Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Meridian during CMS and state inspections, most recent first.
A resident was not readmitted to the facility after hospitalization due to an infection with Candida Auris. Despite the facility's policy allowing residents to remain, the facility cited the need to protect other residents from the infection. The decision was made without considering isolation precautions, and the Corporate Clinical Staff did not recall the case.
The facility failed to timely transmit MDS assessments for two residents, potentially affecting Medicaid benefits and reimbursement. One resident's discharge MDS was submitted months late, and another's was delayed due to staffing issues and lack of oversight in the MDS department.
The facility failed to ensure accurate MDS assessments for two residents, leading to discrepancies in their oral health and cognitive status. One resident was incorrectly noted to have all natural teeth despite having ill-fitting dentures, while another was inaccurately assessed as having severe cognitive impairment and all natural teeth, despite being alert and having no teeth. The Dietary Manager, responsible for the oral health section of the MDS, admitted to not understanding the coding process.
A facility failed to update a resident's care plan to reflect a healed deep tissue injury (DTI) on the right big toe, despite confirmation from a wound care doctor and staff that the wound had resolved. The resident, with multiple health conditions, was at risk of not receiving appropriate care due to the outdated care plan. Interviews with staff and the DON highlighted the importance of accurate care plans, as per the facility's policy.
A facility failed to complete a discharge summary for a resident, including a recapitulation of their stay and medication reconciliation. The resident had conditions such as a left femur fracture and hypertension. Staff interviews revealed communication lapses, with the admissions director unable to contact the resident and the DON noting the absence of a discharge summary. The social worker responsible for discharge planning was not present during the resident's stay, contrary to the facility's policy requiring a discharge summary and post-discharge plan.
A resident was prescribed Abilify without an appropriate diagnosis beyond psychotic behavior, as noted in the consent form. The resident had multiple diagnoses, including depression and Alzheimer's, and was on several medications. The DON acknowledged the issue and planned to clarify with the physician, who confirmed the prescription was due to poor response to other medications. The facility's policy on psychotropic medication use was not provided.
A resident's room contained two unsecured oxygen tanks standing on the floor, posing a potential hazard. The resident, who required oxygen therapy, had a history of traumatic brain injury and seizures. Staff interviews revealed that the tanks were left due to family requests, but they acknowledged the tanks should have been secured according to facility policy.
Failure to Readmit Resident After Hospitalization
Penalty
Summary
The facility failed to establish and follow a written policy on permitting residents to return after hospitalization, as evidenced by the case of an 81-year-old female resident who was not readmitted following her hospital transfer. The resident, who had diagnoses including anemia, hypothyroidism, heart disease, and lower back pain, was sent to the hospital due to uncontrolled pain after sustaining an injury at the facility. Despite the resident's treatment completion at the hospital, the facility refused her readmission, citing her infection with Candida Auris, a communicable disease. Interviews with the resident's responsible party, the facility's Director of Nursing (DON), and the Corporate Clinical Staff revealed that the decision not to readmit the resident was made to protect other residents from the infection. The facility's policy, revised in 2022, states that residents have the right to remain in the facility, and any facility-initiated transfers or discharges must meet specific criteria and require proper notification and documentation. However, the facility did not provide an answer regarding placing the resident on isolation precautions, and the Corporate Clinical Staff did not recall the resident's case.
Failure to Timely Transmit MDS Assessments
Penalty
Summary
The facility failed to ensure timely electronic transmission of resident assessments to the CMS System for two residents, which is a requirement for discharge return not anticipated. The deficiency involved the failure to submit the Minimum Data Set (MDS) assessments within the required timeframe for two residents. This lapse in procedure could potentially affect the residents' Medicaid benefits and the facility's reimbursement. The first resident, an 81-year-old female with multiple diagnoses including anemia, hypothyroidism, heart disease, and lower back pain, was discharged from the facility with a discharge MDS coded as return not anticipated. However, the MDS was not completed and transmitted until several months after the discharge, well beyond the required timeframe. The second resident, who was discharged against medical advice, also had her discharge MDS submitted late, several months after the discharge date. Interviews with facility staff revealed systemic issues in the MDS department, including a lack of a full-time MDS Coordinator and oversight. The MDS assessments were not completed or submitted on time due to staffing shortages and turnover, as well as a lack of clear responsibility and oversight for the MDS process. The facility's administration acknowledged awareness of these issues but had not effectively addressed them in a timely manner.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure accurate assessments for two residents, leading to deficiencies in the Minimum Data Set (MDS) accuracy. Resident #19, a 73-year-old female with multiple diagnoses including hypokalemia, anxiety, and heart disease, was not accurately assessed for her oral cavity status. Her MDS indicated she had all her natural teeth, but observations and interviews revealed she had dentures that did not fit properly, causing her pain, and she did not use them. The MDS coordinator stated that section L of the MDS, which pertains to oral health, was the responsibility of the Dietary Manager. Resident #47, an elderly male with conditions such as hypertension and cerebral infarction, was also inaccurately assessed. His MDS showed a severe cognitive impairment with a BIMS score of 99 and indicated he had all his natural teeth. However, observations and interviews revealed he was alert and oriented, had no teeth, and had lost his dentures. The CNA and DON confirmed his cognitive status did not match the MDS assessment. The Dietary Manager, responsible for section L, admitted to not understanding how to code the MDS properly, following instructions from a former staff member. The facility's policy on resident assessment did not address MDS accuracy.
