Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
119
115 employees · 4 contractors · 54 on an average day Spanish Meadows
Nursing Home, Assisted Living & Skilled Nursing · Brownsville, TX
CMS overall rating
3/5
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.
3/5
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.
Spanish Meadows
Nursing Home, Assisted Living & Skilled Nursing · Brownsville, TX
CMS overall rating
3/5
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.
3/5
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.
Spanish Meadows accepts Medicaid, Medicare, and private pay.
Spanish Meadows provides nursing home, assisted living, and skilled nursing care in Brownsville, TX. Assisted living includes help with daily tasks, while skilled nursing and nursing home care provide ongoing nursing support for residents who need more clinical attention. The community may be a good fit for someone who needs respiratory or ventilator care or short term rehabilitation.
Spanish Meadows has 94 beds, giving families the facility’s available licensed capacity when considering placement. Total nurse staffing is 3 hours and 23 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Staffing is available around the clock to support care needs during the day and night.
The Respiratory Care and Ventilator Unit serves residents who require respiratory care or ventilator support. Rehabilitation services and short term rehabilitation are available for someone recovering after an illness, injury, or hospital stay, without requiring a long term placement for that episode of care. Medicaid, Medicare, and private pay are accepted, giving families those payment pathways for covered care and residence costs; Empire Spanish Meadows operates the community.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 110th out of 233 nursing homes we track 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 23m
This nursing home is ranked 110th out of 233 nursing homes we track 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 23mStandout metric: LPN / LVN is +17% above Texas average
4 of 6 metrics below Texas average
Daily care time per resident, by role
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. All 5 are the facility's own employees; no agency contractors work in this role.
5 staff · 7.9-hour shifts
12m
↓ 53% · TX 26mThis facility: 12m per resident per day, 53% below the Texas average of 26m (among Texas facilities reporting a recent figure).
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. All 5 are the facility's own employees; no agency contractors work in this role.
5 staff · 7.9-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 8.5-hour shifts
1h 7m
↑ 17% · TX 57mThis facility: 1h 7m per resident per day, 17% above the Texas average of 57m (among Texas facilities reporting a recent figure).
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. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 8.5-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 42 are the facility's own employees; no agency contractors work in this role.
42 staff · 8.4-hour shifts
2h 3m
↑ 2% · TX 2h 1mThis facility: 2h 3m per resident per day, 2% above the Texas average of 2h 1m (among Texas facilities reporting a recent figure).
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. All 42 are the facility's own employees; no agency contractors work in this role.
42 staff · 8.4-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
4m
↓ 9% · TX 4mThis facility: 4m per resident per day, 9% below the Texas average of 4m (among Texas facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 53m
↓ 4% · TX 2h 59mThis facility: 2h 53m per resident per day, 4% below the Texas average of 2h 59m (among Texas facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
5m
↓ 74% · TX 20mThis facility: 5m per resident per day, 74% below the Texas average of 20m (among Texas facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
119
115 employees · 4 contractors · 54 on an average day
119 total staff / 93 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.28 : 1
↓ 13% · TX 1.47This facility: 1.28 staff per resident, 13% below the Texas average of 1.47 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
119 staff ÷ 93 residents
See full Texas ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
↓ 4% · TX 8.1 hThis facility: 7.8 h, 4% below the Texas average of 8.1 h (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
38,178 staff hours this quarter
See full Texas ranking →99.4% of staff hours were worked by the facility's own employees
Texas average: 94.3% · Contractors this quarter: Medical Director (2), Occupational Therapy Assistant (1), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A large-scale community that may provide a wide range of amenities, services, and structured programs.
213
Rank #8 / 258Bed count — State benchmarked This nursing home is ranked 8th out of 258 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
213
Rank #8 / 258Bed count — State benchmarked This nursing home is ranked 8th out of 258 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.High-capacity home · May provide extensive amenities, services and programs.
119 nursing-home beds (CMS) + 94 state-licensed beds.
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #276 / 276Walk Score — State benchmarked This nursing home is ranked 276th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #276 / 276Walk Score — State benchmarked This nursing home is ranked 276th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
2
/ 100
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
91
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
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.
