We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
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.
This home is ranked 186th out of 237 homes in Texas.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 12m per day | ▼ 54% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 1h 20m per day | ▲ 40% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 1h 57m per day | ▼ 3% State avg: 2h 1m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 2h 59m per day | ■ Avg State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 3m per day | ▼ 25% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 12m per day | ▼ 40% State avg: 20m per day · National avg: 28m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #88 / 248Payroll — State benchmarkedThis home is ranked 88th out of 248 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Texas average: 63.5%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 are formal regulatory issues recorded during state inspections.
| Metric | This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 6 | This facility has 67% fewer total citations than a typical Texas nursing home (2 vs. TX avg 6). Click this badge to view the full Texas ranking.↓ 67% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 2 | 2 | This facility has health citations in line with the Texas average (2 vs. TX avg 2). Click this badge to view the full Texas ranking.— At avg |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 2 | 6 | This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6). Click this badge to view the full Texas ranking.↓ 67% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Spanish Meadows was inspected on January 5, 2024, and no state standard violations were detected during the comprehensive assessment. This lack of findings indicates that the facility did not have any Health Code or Life Safety Code deficiencies at the time of inspection. The absence of citations for both codes suggests that the facility's systems and practices met regulatory requirements in areas such as fire safety, building maintenance, resident care, and pest control. No correction dates are applicable, as no violations were identified. It is worth noting that no Health Code deficiencies were listed during this inspection. Overall, the inspection results indicate a compliant status for Spanish Meadows at the time of evaluation. No enforcement actions were found in relation to this inspection.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Sep 2025
Texas average 25.9
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).
50% better than Texas averageTexas average: 2
150% worse than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Spanish Meadows is located in BROWNSVILLE, Texas.
Here are the financial assistance programs available to residents in Texas.
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
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
28% worse than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
202 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| 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 |
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.
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.
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
The information below is reported by the Texas Health and Human Services Commission.
| Buckner Calder Woods |
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. | Beaumont | 46 | 34.5% | -46% | 6.76 | +7% | +86% | $0 | 17 | 2.1 | 1 | 35 | - | 70 | Buckner Baptist Benevolences | $12.8M | $6.6M | 51.1% | 676109 | ||||
| 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 | -47% | -14% | $26.4k | 26 | 2.6 | 2 | 89 | - | 2 | Rl Spanish Meadows, LLC | $15.4M | $6.0M | 39% | 455802 | ||||
| Brookdale Lakeway |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lakeway (The Towers Of Lakeway) | 98 | 69.8% | +10% | 3.89 | -1% | +7% | $131.7k | 21 | 3.5 | 4 | 39 | A+ | 28 | Henry Kaestner | $14.1M | $6.6M | 46.4% | 676131 |
Historical financial and operational data for Spanish Meadows based on CMS SNF Cost Reports.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
The legal owner and operator of Spanish Meadows is 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%.
Spanish Meadows has 120 beds.
Spanish Meadows has had 2 recently reported deficiencies.
Yes — there are 9 photos of Spanish Meadows in the photo gallery on this page.
Spanish Meadows is located at 440 E RUBEN M TORRES BLVD.
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
