# Spanish Meadows

Spanish Meadows is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Brownsville, TX, CMS Certification Number 455802, with 119 certified beds and about 91 residents per day. CMS rates it 3/5 overall (health inspections 3/5, staffing 2/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 440 E Ruben Torres Blvd, Brownsville, TX 78520 (Cameron County)
- Ownership type: For profit - Individual

- Operator (legal business name): [Empire Spanish Meadows Ltd](https://carefield.site/operator/op-empire-spanish-meadows-ltd)
- CMS chain: not part of a CMS-reported chain

- Phone: 9565467378
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/455802

## Inspection record
16 inspections in the CMS window (latest 2026-07-23); 42 citations (32 health, 10 fire safety); 0 at actual harm and 1 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2024-11-26 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity J (Immediate jeopardy to resident health or safety); Past non-compliance; complaint survey
- 2026-07-23 — [F-0644](https://carefield.site/deficiency/cms-f0644) Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-07-23 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-29 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-04-18 — [F-0607](https://carefield.site/deficiency/cms-f0607) Develop and implement policies and procedures to prevent abuse, neglect, and theft. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-04-18 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-01-29 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-29 — [K-0372](https://carefield.site/deficiency/cms-k0372) Ensure smoke barriers are constructed to a 1 hour fire resistance rating. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-29 — [K-0511](https://carefield.site/deficiency/cms-k0511) Have properly installed electrical wiring and gas equipment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-29 — [F-0694](https://carefield.site/deficiency/cms-f0694) Provide for the safe, appropriate administration of IV fluids for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-29 — [F-0695](https://carefield.site/deficiency/cms-f0695) Provide safe and appropriate respiratory care for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-29 — [F-0755](https://carefield.site/deficiency/cms-f0755) Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-29 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-29 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-29 — [F-0813](https://carefield.site/deficiency/cms-f0813) Have a policy regarding use and storage of foods brought to residents by family and other visitors. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-29 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-05 — [F-0925](https://carefield.site/deficiency/cms-f0925) Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-09-16 — [F-0644](https://carefield.site/deficiency/cms-f0644) Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-09-16 — [F-0842](https://carefield.site/deficiency/cms-f0842) Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-03-07 — [K-0511](https://carefield.site/deficiency/cms-k0511) Have properly installed electrical wiring and gas equipment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- …and 22 more on the source page.

## Penalties
- 2024-10-17 — Civil money penalty (fine): $11,001

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.55466 (state avg 3.41615, US 3.90085)
- RN: 0.21535
- Nursing staff turnover: 29.6%

## Owners and managers of record (CMS disclosures)
- Ramiro Lozano — Direct owner, since 2013-07-25
- Jose Carrillo — Operational / managerial control, since 2023-11-14
- Miguel Molinas — Operational / managerial control, since 2022-01-30
- Antonio Villanueva — Operational / managerial control, since 2025-03-24

## Nearby nursing homes
- [Ebony Lake Nursing and Rehabilitation Center](https://carefield.site/facility/cms-675635) — 2.5 km, CMS overall 5/5
- [Alta Vista Rehabilitation and Healthcare](https://carefield.site/facility/cms-455625) — 3.6 km, CMS overall 5/5
- [Mesa Hills Post Acute](https://carefield.site/facility/cms-455423) — 4.4 km, CMS overall 2/5
- [Las Alturas Nursing & Transitional Care Brownsvill](https://carefield.site/facility/cms-745049) — 5.3 km, CMS overall 3/5
- [Fox Hollow Post Acute](https://carefield.site/facility/cms-676398) — 6.2 km, CMS overall 1/5
- [Brownsville Nursing and Rehabilitation Center](https://carefield.site/facility/cms-676083) — 8.2 km, CMS overall 1/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455802&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455802&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455802&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455802&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455802&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455802&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-455802 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.