ElderGrade
B

77/100

Above average

The Meridian

2228 Seawall Blvd, Galveston, TX 77550

CMS 3/5 stars #2 of 12 in Galveston County (409) 763-6437
Certified beds
96
Occupancy
64%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.57 total nurse hours per resident per day (national median 3.77)
  • 0.84 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 53% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.47 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.84 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.11 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 52.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 14 citations

Last standard health inspection: October 30, 2024 (1 year ago).

D Oct 30, 2024 F0640

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

No actual harm, potential for more than minimal harm

D Oct 30, 2024 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Oct 30, 2024 F0657

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Oct 30, 2024 F0661

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

No actual harm, potential for more than minimal harm

D Oct 30, 2024 F0757

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

D Oct 30, 2024 F0921

Environmental Deficiencies

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

No actual harm, potential for more than minimal harm

D Oct 30, 2024 F0626 From a complaint

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

No actual harm, potential for more than minimal harm

E Sep 14, 2023 F0657

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of RJ MERIDIAN CARE, which operates 5 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BALENTINE, JAY Individual DIRECT OWNERSHIP INTEREST
LOZANO, RAMIRO Individual DIRECT OWNERSHIP INTEREST
LOZANO, RAMIRO Individual CORPORATE OFFICER
BUELOW, SEAN Individual OPERATIONAL/MANAGERIAL CONTROL
GREENE, SHERITA Individual OPERATIONAL/MANAGERIAL CONTROL
KAUSHIK, VINOD Individual OPERATIONAL/MANAGERIAL CONTROL
BALENTINE, JAY Individual ADP OF THE SNF
BUELOW, SEAN Individual ADP OF THE SNF
KAUSHIK, VINOD Individual ADP OF THE SNF
LOZANO, RAMIRO Individual ADP OF THE SNF

What families say

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Common questions about The Meridian

What is the ElderGrade for The Meridian? +

The Meridian holds an ElderGrade of B (77 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at The Meridian? +

Residents receive an average of 4.47 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Meridian been cited for harming residents? +

Yes. 1 of the 14 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does The Meridian accept Medicaid? +

Yes, The Meridian is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.