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.
113
days
About This Community
Facility TypeType A
CountyCameron
CMS Certification Number455802
QualificationNursing
Spanish Meadows is legally operated by Empire Spanish Meadows, Ltd.
OwnerEmpire Spanish Meadows, Ltd.
Owner NameEmpire Spanish Meadows, Ltd.
Resident Council
Short-Term Rehab
Respiratory Care and Ventilator Unit
Pets not allowed
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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.
Inspection Scorecard
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.
Overall vs. TX average
0 Worse
No metrics in this bucket.
1 At Avg
Metrics at Texas average:
• Inspections with citations (at TX avg) 3 Better Metrics better than Texas average:
• Total citations (86% below)
• Health citations (75% below)
• Enforcement actions (100% below)
• Inspections with citations (at TX avg) 3 Better Metrics better than Texas average:
• Total citations (86% below)
• Health citations (75% below)
• Enforcement actions (100% below)
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 7.0 | This facility has 86% fewer total citations than a typical Texas nursing home (1 vs. TX avg 7).↓ 86% better |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 1 | 4.0 | This facility has 75% fewer health citations than a typical Texas nursing home (1 vs. TX avg 4).↓ 75% better |
|
Enforcement actions
Formal penalties the state issued against this facility. In Texas these are administrative penalties, recorded by the Health and Human Services Commission.
| 0 | 0.2 | This facility has 100% fewer enforcement actions than a typical Texas nursing home (0 vs. TX avg 0.2).↓ 100% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1.0 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
12
↑ 50% · TX 8This facility: 12, 50% above the TX average of 8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
32
Rank #164 / 234Health citations — State benchmarked This nursing home is ranked 164th out of 234 nursing homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 14% · TX 28This facility: 32, 14% above the TX average of 28 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.67
Rank #56 / 234Citations per inspection — State benchmarked This nursing home is ranked 56th out of 234 nursing homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 27% · TX 3.65This facility: 2.67, 27% below the TX average of 3.65 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
32 of 32 citations corrected
Critical
J–L
1
↓ 44% · TX 1.8This facility: 1, 44% below the TX average of 1.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · TX 0.4This facility: 0, 100% below the TX average of 0.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
30
↑ 18% · TX 25.4This facility: 30, 18% above the TX average of 25.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
↑ 150% · TX 0.4This facility: 1, 150% above the TX average of 0.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jul 23, 2026 · 2 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 5 of 32 citations · 10 categories in total
Citations history
Most recent first
Jul 23, 2026
2 citations
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
May 29, 2026
1 citation
Care Planning moderate citation
Corrected
Corrected
Apr 18, 2026
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Jan 29, 2026
7 citations
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Dec 05, 2025
1 citation
Environmental moderate citation
Corrected
Corrected
Sep 16, 2025
2 citations
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Mar 07, 2025
1 citation
Resident Rights moderate citation
Corrected
Corrected
Nov 26, 2024
1 citation
Quality of Care critical citation
Corrected
Corrected
Oct 24, 2024
9 citations
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Nursing Services minor citation
Corrected
Corrected
Oct 17, 2024
2 citations
Environmental moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Feb 01, 2024
1 citation
Pharmacy moderate citation
Corrected
Corrected
Aug 25, 2023
3 citations
Nutrition moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Top deficiency categories
Share of 32 citations
Resident Assessment & Care Planning
5 deficiencies (16%)
Quality of Life & Care
5 deficiencies (16%)
Nutrition & Dietary
5 deficiencies (16%)
Environmental
4 deficiencies (13%)
Resident Rights
3 deficiencies (9%)
Abuse, Neglect & Exploitation
3 deficiencies (9%)
Pharmacy Services
3 deficiencies (9%)
Infection Control
2 deficiencies (6%)
Administration
1 deficiency (3%)
Nursing & Physician Services
1 deficiency (3%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 32 citations resulted from standard inspections; 13 of 32 resulted from complaint investigations; and 2 of 32 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
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 Oct 2026
1 penalty in the past 3 years
Latest: Oct 17, 2024 · $11,001 civil money penalty
Oct 17, 2024 · $11,001 civil money penalty
Total fines
$11,001
