Spanish Meadows faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 53th percentile among Texas nursing homes, suggesting significant room for improvement.
Staffing at Spanish Meadows is near the national average, with 3.47 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 26 deficiencies at Spanish Meadows, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: make sure there is a pest control program to prevent/deal with mice, insects, or other pests..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.47 | 3.8 | Average |
| Registered Nurses (RN) | 0.19 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.33 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.95 | 2.4 | Below Average |
| Weekend Total Nursing | 3.09 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0925 Severity DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Dec 4, 2025 · Environmental Deficiencies
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarSep 15, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Sep 15, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dMar 6, 2025 · Resident Rights Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 25, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.4% | 4.5% | Worse |
| Falls with major injury | 1.3% | 3.0% | Better |
| On antipsychotic medication | 15.0% | 14.5% | Average |
| Urinary tract infections | 4.0% | 2.5% | Worse |
| ADL decline (daily activities) | 18.2% | 14.0% | Worse |
| Excessive weight loss | 3.9% | 7.5% | Better |
| New/worsened incontinence | 19.7% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $14,790
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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