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Nursing homeFAID #12194

Spanish Meadows

440 E RUBEN TORRES BLVD, BROWNSVILLE, TX, 78520

(956) 546-7378

www.spanishmeadow.com

119 licensed beds

CMS rates Spanish Meadows 3 out of 5 overall. Federal inspectors issued 42 citations across 17 inspections in the last three years, with $11,001 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

440 E Ruben Torres Blvd

Brownsville, TX 78520

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Public record summary

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Bed capacity

119

CMS facility ID

455802

Care type

Nursing home

County

Cameron

Facility name

Spanish Meadows

Street address

440 E RUBEN TORRES BLVD

City / state / ZIP

Brownsville, TX 78520

Phone

(956) 546-7378

Website

www.spanishmeadow.com

About this facility — Spanish Meadows

Spanish Meadows is a Medicare/Medicaid-certified skilled nursing facility in Brownsville, Texas. It is licensed for 119 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 24 senior care facilities in Brownsville and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Spanish Meadows 42 times across 17 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $11,001 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Individual

Registered owners & officers

Carrillo, Jose

Operational control — since 2023

Lozano, Ramiro

Direct owner · Officer · Partner · Additional disclosable party — since 2013

Molinas, Miguel

Operational control · Additional disclosable party — since 2022

Rl Spanish Meadows, Llc

Partner — since 2013

Villanueva, Antonio

Operational control · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1989-04-05

CMS overall rating

3 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

$11,001 total

Last standard inspection

2026-01-29

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$393 per day (≈ $11,950/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

69% Medicaid · 7% Medicare · 24% private/other

Occupancy

84% (fiscal year 2023)

Vs. state median

42% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

119

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-23Health inspectionComplaint-triggered2 citations

F-0644

D · No harm foundFrom a complaint

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-07-24

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-07-24

2026-05-29Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-06-01

14 earlier / fire-safety inspections (39 citations)

2026-04-18Health inspectionComplaint-triggered2 citations

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-04-19

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-04-19

2026-01-29Health inspection7 citations

F-0694

D · No harm found

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2026-02-02

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-02-02

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-02-02

F-0761

D · No harm found

Ensure 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 locked compartments, separately locked, compartments for controlled drugs.

Corrected 2026-02-02

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-02-02

F-0813

D · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2026-02-02

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-02-04

2025-12-05Health inspectionComplaint-triggered1 citation

F-0925

D · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-12-06

2025-09-16Health inspectionComplaint-triggered2 citations

F-0644

D · No harm foundFrom a complaint

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-09-17

F-0842

E · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-20

2025-03-07Health inspectionComplaint-triggered1 citation

F-0584

D · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-03-27

2024-11-26Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-22

2024-10-24Health inspectionComplaint-triggered9 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-12-05

F-0623

D · No harm foundFrom a complaint

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-12-05

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-12-05

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-12-05

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2024-12-05

F-0802

E · No harm foundFood safety

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-12-05

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-05

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-12-05

F-0921

D · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-12-05

2024-10-17Health inspectionComplaint-triggered2 citations

F-0584

D · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-12-05

F-0921

E · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-12-05

2024-02-01Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-02-21

2023-08-25Health inspection3 citations

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-08

F-0838

D · No harm found

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2023-09-08

F-0925

D · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-09-08

2026-01-29Fire-safety inspection3 citations

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2026-02-13

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-03-26

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-02-26

2025-03-07Fire-safety inspectionComplaint-triggered1 citation

K-0511

D · No harm foundFrom a complaint

Have properly installed electrical wiring and gas equipment.

Corrected 2025-03-10

2024-10-24Fire-safety inspection5 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-12-05

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-12-05

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-12-05

K-0914

E · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-12-05

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-05

2023-08-25Fire-safety inspection1 citation

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-10-20

Federal penalties

2024-10-17Fine$11,001

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455802.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 68% of nursing homes in the state

State median: 33

Federal fines, 3 years

$11,001

More than 43% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.6

Higher than 74% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

30%

Higher than 6% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 8 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	15.5%	15.8%	13.5%	Near state average
Lose too much weight	6.9%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.5%	0.3%	0.7%	Worse than state
With a urinary tract infection	2.1%	0.8%	1.5%	Worse than state
Have depressive symptoms	1.1%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.1%	3.2%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	15.3%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	19.1%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	98.7%	97.0%	95.3%	Near state average
With pressure ulcers	6.3%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	14.1%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	9.5%	9.8%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	1.84	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.21	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.3%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	95.3%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	34.4%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	6.4%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0644 2 inspections. Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0880 2 inspections. Provide and implement an infection prevention and control program.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Valley Baptist Medical Center- Brownsville, about 1.3 miles. CMS rating 3 of 5.
Valley Regional Medical Center, about 5.6 miles. CMS rating 2 of 5.
Vhs Harlingen Hospital Company Llc, about 22 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Ebony Lake Nursing and Rehabilitation Center, Brownsville, about 1.6 miles. CMS rating 5 of 5.
Alta Vista Rehabilitation and Healthcare, Brownsville, about 2.2 miles. CMS rating 5 of 5.
Mesa Hills Post Acute, Brownsville, about 2.8 miles. CMS rating 2 of 5.
Las Alturas Nursing & Transitional Care Brownsvill, Brownsville, about 3.3 miles. CMS rating 3 of 5.
Fox Hollow Post Acute, Brownsville, about 3.9 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

3.118 ratings on Google

★★★Choche Cano · 2025-12-16 · via Google
“I was there about 5 days in September of this year. Most of the employees are good. It’s like any workplace. You’re going to have some employees that don’t follow the rules. Those employees are Not going to change. They like that kind of life. There’s a saying in Spanish: “les gusta la mala vida!!” That’s reality in our Hispanic culture. “They give a bad name for the rest of Us!” The…”

★Mayra Lopez · 2026-07-10 · via Google
“I wish I could give this horrible place a 0-star rating and more, it doesn't even begin to capture the horrible experience. After my brother visiting my 85-year-old aunt who was only there for rehab, he was appalled by the horrible treatment she received. My brother and other families, as well as staff members, witnessed numerous incidents and still, no one took action. I truly hope the state take…”

★★★★★Sofie Vee · 2025-10-12 · via Google
“I am so Grateful to the staff of Spanish Meadows for the excellent care they provided my mom. They were friendly, polite and very attentive of all my mom’s needs. The Director of Nursing Joe and Nurse Alicia answered all our questions with respect and a positive attitude they were so helpful. Their professionalism and knowledge was evident. I cannot recommend Spanish Meadows highly enough, they w…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 42 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered