Spanish Meadows
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 15 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- Above-median deficiencies (12 vs median 8.0)
Above average in Texas · Critically understaffed (RN) · Above average staffing · Low staff turnover (stable workforce) · $14,790 in fines
What this means for your family
This facility offers highly professional nursing leadership and a capable rehab team that can provide excellent clinical care. However, families must be extremely vigilant regarding communication and the management of personal belongings, as several reviewers noted issues with lost clothing and lack of updates on medical status.
Google Reviews
Google Reviews
15 reviews on Google“Families may find high-quality nursing and rehabilitation care from specific staff members, such as the Director of Nursing, who are described as professional and attentive. However, there are significant, recurring concerns regarding poor communication, lost personal belongings, and slow response times to call lights.”
Quality Themes
Tap a score for detailsStrengths
- Professional nursing leadership
- Compassionate rehabilitation team
- Welcoming environment for volunteers
Concerns
- Poor communication regarding medical status and room changes (mentioned by 2 reviewers)
- Loss of residents' clothing and personal items (mentioned by 2 reviewers)
- Slow response times to call lights and resident needs (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 27 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about your nursing leadership and rehab team; how do those professionals work together to create a care plan for a new resident?
- 2How does the nursing staff ensure that family members are kept updated on any changes in a resident's medical status or room assignments?
- 3What specific steps does your team take to ensure that residents' personal belongings and clothing are organized and kept safe?
- 4How do you manage call light response times to ensure that residents' needs are met promptly, especially during busy shifts?
- 5What is the process for notifying families if there is an urgent change in a resident's medical condition or an emergency after hours?
- 6What kind of daily activities or social events are available to help residents stay engaged and connected with the community?
Personalized based on this facility's data
Key Review Excerpts
“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.”
“Mi padre estuvo ahí , totalmente desorganizados, no hay comunicación entre el personal , su ropa siempre perdida , hace 2 semanas mi hermana y yo decidimos llamar a la ambulancia porque no veíamos bien a mi papá , en el hospital nos informaron que tenía neumonía y en el nursing home nunca nos dijeron nada”
“The rehabilitation team was caring, compassionate, & competent in their expertise.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
5
measures
6
measures
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents who got a urinary tract infection
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Spanish Meadows has concerning patterns with 34 deficiencies across 10 surveys, including 12 complaint-triggered issues where families reported problems. The facility repeatedly struggles with maintaining a safe, clean environment, food safety and nutrition services, and infection control. While most individual violations show correction dates, the recurring nature of similar problems—particularly around environmental safety and dietary services—suggests ongoing operational challenges that families should carefully consider before visiting.
Jan 29, 2026Routine10
Smoke Deficiencies
Provide properly protected cooking facilities.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Dec 5, 2025Complaint1
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Sep 16, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Mar 7, 2025Complaint2
Resident Rights Deficiencies
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.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Nov 26, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 24, 2024Routine24
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Federal Penalties
Fine
Oct 17, 2024
$11,001
Fine
Aug 14, 2023
$3,789
Payment Denial
Aug 14, 2023
22-day denial
Ownership & Operations
Who Operates This Facility
Empire Spanish Meadows, Ltd
for profit
SANDRA GONZALEZ
Ownership & Management
Owners
Lozano, Ramiro
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
15 reviews from families & visitors
Official Website
Visit spanish-meadows-brownsville.com
Medicare data downloads
Original nursing home datasets
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