↓ 83% · TX $63KThis facility: $11,001, 83% below the Texas average of $63,404. Average among the 798 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #83 / 236Federal fines — State benchmarked This nursing home is ranked 83rd out of 236 nursing homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 236 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 52% · TX 2.1This facility: 1, 52% below the Texas average of 2.1. Average among the 798 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
TX avg 0.18Texas average: 0.18. Average among the 798 Texas facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Oct 17, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$11,001
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$11,001Fine amount comparison
This facility
$11,001
Texas average
$63,404
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Texas and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↓ 1% · TX 4.1This facility: 4.0, 1% below the TX average of 4.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↓ 3% · TX 3.1This facility: 3.0, 3% below the TX average of 3.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
9.4
Score · lower is better
↑ 23% · TX 7.6This facility: 9.4, 23% above the TX average of 7.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
15.0
Score · lower is better
↑ 9% · TX 13.8This facility: 15.0, 9% above the TX average of 13.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 4 better, 5 worse, 4 near TX average
8 short-stay measures: 5 better, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
15.5%
↓ 2% · TX 15.8This facility: 15.5, 2% below the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
15.5%
↓ 2% · TX 15.8This facility: 15.5, 2% below the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
15.3%
↑ 19% · TX 12.9This facility: 15.3, 19% above the TX average of 12.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
15.3%
↑ 19% · TX 12.9This facility: 15.3, 19% above the TX average of 12.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.1%
↑ 13% · TX 12.5This facility: 14.1, 13% above the TX average of 12.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.1%
↑ 13% · TX 12.5This facility: 14.1, 13% above the TX average of 12.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.1%
↑ 158% · TX 0.8This facility: 2.1, 158% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.1%
↑ 158% · TX 0.8This facility: 2.1, 158% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
↓ 5% · TX 3.2This facility: 3.1, 5% below the TX average of 3.2 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
↓ 5% · TX 3.2This facility: 3.1, 5% below the TX average of 3.2 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
6.3%
↑ 71% · TX 3.7This facility: 6.3, 71% above the TX average of 3.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
6.3%
↑ 71% · TX 3.7This facility: 6.3, 71% above the TX average of 3.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
6.9%
↑ 137% · TX 2.9This facility: 6.9, 137% above the TX average of 2.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
6.9%
↑ 137% · TX 2.9This facility: 6.9, 137% above the TX average of 2.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
1.2%
↓ 51% · TX 2.3This facility: 1.2, 51% below the TX average of 2.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
1.2%
↓ 51% · TX 2.3This facility: 1.2, 51% below the TX average of 2.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
9.5%
↓ 3% · TX 9.8This facility: 9.5, 3% below the TX average of 9.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
9.5%
↓ 3% · TX 9.8This facility: 9.5, 3% below the TX average of 9.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 4% · TX 96.3This facility: 100.0, 4% above the TX average of 96.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 4% · TX 96.3This facility: 100.0, 4% above the TX average of 96.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
↑ 2% · TX 97.0This facility: 98.7, 2% above the TX average of 97.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
↑ 2% · TX 97.0This facility: 98.7, 2% above the TX average of 97.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.87
↓ 12% · TX 2.13This facility: 1.87, 12% below the TX average of 2.13 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.87
↓ 12% · TX 2.13This facility: 1.87, 12% below the TX average of 2.13 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.79
↓ 14% · TX 2.07This facility: 1.79, 14% below the TX average of 2.07 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.79
↓ 14% · TX 2.07This facility: 1.79, 14% below the TX average of 2.07 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
76.0%
↑ 42% · US 53.7This facility: 76.0, 42% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
76.0%
↑ 42% · US 53.7This facility: 76.0, 42% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
51.1%
↑ 1% · US 50.6This facility: 51.1, 1% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
51.1%
