The Meridian
Nursing Home · 2228 Seawall Blvd, Galveston, TX 77550 · 4097636437
B
graded on 75% of our rubric
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 4.0 / 5 | high |
| Staffing | 3.2 / 5 | high |
| Clinical outcomes | 2.2 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 3.8 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 96 |
| Ownership | For Profit - Corporation |
| Operator | Rj Meridian Care Of Galveston,Llc |
| Chain size | 5 facilities |
| Certified since | 2010-09-22 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$ of 5 · ~$402/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 1 actual harm · 13 potential for harm · 0 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2024-10-30 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (Resident Assessment and Care Planning Deficiencies, tag 0640) | D | corrected 2024-11-15 |
| 2024-10-30 | Ensure each resident receives an accurate assessment. (Resident Assessment and Care Planning Deficiencies, tag 0641) | D | corrected 2024-11-15 |
| 2024-10-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Resident Assessment and Care Planning Deficiencies, tag 0657) | D | corrected 2024-11-15 |
| 2024-10-30 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Resident Assessment and Care Planning Deficiencies, tag 0661) | D | corrected 2024-11-15 |
| 2024-10-30 | Ensure each resident’s drug regimen must be free from unnecessary drugs. (Pharmacy Service Deficiencies, tag 0757) | D | corrected 2024-11-15 |
| 2024-10-30 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Environmental Deficiencies, tag 0921) | D | corrected 2024-11-15 |
| 2024-10-30 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (Resident Rights Deficiencies, tag 0626) | D | corrected 2024-11-15 |
| 2023-09-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Resident Assessment and Care Planning Deficiencies, tag 0657) | E | corrected 2023-10-14 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 4.42 hrs/resident/day (expected 3.72 for this facility's resident acuity — at or above expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.77 hrs/resident/day (expected 0.65 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 2.39 · LPN 1.26 hrs/resident/day
- Weekend total staffing: 4.06 hrs/resident/day (expected 3.30 for this facility's resident acuity — at or above expected)
- Annual nursing-staff turnover: 56.2% · RN turnover 62.5% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.34 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers (long stay) | 9.1% | 8.4 → 11.7 → 11.1 → 5.6 | worse than 92% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 1.9% | 1.9 → 1.8 → 1.2 → 2.6 | worse than 86% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 3.3% | 0 → 6.8 → 0 → 5.9 | worse than 84% of US homes · TX median 0.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 1.9% | 1 → 0 → 3.2 → 3.3 | worse than 71% of US homes · TX median 0.7% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 16% | 12.1 → 13.8 → 21.4 → 17.1 | worse than 60% of US homes · TX median 8.1% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 15.9% | not reported | worse than 59% of US homes · TX median 13% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 14.4% | 5 → 8.1 → 19.4 → 23.4 | worse than 56% of US homes · TX median 14.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 1.6% | 0 → 0 → 2.3 → 3.8 | better than 73% of US homes · TX median 3% |
What this costs
- This facility's reported avg daily charge: $402/day · $$$$ (price tier 4 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 51% Medicaid · 16% Medicare · 33% other/private · 58% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Galveston County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| University of Texas Medical Branch Galveston | Galveston | Yes | 3★ | Acute care |
| Shriners Hospitals for Children | Galveston | No | — | Children's |
Compare nearby
- A Mrc The Crossings · League City
- A- Baywind Village Skilled Nursing & Rehab · League City
- B+ Friendship Haven Healthcare And Rehabilitation Cen · Friendswood
- C+ The Lakes At Texas City · Texas City
- C+ Solidago Health And Rehabilitation · Texas City
- C+ The Phoenix Post-Acute · Texas City
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Galveston County nursing homes coverage. Spot an error? Tell us.