Cycle 1
Health 2024-10-30 · Fire 2024-10-30
6 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Galveston, TX
The Meridian
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2228 Seawall Blvd, Galveston, TX
(409) 763-6437
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
96
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2010-09-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.93
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.17
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.29
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
4.39
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
2.10
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.98
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.89
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.98
CMS adjusted RN staffing hours
Adjusted total hours
4.63
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,727
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.83
Composite VBP score used to determine payment impact.
Payment multiplier
0.9919
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.18
Baseline 16.23% · Performance 20.89% · Measure score 1.18 · Achievement 1.18 · Improvement 0
Healthcare-associated infections
4.37
Baseline 8.37% · Performance 6.73% · Measure score 4.37 · Achievement 3.70 · Improvement 4.37
Total nurse turnover
4.24
Baseline 70.33% · Performance 48.78% · Measure score 4.24 · Achievement 3.65 · Improvement 4.24
Adjusted total nurse staffing
5.75
Baseline 4.46 hours · Performance 4.71 hours · Measure score 5.75 · Achievement 5.75 · Improvement 1.43
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.11% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 139 · Observed rate 8.63% · Lower 95% interval 7.15% |
| Discharge to community | 59.39% |
50.57%
8.8 pts better
|
Better than the National Rate · Eligible stays 127 · Observed rate 55.12% · Lower 95% interval 51.12% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.14% |
95.27%
1.9 pts better
|
Numerator 102 · Denominator 105 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 105 |
| Discharge self-care score | 72.22% |
53.69%
18.5 pts better
|
Numerator 39 · Denominator 54 |
| Discharge mobility score | 75.93% |
50.94%
25 pts better
|
Numerator 41 · Denominator 54 |
| Pressure ulcers or injuries, new or worsened | 3.81% |
2.29%
1.5 pts worse
|
Numerator 4 · Denominator 105 · Adjusted rate 3.24% |
| Healthcare-associated infections requiring hospitalization | 6.73% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 92 · Observed rate 5.43% · Lower 95% interval 3.87% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 134 |
| Staff flu vaccination coverage | 10.97% |
42%
31 pts worse
|
Numerator 17 · Denominator 155 |
| Discharge function score | 64.81% |
56.45%
8.4 pts better
|
Numerator 35 · Denominator 54 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 44 · Denominator 44 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 48 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 54.72% |
25.2%
29.5 pts better
|
Numerator 29 · Denominator 53 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 5.1 |
2.1
3 pts worse
|
1.9
3.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.1 · Observed 5.7 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.0 |
2.1
0.9 pts worse
|
1.8
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.4 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
97.1%
1.2 pts better
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 100.0% · Q3 100.0% · Q4 97.7% · 4Q avg 98.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.9%
2.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
3.3%
2.7 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 39.6% |
2.7%
36.9 pts worse
|
11.4%
28.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 36.8% · Q3 32.5% · Q4 68.4% · 4Q avg 39.6% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
3.3%
2.4 pts worse
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 4.9% · Q3 5.1% · Q4 5.0% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.8% |
18.9%
9.9 pts worse
|
19.6%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 26.8% · Q3 30.8% · Q4 37.5% · 4Q avg 28.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.4% |
10.8%
8.6 pts worse
|
16.7%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 14.7% · Q3 16.1% · Q4 25.8% · 4Q avg 19.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.9% |
15.4%
0.5 pts better
|
16.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
16.1%
6.2 pts better
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 5.0% · Q3 8.1% · Q4 19.4% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.5%
0.7 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 1.8% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
0.8%
1 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 6.8% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.1% |
15.0%
1.1 pts worse
|
19.8%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 14.9% · Q3 8.0% · Q4 25.6% · 4Q avg 16.1% |
| Percentage of long-stay residents with pressure ulcers | 9.3% |
4.2%
5.1 pts worse
|
5.1%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 8.4% · Q3 11.7% · Q4 11.1% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.6% |
89.7%
1.9 pts better
|
81.7%
9.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.0% · Q2 87.0% · Q3 96.6% · Q4 96.8% · 4Q avg 91.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
12.0%
3.1 pts better
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 9.4% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.5%
0.1 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.0% · Q3 0.0% · Q4 3.2% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.9% |
88.0%
0.9 pts better
|
79.7%
9.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 38.2% |
25.9%
12.3 pts worse
|
23.9%
14.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 38.2% · Observed 37.6% · Expected 23.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-14 · Fire 2023-09-14
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-07-07 · Fire 2022-07-07
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-30
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-15
F · Potential for more than minimal harm
2024-10-30
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-10-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-15
E · Potential for more than minimal harm
2023-09-14
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-15
D · Potential for more than minimal harm
2023-09-14
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-15
E · Potential for more than minimal harm
2022-07-07
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-07-29
D · Potential for more than minimal harm
2022-07-07
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2022-07-26
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-10-30
F626 · Resident Rights Deficiencies
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-10-30
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-10-30
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-10-30
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-10-30
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-10-30
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-10-30
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-11-15
E · Potential for more than minimal harm
2023-09-14
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-10-14
E · Potential for more than minimal harm
2023-09-14
F761 · Pharmacy Service Deficiencies
Health
Ensure 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.
Corrected 2023-10-14
D · Potential for more than minimal harm
2023-09-14
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-09-18
G · Actual harm
2022-07-07
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-08-06
E · Potential for more than minimal harm
2022-07-07
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-08-06
D · Potential for more than minimal harm
2022-07-07
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-08-06
D · Potential for more than minimal harm
2022-07-07
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-08-06
Penalties and ownership
What sits behind the stars
Ownership
Balentine, Jay
5% Or Greater Direct Ownership Interest · Individual
Lozano, Ramiro
5% Or Greater Direct Ownership Interest · Individual
Buelow, Sean
Operational/Managerial Control · Individual
Greene, Sherita
Operational/Managerial Control · Individual
Kaushik, Vinod
Operational/Managerial Control · Individual
Lozano, Ramiro
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Cascades at Galveston
Galveston, TX
1-star overall rating with 1-star inspections with $143,836 in total fines with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
The Phoenix Post-Acute
Texas City, TX
1-star overall rating with 2-star inspections with $90,049 in total fines with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Solidago Health And Rehabilitation
Texas City, TX
3-star overall rating with 2-star inspections with $239,436 in total fines with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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