Nursing HomeInspections

Spanish Meadows

Nursing home in Brownsville, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (956) 546-7378Send a messageMap ↗

Public-record details

Address
440 E Ruben Torres Blvd, Brownsville, TX 78520
Phone
(956) 546-7378
Listed under
For-profit
Medicare CCN
455802
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
119
Average residents per day
95
Ownership
For-profit, individual
Legal business name
Empire Spanish Meadows LTD
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 5, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455802. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 29, 2026. CMS lists 31 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 14, 2023 to May 29, 2026): 14 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 29, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 18, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 18, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 29, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 29, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 29, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 29, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 29, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jan 29, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jan 29, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Dec 5, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 16, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 31. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $11,001 in the last three years.

Oct 17, 2024Fine: $11,001

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.13 hours
Registered nurse (RN) time per resident per day
0.16 hours
Nurse aide time per resident per day
1.81 hours
Total nurse staffing on weekends
2.84 hours
Nursing staff turnover (yearly)
34%
RN turnover (yearly)
40%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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