The Meridian
2228 SEAWALL BLVD, Galveston, TX, 77550
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation
- Certified beds
- 96 · avg 66 residents/day
- Total nursing staff turnover
- 45.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 52.9% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 143579
- Service type
- Medicare/medicaid
- Licensed capacity
- 96 beds
- Bed type breakdown
- 13 Medicare-only · 83 Medicaid/Medicare
- Current license effective
- September 22, 2024
- Current license expires
- September 22, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Rj Meridian Care Of Galveston Llc (Limited Liability Company (LLC))
- Administrator
- Sean L Buelow
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the rj Meridian Care.
Disclosed owners (5 on record)
- Sean Buelow
Adp of The Snf · since 2025
- Vinod p Kaushik
Adp of The Snf · since 2025
- Sherita Nashay Greene
Operational/managerial Control · since 2021
- Ramiro g Lozano
Adp of The Snf · since 2010
- Jay Balentine
Direct Ownership Interest · 50% · since 2010
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 14)
- D0626·Oct 30, 2024Complaint
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- D0921·Oct 30, 2024
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0757·Oct 30, 2024
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D0661·Oct 30, 2024
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D0657·Oct 30, 2024
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0641·Oct 30, 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0640·Oct 30, 2024
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D0644·Sep 14, 2023Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Oct 30, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Meridian is a 96-bed nursing home in Galveston, Texas, licensed since 1971 and currently active through September 2027. CMS rates it 4 stars overall, with 4-star scores on health inspections and staffing. Quality-of-care outcomes rate 3 stars. The facility is operating at roughly 69% of licensed capacity, with 65 of 96 beds occupied on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 4 stars here — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 263 minutes of nursing care per day. The facility's resident mix is less dependent on hands-on care than average, meaning those hours stretch further than they would at a typical Texas nursing home.
Two administrators have left in the past year. That pace of leadership turnover tends to ripple into daily operations — care plans, staffing schedules, and vendor relationships all run through the administrator's office.
The facility is running at about 69% of its licensed 96 beds, with roughly 66 residents on an average day. That level of vacancy — about 30 beds unfilled — is notable given the facility's overall profile.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator tenure
Two administrators left in the past year — ask how long the current administrator has been in the role and whether they expect to stay.
Why so many beds are empty
The facility averages about 66 residents in 96 licensed beds — ask what's driving the roughly 30 vacant beds and whether staffing or admissions policy has changed.
What the 3-star outcomes rating reflects
CMS rates quality-of-care outcomes 3 stars despite a 4-star staffing score — ask which specific measures are pulling that rating down.
How care plans are reviewed
With two administrator changes in one year, ask who currently oversees care-plan reviews and how often each resident's plan is updated.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how findings are communicated to families.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.