↑ 1% · US 50.6This facility: 51.1, 1% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · TX 1.4This facility: 0.0, 100% below the TX average of 1.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · TX 1.4This facility: 0.0, 100% below the TX average of 1.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
↑ 11% · TX 88.7This facility: 98.4, 11% above the TX average of 88.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
↑ 11% · TX 88.7This facility: 98.4, 11% above the TX average of 88.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
↑ 12% · TX 85.4This facility: 95.3, 12% above the TX average of 85.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
↑ 12% · TX 85.4This facility: 95.3, 12% above the TX average of 85.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.6%
↓ 28% · TX 25.9This facility: 18.6, 28% below the TX average of 25.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.6%
↓ 28% · TX 25.9This facility: 18.6, 28% below the TX average of 25.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
3.5%
↓ 71% · TX 12.0This facility: 3.5, 71% below the TX average of 12.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
3.5%
↓ 71% · TX 12.0This facility: 3.5, 71% below the TX average of 12.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Spanish Meadows’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 225 Texas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−6.1% operating margin
+18.7 pts vs prior year
An operating loss in 7 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$0.6M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Texas homes
57.8% payroll share of revenue
TX average 68.8%Rank #97 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 97th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $0.4M while revenue rose $1.2M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Texas homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $9.4M | +$1.2M | Trend 20172024 | TX median $9.3M | Rank in TX Rank #109 / 225Net patient revenue — State benchmarked This nursing home is ranked 109th out of 225 nursing homes we track in Texas for net patient revenue. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 52% of homes | Above TX median Higher net patient revenue than 52% of TX homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $10.0M | −$0.3M | Trend 20172024 | TX median $9.8M | Rank in TX Rank #106 / 225Operating expenses — State benchmarked This nursing home is ranked 106th out of 225 nursing homes we track in Texas for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Texas homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 53% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.6M | +$1.5M | Trend 20172024 | TX median −$0.4M | Rank in TX Rank #131 / 225Net patient income — State benchmarked This nursing home is ranked 131st out of 225 nursing homes we track in Texas for net patient income. Shows net patient revenue minus operating expenses, compared with other Texas homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 42% of homes | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −6.1% | +18.7 pts | Trend 20172024 | TX median −5.0% | Rank in TX Rank #125 / 225Operating margin — State benchmarked This nursing home is ranked 125th out of 225 nursing homes we track in Texas for operating margin. Shows net patient income as a share of net patient revenue, compared with other Texas homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 45% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | TX median $0.4M | Rank in TX Rank #157 / 214Other income — State benchmarked This nursing home is ranked 157th out of 214 nursing homes we track in Texas for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Texas homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 27% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.6M | +$0.6M | Trend — | TX median $0.3M | Rank in TX Rank #150 / 207Net income — State benchmarked This nursing home is ranked 150th out of 207 nursing homes we track in Texas for net income. Shows the bottom line after other income, compared with other Texas homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 28% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Texas homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.5M | −$0.4M | Trend 20172024 | TX median $4.9M | Rank in TX Rank #93 / 225Payroll costs — State benchmarked This nursing home is ranked 93rd out of 225 nursing homes we track in Texas for payroll costs. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 59% of homes | Above TX median Higher payroll than 59% of TX homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 57.8% | −13.3 pts | Trend 20172024 | TX median 57.6% | Rank in TX Rank #97 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 97th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 52% of homes | 11.0 pts under TX average The TX average is 68.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · TX benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Texas payroll average.
