For profit - Corporation · 96 certified beds · CMS number 676260

The Meridian, Galveston, TX

CMS records 14 health deficiencies at The Meridian in Galveston, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Oct 30, 2024. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for The Meridian as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Meridian may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (6 deficiencies)

Standard inspection Oct 30, 2024. CMS counts 6 health deficiencies and 3 fire safety deficiencies in this cycle.

Oct 30, 2024 · Standard inspection

6 deficiencies, highest D

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 15, 2024

F757 · Avoiding unnecessary drugs

Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 15, 2024

F661 · Discharge summary

Requirement cited (CMS): Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 15, 2024

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 15, 2024

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 15, 2024

F640 · Submitting assessment data on time

Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 15, 2024
Previous cycle: 4 deficiencies (standard inspection Sep 14, 2023)

Standard inspection Sep 14, 2023. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.

Oct 30, 2024 · Complaint inspection

1 deficiency, highest D

F626 · Returning after a hospital stay

Requirement cited (CMS): Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 15, 2024

Sep 14, 2023 · Standard + complaint inspection

3 deficiencies, highest E

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 14, 2023

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 14, 2023

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 18, 2023
Earlier cycle: 4 deficiencies (standard inspection Jul 7, 2022)

Standard inspection Jul 7, 2022. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.

Jul 7, 2022 · Standard inspection

4 deficiencies, highest G

F757 · Avoiding unnecessary drugs

Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 6, 2022

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 6, 2022

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Aug 6, 2022

F640 · Submitting assessment data on time

Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 6, 2022

Tags cited in more than one inspection

3 tags cited on more than one inspection date at The Meridian; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F640 Submitting assessment data on time2Oct 30, 2024; Jul 7, 2022
F657 Care plan timing and team review2Oct 30, 2024; Sep 14, 2023
F757 Avoiding unnecessary drugs2Oct 30, 2024; Jul 7, 2022

Fines and payment denials

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

Staffing and CMS ratings

Total nurse staff hours per resident per day
4.47 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.84 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
4.11 h
Nursing staff turnover
52.7% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measure rating
1 of 5

CMS figures for The Meridian, copied as published; Texas medians are ours.

Facility details

Address
2228 Seawall Blvd, Galveston, TX 77550
Phone
(409) 763-6437
County
Galveston
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Not part of a chain in CMS data
Certified beds
96
Average residents per day
61.3
In Medicare/Medicaid since
Sep 22, 2010
Inside a hospital
No
Continuing care retirement community
Yes
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • Who is responsible for completing and submitting resident assessment data? (F640, cited 2 times)
  • Who sits on the care planning team, and how are family members invited? (F657, cited 2 times)
  • How often is a resident's full medication list reviewed for drugs that may no longer be needed? (F757, cited 2 times)
  • What happens if a hospital stay lasts longer than the bed-hold period? (F626, cited 1 time)

Other nursing homes in Galveston

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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