The Meridian

Name: The Meridian
Address: 2228 SEAWALL BLVD, Galveston, TX, 77550, US
Telephone: 4097636437

2228 Seawall Blvd, Galveston, TX 77550 · Galveston County · 96 certified beds · avg 61 residents/day · certified since Sep 22, 2010

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.57

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jul 7, 2022 · F-0690

The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.

Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 6, 2022 (Deficient, Provider has date of correction)

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Oct 30, 2024	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Oct 30, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 30, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Oct 30, 2024	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Oct 30, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 30, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 30, 2024	D · Potential for harm, one-off	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint
Sep 14, 2023	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 14, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 14, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint
Jul 7, 2022	▲ G · Actual harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jul 7, 2022	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 7, 2022	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jul 7, 2022	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2022	4	1	G ▲
2023	3	0	E
2024	7	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.57	3.46	3.95	top 7% in Texas; top 21% in the U.S.
Registered Nurse hours	0.86	0.44	0.69	top 5% in Texas; top 23% in the U.S.
Weekend total nurse staffing	4.20	3.04	3.50	top 6% in Texas; top 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.68	0.34	0.48	top 5% in Texas; top 17% in the U.S.
Total nursing staff turnover (%)	52.7	55.3	45.8	bottom 48% in Texas; bottom 30% in the U.S.
RN turnover (%)	60.0	54.6	42.9	bottom 42% in Texas; bottom 22% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.47, RN 0.84, weekend 4.11. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Balentine, Jay	Individual	Direct Ownership Interest	NOT APPLICABLE	03/25/2010
Lozano, Ramiro	Individual	Direct Ownership Interest	NOT APPLICABLE	03/24/2010
Balentine, Jay	Individual	ADP of the SNF	NOT APPLICABLE	03/25/2010
Buelow, Sean	Individual	Operational/Managerial Control	NOT APPLICABLE	06/24/2024
Buelow, Sean	Individual	ADP of the SNF	NOT APPLICABLE	01/30/2025
Greene, Sherita	Individual	Operational/Managerial Control	NOT APPLICABLE	11/29/2021
Kaushik, Vinod	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Kaushik, Vinod	Individual	ADP of the SNF	NOT APPLICABLE	01/30/2025
Lozano, Ramiro	Individual	Corporate Officer	NOT APPLICABLE	03/24/2010
Lozano, Ramiro	Individual	ADP of the SNF	NOT APPLICABLE	03/26/2010

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"If my family member is hospitalized, what is your bed-hold policy and what guarantees their right to return?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Galveston Nursing and Rehabilitation Center	5.7 mi	Galveston, TX	★☆☆☆☆	1/5	SFF
The Phoenix Post-Acute	9.8 mi	Texas City, TX	★★★☆☆	3/5
Harbor Point Skilled Nursing	11.5 mi	Texas City, TX	★★★★☆	5/5
The Shoal	13.7 mi	Texas City, TX	★★★★★	5/5
Seabreeze Nursing and Rehabilitation	13.8 mi	Texas City, TX	★☆☆☆☆	1/5	abuse
The Lakes at Texas City	14.7 mi	Texas City, TX	★★☆☆☆	3/5
Bayou Pines Care Center	14.8 mi	La Marque, TX	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Galveston →

Facility data as of CMS processing date 2026-08-01. CCN 676260.

The Care File

Visit checklist — The Meridian

2228 Seawall Blvd, Galveston, TX 77550 · 4097636437

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Most serious findings on record:

▲ Jul 7, 2022 (F-0690, Actual harm, one-off): The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.

Questions for the administrator:

☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "If my family member is hospitalized, what is your bed-hold policy and what guarantees their right to return?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676260 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)