrected

Compare Nursing Homes around Texas

The information below is reported by the Texas Health and Human Services Commission.
Spanish Meadows
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

TX 78520
120
RL SPANISH MEADOWS, LLC
84.4%
$14,545,526.00
$5,364,644.00
36.9%
89
3/5
3.1299
3/5
2/5
4/5
3
26
2
-47%
-14%
+33%
Avir at Woodlands Villas
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

TX 76448
150
WOODLAND NURSING OPERATIONS LLC
58.5%
$8,499,409.00
$2,316,117.00
27.3%
70.00
2/5
3.6616
1/5
1/5
5/5
1
35
3
-76%
+1%
-8%
Argent Court Seguin LLC
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

TX 78155
56
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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Autumn Wind Mineola
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

TX 75773
90
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Avanti Senior Living at Flower Mound
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

TX 75028
98
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Spanish Meadows

Address 8.3 miles from city center

Address BROWNSVILLE, TX 78520

Calculate Travel Distance to Spanish Meadows

Add your location

Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

101
Total Staff
98
Employees
3
Contractors
34,902
Total Hours (Quarter)
47
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse49.4 No
Licensed Practical Nurse218.4 No
Certified Nursing Assistant318.4 No
Staff by Category
Administration
2 staff
7.1hs shift avg
Nursing Staff
66 staff
8.5hs shift avg
Physicians & Practitioners
1 staff
8hs shift avg
Therapy Services
15 staff
5.5hs shift avg
Activities & Recreation
6 staff
9.6hs shift avg
Social Services
5 staff
6.3hs shift avg
Dietary Services
4 staff
8hs shift avg
Other Services
2 staff
7.9hs shift avg
Contractor Analysis
0.6%
of total hours from contractors
202 contractor hours this quarter
Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant3103113,18691100%8.4
Licensed Practical Nurse210218,91991100%8.4
Medication Aide/Technician8082,46691100%9.2
Qualified Activities Professional6062,13291100%9.6
Speech Language Pathologist5051,0908189%5.4
Registered Nurse4041,0088189%9.4
RN Director of Nursing2021,0086470%8
Physical Therapy Aide4049926875%6.8
Qualified Social Worker5058106875%6.3
Other Dietary Services Staff2025687178%8
Occupational Therapy Aide1125606571%8
Dietitian2025316167%8.1
Administrator1015126470%8
Nurse Practitioner1015126470%8
Mental Health Service Worker2023955055%7.9
Physical Therapy Assistant2021034549%2.3
Occupational Therapy Assistant011724246%1.7
Medical Director011351314%2.7
Respiratory Therapy Technician101633%2

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.

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 Info 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 average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.4
77% worse than Texas average

Texas average: 16.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.4%
32% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 42.7%
164% worse than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.9%
34% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.0%
70% better than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.1%
16% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.0%
271% worse than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.9%
41% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.6%
97% worse than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 75.9%
22% worse than Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
In line with Texas average

Texas average: 97.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.1%
5% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.4%
7% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 91.3%
In line with Texas average

Texas average: 88.0%

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 average

Texas average: $80K

Number of fines 2
20% fewer fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
354% more payment denials than Texas average

Texas 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 17, 2024
$11K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 14, 2023
$4K
Payment Denial Info 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

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Financial Aid for Texas Seniors

Get financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Large state; rural access challenges.

Texas Community Care Services

TX CCS

Age 60+, Texas resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; high demand in urban areas.

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+, TX resident; no income/asset limits.

None; donations encouraged.

Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled, TX resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized, TX resident, low-income.

~$3,970/month (185% FPL).

Not assessed.

Priority for elderly/disabled; covers gas, electric, propane.

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed.

High rural demand; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+, unemployed, low-income, TX resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+, TX resident, homeowner (homestead).

None; tax-based eligibility.

Not assessed.

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+, TX resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

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