facebook tracking The Meridian, Galveston TX: CMS Ratings & Inspections
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The Meridian

All states › Texas › Galveston › The Meridian

2228 Seawall Blvd Galveston, TX 77550 · Galveston County

(409) 763-6437

All 2 nursing homes in Galveston, TX (2 take Medicaid)

Accepts Medicare Accepts Medicaid 96 certified beds For profit Continuing care retirement community

CMS certification number 676260 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is The Meridian a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Meridian as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 16 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.20 hours per resident per day at The Meridian, above the Texas median of 3.30 (US median: 3.72). About 0.85 of those hours are from registered nurses. On weekends it falls to 3.98 hours, 5% below its all-week average. 51.8% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 4.20 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.85 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.98 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 51.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 52.9% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds96
Residents per day 66 About 69% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 2010
Legal business nameRJ MERIDIAN CARE OF GALVESTON,LLC

Paying for care at The Meridian: Medicare and Medicaid

The Meridian is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on October 30, 2024 and found 6 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 16 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 16 citations at The Meridian across 5 inspection dates, 3 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on July 7, 2022. The most common areas cited were resident assessment and care planning (8) and pharmacy service (4). The most serious was cited under the CMS rule to "provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections" (tag F0690, level G, July 7, 2022).

August 26, 2026 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Sep 22, 2026)

August 11, 2026 · 1 citation · includes complaint inspection

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Aug 25, 2026)

October 30, 2024 · 7 citations · includes complaint inspection

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0626 · Complaint inspection · Deficient, Provider has date of correction (Nov 15, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Nov 15, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Nov 15, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Nov 15, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0661 · Deficient, Provider has date of correction (Nov 15, 2024)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Nov 15, 2024)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Nov 15, 2024)

September 14, 2023 · 3 citations

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Oct 14, 2023)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Oct 14, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Sep 18, 2023)

July 7, 2022 · 4 citations, includes actual harm

GProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Actual harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Aug 6, 2022)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Aug 6, 2022)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Aug 6, 2022)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Aug 6, 2022)

Questions to ask on a tour of The Meridian

  1. Inspectors cited the home at the actual-harm level on July 7, 2022 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 4/5 2/5
August 2026 3/5 4/5 4/5 1/5
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Location

Hospitals near The Meridian

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Galveston Nursing and Rehabilitation Center Galveston · 5.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 150 beds · Medicaid
The Phoenix Post-Acute Texas City · 9.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 134 beds · Medicaid
Harbor Point Skilled Nursing Texas City · 11.5 mi away ★★★★☆ Inspection 5/5 · Staffing 1/5 129 beds · Medicaid
The Shoal Texas City · 13.7 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 134 beds · Medicaid
Seabreeze Nursing and Rehabilitation Texas City · 13.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 107 beds · Medicaid

More nursing homes near The Meridian ›   All nursing homes in Galveston ›

Compare The Meridian with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/galveston/the-meridian/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.