The Meridian

2228 Seawall Blvd, Galveston, TX 77550 (opens Google Maps) · Galveston County · (409) 763-6437· 96 certified beds · avg 61 residents/day · certified since Sep 22, 2010 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Oct 30, 2024

Serious findings on record

most recent Jul 7, 2022

Fines, last 3 years

4.57

Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

Inspection findings in the public record

Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.

Oct 30, 2024D · Potential for more than minimal harm, isolated
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. F-0640
Oct 30, 2024D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
Oct 30, 2024D · Potential for more than minimal harm, isolated
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. F-0657

View all 14 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Oct 30, 2024	D · Potential for more than minimal harm, isolated	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. · F-0640
Oct 30, 2024	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Oct 30, 2024	D · Potential for more than minimal harm, isolated	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. · F-0657
Oct 30, 2024	D · Potential for more than minimal harm, isolated	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. · F-0661
Oct 30, 2024	D · Potential for more than minimal harm, isolated	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. · F-0757
Oct 30, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Oct 30, 2024	D · Potential for more than minimal harm, isolated	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 · F-0626
Sep 14, 2023	E · Potential for more than minimal harm, pattern	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. · F-0657
Sep 14, 2023	E · Potential for more than minimal harm, pattern	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. · F-0761
Sep 14, 2023	D · Potential for more than minimal harm, isolated	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 · F-0644
Jul 7, 2022	▲ G · Actual harm, isolated	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. · F-0690
Jul 7, 2022	E · Potential for more than minimal harm, pattern	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jul 7, 2022	D · Potential for more than minimal harm, isolated	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. · F-0640
Jul 7, 2022	D · Potential for more than minimal harm, isolated	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. · F-0757

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2022

2023

2024

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityTexas averageU.S. average

Total nurse staffing (hours per resident per day)

4.57

3.46

3.95

Registered Nurse hours

0.86

0.44

0.69

Weekend total nurse staffing

4.20

3.04

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.47 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for The Meridian. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 10 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 53% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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 →

Other facilities in the same county

CMS records place this facility in Galveston, TX — 12 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Baywind Village Skilled Nursing & Rehab — League City, TX · overall 5/5
Friendship Haven Healthcare and Rehabilitation Cen — Friendswood, TX · overall 4/5
MRC the Crossings — League City, TX · overall 5/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Galveston →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — The Meridian

2228 Seawall Blvd, Galveston, TX 77550 · (409) 763-6437

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

Most serious findings on record:

▲ Jul 7, 2022 (F-0690, Actual harm, isolated): 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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 53% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)