% of net patient revenue
Payroll share Operating margin TX payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $9.3M | $10.1M | $9.5M | $9.5M | $9.3M | $10.3M | $8.2M | $9.4M |
| Operating expenses | $9.5M | $10.0M | $9.9M | $10.2M | $9.6M | $10.5M | $10.3M | $10.0M |
| Net patient income | −$0.2M | $0.1M | −$0.3M | −$0.6M | −$0.3M | −$0.2M | −$2.0M | −$0.6M |
| Operating margin | −2.5% | 1.3% | −3.7% | −6.5% | −3.4% | −1.7% | −24.8% | −6.1% |
| Net income | −$0.2M | $0.1M | −$0.3M | −$0.4M | $1.5M | −$0.1M | −$1.2M | −$0.6M |
| Payroll costs | $5.4M | $5.6M | $5.6M | $5.8M | $5.3M | $5.7M | $5.9M | $5.5M |
| Payroll share of revenue | 57.7% | 55.1% | 58.8% | 60.4% | 56.8% | 55.7% | 71.1% | 57.8% |
| Beds | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 |
| Gross revenue | $14.4M | $15.4M | $15.5M | $14.0M | $13.9M | $15.0M | $14.5M | $12.7M |
| Salaries | $5.0M | $5.2M | $5.1M | $5.2M | $4.8M | $5.2M | $5.4M | $5.0M |
| Wage-related costs | $0.4M | $0.4M | $0.5M | $0.5M | $0.5M | $0.5M | $0.5M | $0.4M |
| Contract labor | $0.0M | $0.1M | $0.1M | $0.0M | $0.0M | $0.2M | $0.1M | $0.2M |
| Other operating costs | $4.2M | $4.4M | $4.3M | $4.4M | $4.3M | $4.7M | $4.4M | $4.6M |
| Net patient revenue per day | $230 | $249 | $235 | $279 | $286 | $285 | $223 | $277 |
| Cost per day | $236 | $246 | $243 | $297 | $295 | $290 | $278 | $294 |
| Average length of stay | 119.2 days | 108.3 days | 156.2 days | 148.1 days | 106.3 days | 106.6 days | 128.4 days | 112.7 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
301 admissions · FY2024
Residents admitted during the year.
Medicare
49 · 16%
Medicaid
55 · 18%
Private pay & other
197 · 65%
Resident snapshot
93 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
18 · 19%
Medicaid
58 · 62%
Private pay & other
17 · 18%
Leaving
302 discharges · FY2024
Residents discharged during the year.
Medicare
34 · 11%
Medicaid
91 · 30%
Private pay & other
177 · 59%
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Places of interest near Spanish Meadows
8.3 miles from city center
Estimated distance in miles from Brownsville's city center to Spanish Meadows's address, calculated via Google Maps.
Calculate Travel Distance to Spanish Meadows
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Compare Nursing Homes around the area
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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 68.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Windsor Nursing and Rehabilitation Center of Harlingen | NH MC RC SNF | Harlingen | 154
Facility
154
TX AVG
121
Rank
#43 / 258 |
85.3%
Facility
85.3%
TX AVG
72.9%
Rank
#46 / 178 | +17% | - | -6% | - | $0
Facility
$0
TX AVG
$63.8k
Rank
#1 / 236 | 23
Facility
23
TX AVG
28.0
Rank
#59 / 234 | 3.3
Facility
3.3
TX AVG
3.6
Rank
#40 / 234 | - | 131 | - |
44
Facility
44
TX AVG
44
Rank
#143 / 276 | Starr County Hospital District | $12.7MFiscal year ending 12/2024
Facility
$12.7MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#42 / 225 | $5.1MFiscal year ending 12/2024
Facility
$5.1MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#104 / 225 | 40.3%Fiscal year ending 12/2024
Facility
40.3%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#184 / 202 | 455822 | ||||
| Ebony Lake Nursing and Rehabilitation Center | NH HC HOS RC SNF | Brownsville (Los Ebanos) | 122
Facility
122
TX AVG
121
Rank
#115 / 258 |
64.5%
Facility
64.5%
TX AVG
72.9%
Rank
#132 / 178 | -11% | 3.19
Facility
3.19
TX AVG
3.47
Rank
#145 / 233 | -4% | -8% | $0
Facility
$0
TX AVG
$63.8k
Rank
#1 / 236 | 24
Facility
24
TX AVG
28.0
Rank
#118 / 234 | 2.7
Facility
2.7
TX AVG
3.6
Rank
