CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4558022026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Spanish Meadows

440 E Ruben Torres Blvd · Brownsville, TX 78520 · Cameron County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds119CMS provider file
Recent citation rows41current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-01-29132026-01-293
Cycle 22024-10-24132024-10-246
Cycle 32023-08-2552023-08-251
02 / CITATION DETAIL

41 rows in the current release

1 rows carry G–L scope/severity codes; 1 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-29 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-06-01 · complaint
2026-04-18 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-19 · complaint
2026-04-18 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-19 · complaint
2026-01-29 · HEALTHF0694Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-02
2026-01-29 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-02
2026-01-29 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-02
2026-01-29 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2026-02-02
2026-01-29 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-02
2026-01-29 · HEALTHF0813Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-02
2026-01-29 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-02-04
2026-01-29 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-02-13
2026-01-29 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-26
2026-01-29 · FIREK0511Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2026-02-26
2025-12-05 · HEALTHF0925Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-12-06 · complaint
2025-09-16 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-09-17 · complaint
2025-09-16 · HEALTHF0842Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-09-20 · complaint
2025-03-07 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-03-27 · complaint
2025-03-07 · FIREK0511Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2025-03-10 · complaint
2024-11-26 · HEALTHF0689Severity J · isolated immediate jeopardy

Quality of Life and Care Deficiencies

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

Correction field: Past Non-Compliance · 2024-11-22 · complaint
2024-10-24 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-05 · complaint
2024-10-24 · HEALTHF0623Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-05 · complaint
2024-10-24 · HEALTHF0692Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-05
2024-10-24 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-12-05
2024-10-24 · HEALTHF0732Severity C · widespread; potential for minimal harm

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Correction field: Deficient, Provider has date of correction · 2024-12-05
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-10-17Fine$11,0010
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • LOZANO, RAMIROIndividual · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 07/25/2013
  • LOZANO, RAMIROIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/25/2013
  • CARRILLO, JOSEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/14/2023
  • MOLINAS, MIGUELIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/30/2022
  • VILLANUEVA, ANTONIOIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/24/2025
  • RL SPANISH MEADOWS, LLCOrganization · GENERAL PARTNERSHIP INTEREST
    NOT APPLICABLE · since 07/25/2013
  • LOZANO, RAMIROIndividual · LIMITED PARTNERSHIP INTEREST
    NOT APPLICABLE · since 07/25/2013
  • LOZANO, RAMIROIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 12/30/2024
  • MOLINAS, MIGUELIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/30/2025
  • VILLANUEVA, ANTONIOIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/01/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.13per resident day
RN hours0.16per resident day
Weekend nurse hours2.84per resident day
Staff turnover33.8%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.