Nursing home
The Meridian (Skilled Nursing and Continuing Care)
2228 Seawall Blvd, Galveston, TX 77550 · Map
For profit - Corporation · 96 certified beds
The Meridian (Skilled Nursing and Continuing Care) is a Medicare-certified nursing home in Galveston, Texas. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.39 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Oct 30, 2024 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Meridian (Skilled Nursing and Continuing Care) compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.39 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.93 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.29 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 45.7% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 6.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the October 30, 2024 inspection was corrected by November 15, 2024
What inspectors found at The Meridian (Skilled Nursing and Continuing Care)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies · Oct 30, 2024 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Oct 30, 2024 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Oct 30, 2024 · Full report (PDF) - Potential for harm
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 · Oct 30, 2024 · Full report (PDF) - Potential for harm
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 · Oct 30, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Oct 30, 2024 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Oct 30, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Sep 14, 2023 - Potential for harm
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 · Sep 14, 2023 - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Sep 14, 2023 - Actual harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Jul 7, 2022 - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 7, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2228 Seawall Blvd
Galveston, TX 77550 - CMS certification #
- 676260
- Ownership
- For profit - Corporation
- Certified beds
- 96
- Avg residents/day
- 65.9
- Provider type
- Medicare and Medicaid
- First certified
- 2010-09-22
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Meridian (Skilled Nursing and Continuing Care) using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2012
- Emergency In hurricane evacuation zone Coastal Zip-Zone; in FEMA's high-risk flood area (Zone AO)
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jun 17, 2012 to Jun 16, 2014. Violations found: Overtime. Back wages: $2,647 owed to 2 employees. Employer as DOL recorded it: RJ Meridian Care of Galveston (R.J. Meridian Care of Galveston, LLC). Case 1726349.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- University Of Texas Medical Branch Galveston, Galveston. 1.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Cascades at Galveston, Galveston. 5.7 miles away, straight line.
- Nearest home health agency office
- Absolute Home Health, Galveston. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77550 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Island Dialysis, Galveston, 2.8 miles away, straight line (CMS rating 3 of 5 stars)
Fkc Texas City Dialysis Center, Texas City, 12.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Davita Texas City Pd, La Marque, 13.1 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 45 Medicare hospices tell CMS they serve ZIP code 77550.
North Star Hospice, LLC, office in Galveston, 2.7 miles away, straight line
Choice Health At Home, office in Texas City, 15.6 miles away, straight line (CMS family survey rating 2 of 5 stars)
Better Care Matters, office in Texas City, 16.5 miles away, straight line - Nearest geriatric medicine practice
- Utmb Faculty Group Practice, Galveston. 1.6 miles away, straight line. 5 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Coastal Zip-Zone on the Houston-Galveston hurricane evacuation ZIP-Zones. (Houston-Galveston Area Council, map updated Jul 30, 2026)
- Flood zone
- Zone AO: 1% annual chance shallow flooding, usually sheet flow on slopes, 1 to 3 feet deep (high risk). This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- Wildfire risk to homes
- In Galveston, TX, risk to homes is greater than 90% of communities in Texas and 93% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively high, inland flooding relatively low, coastal flooding relatively moderate, wildfire relatively moderate, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is The Meridian (Skilled Nursing and Continuing Care) a good nursing home?
CMS gives The Meridian (Skilled Nursing and Continuing Care) an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Meridian (Skilled Nursing and Continuing Care) staffed?
The Meridian (Skilled Nursing and Continuing Care) reports 4.39 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Meridian (Skilled Nursing and Continuing Care) had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does The Meridian (Skilled Nursing and Continuing Care) have?
The Meridian (Skilled Nursing and Continuing Care) is certified for 96 beds.