#61 / 234 | - | 79 | - |
63
Facility
63
TX AVG
44
Rank
#49 / 276 | Val Verde County Hospital District | $6.9MFiscal year ending 09/2024
Facility
$6.9MFiscal year ending 09/2024
TX AVG
$10.2M
Rank
#169 / 225 | $3.3MFiscal year ending 09/2024
Facility
$3.3MFiscal year ending 09/2024
TX AVG
$5.8M
Rank
#182 / 225 | 48.8%Fiscal year ending 09/2024
Facility
48.8%Fiscal year ending 09/2024
TX AVG
68.8%
Rank
#146 / 202 | 675635 | ||||
| James L. West Center for Dementia Care | NH ADC HC MC RC SNF | Fort Worth | 112
Facility
112
TX AVG
121
Rank
#180 / 258 |
89.8%
Facility
89.8%
TX AVG
72.9%
Rank
#25 / 178 | +23% | 5.62
Facility
5.62
TX AVG
3.47
Rank
#8 / 233 | -20% | +62% | $58.3k
Facility
$58.3k
TX AVG
$63.8k
Rank
#184 / 236 | 17
Facility
17
TX AVG
28.0
Rank
#59 / 234 | 2.8
Facility
2.8
TX AVG
3.6
Rank
#69 / 234 | 8 | 101 | - |
73
Facility
73
TX AVG
44
Rank
#24 / 276 | James L West Presbyterian Special Care Center | $15.1MFiscal year ending 06/2025
Facility
$15.1MFiscal year ending 06/2025
TX AVG
$10.2M
Rank
#26 / 225 | $10.6MFiscal year ending 06/2025
Facility
$10.6MFiscal year ending 06/2025
TX AVG
$5.8M
Rank
#22 / 225 | 70.2%Fiscal year ending 06/2025
Facility
70.2%Fiscal year ending 06/2025
TX AVG
68.8%
Rank
#40 / 202 | 745019 | ||||
| Cityview Nursing and Rehabilitation Center | NH HC HOS MC RC SNF | Fort Worth | 210
Facility
210
TX AVG
121
Rank
#9 / 258 |
86.5%
Facility
86.5%
TX AVG
72.9%
Rank
#42 / 178 | +19% | 3.45
Facility
3.45
TX AVG
3.47
Rank
#110 / 233 | 0% | -1% | $250.4k
Facility
$250.4k
TX AVG
$63.8k
Rank
#231 / 236 | 43
Facility
43
TX AVG
28.0
Rank
#196 / 234 | 3.3
Facility
3.3
TX AVG
3.6
Rank
#134 / 234 | 6 | 182 | - |
56
Facility
56
TX AVG
44
Rank
#74 / 276 | Decatur Hospital Authority | $18.3MFiscal year ending 12/2024
Facility
$18.3MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#14 / 225 | $9.9MFiscal year ending 12/2024
Facility
$9.9MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#26 / 225 | 54%Fiscal year ending 12/2024
Facility
54%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#124 / 202 | 675622 | ||||
| Spanish Meadows | NH AL SNF | Brownsville | 213
Facility
213
TX AVG
121
Rank
#8 / 258 | - | - | 3.38
Facility
3.38
TX AVG
3.47
Rank
#110 / 233 | -47% | -3% | $11.0k
Facility
$11.0k
TX AVG
$63.8k
Rank
#83 / 236 | 32
Facility
32
TX AVG
28.0
Rank
#164 / 234 | 2.7
Facility
2.7
TX AVG
3.6
Rank
#56 / 234 | 1 | 91 | - |
2
Facility
2
TX AVG
44
Rank
#276 / 276 | Empire Spanish Meadows, Ltd | $9.4MFiscal year ending 12/2024
Facility
$9.4MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#109 / 225 | $5.5MFiscal year ending 12/2024
Facility
$5.5MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#93 / 225 | 57.8%Fiscal year ending 12/2024
Facility
57.8%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#97 / 202 | 455802 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Spanish Meadows
Quick answers from public records and the community's own listing.01 Who is the owner of Spanish Meadows?
Spanish Meadows is legally operated by Empire Spanish Meadows, Ltd.
02 Is Spanish Meadows in a walkable area?
Spanish Meadows has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.
03 What is the occupancy rate at Spanish Meadows?
Spanish Meadows's occupancy is 77.5%.
04 Are pets allowed at Spanish Meadows?
No, Spanish Meadows has a no-pet policy.
05 Does Spanish Meadows operate as a for-profit or non-profit?
Spanish Meadows is registered as a for-profit in TX.
06 What is the overall rating for Spanish Meadows?
Spanish Meadows received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does Spanish Meadows have?
Spanish Meadows has 213 beds.
Updated on