Failure to Update Care Plan for Healed Wound
Penalty
Summary
The facility failed to ensure that the comprehensive care plan for a resident was reviewed and revised by the interdisciplinary team after each assessment. Specifically, the care plan for a resident with a history of a deep tissue injury (DTI) on the right big toe was not updated to reflect that the wound had healed. The resident, a male with multiple diagnoses including diabetes, hypertension, heart disease, hemiplegia, muscle weakness, reduced mobility, and chronic kidney disease, was found to have a healed DTI as per a wound care doctor's evaluation. However, the care plan still indicated the presence of the unstageable DTI, which was resolved on the same date as the evaluation. Interviews with the resident and staff, including Licensed Vocational Nurses (LVNs) and Minimum Data Set (MDS) coordinators, confirmed that there were no current skin issues and that the care plan should not have included the healed wound. The Director of Nursing (DON) acknowledged that the care plan should be accurate and match the resident's current condition. The facility's policy on comprehensive resident-centered care plans, revised in March 2022, states that care plans should be revised as the resident's condition changes. The failure to update the care plan placed residents at risk of not receiving care according to their individual needs.
Failure to Complete Discharge Summary for Resident
Penalty
Summary
The facility failed to ensure the completion of a discharge summary for a resident, which included a recapitulation of the resident's stay, final status at discharge, and a reconciliation of medications. The resident, who had been admitted with conditions such as an unspecified fracture of the left femur, presence of a left artificial hip joint, hypertension, and hyperlipidemia, did not have a discharge summary in their closed record. This oversight was identified during a review of the resident's records. Interviews with facility staff revealed a lack of communication and responsibility regarding the discharge process. The admissions director was unable to contact the resident, and the resident's brother indicated that any necessary documents should be mailed. The DON acknowledged that a discharge summary should have been completed and mailed, but noted that the social worker, who was responsible for discharge planning, was not working during the resident's stay. The facility's policy on discharge summaries and plans, revised in October 2022, requires that a discharge summary and post-discharge plan be developed and communicated to the resident or their representative, which was not adhered to in this case.
Inappropriate Prescription of Abilify Without Proper Diagnosis
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary medications. Specifically, the resident was prescribed Abilify (Aripiprazole) without an appropriate diagnosis beyond psychotic behavior, as noted in the consent form. The resident, a 72-year-old female, was admitted with several diagnoses including essential hypertension, hypothyroidism, alcohol dependence, Alzheimer's disease, and depression. Her Admission MDS assessment indicated moderate cognitive impairment. Despite being on multiple medications for depression and other conditions, the clinical record lacked a proper diagnosis justifying the use of Abilify. The Director of Nursing (DON) acknowledged the issue during an interview, stating that the resident was admitted with the medication and that she would contact the physician for clarification. The resident's physician confirmed that Abilify was prescribed at the hospital due to the resident's poor response to other medications and mentioned plans to refer the resident for a psychiatric evaluation. The facility's policy on psychotropic medication use was requested but not provided before the survey exit.
Unsecured Oxygen Tanks in Resident Room
Penalty
Summary
The facility failed to provide a safe, functional, sanitary, and comfortable environment for a resident, staff, and visitors in one resident room. Specifically, two unsecured oxygen tanks were found standing on the floor in a resident's room, posing a potential hazard. The resident, a female with a history of traumatic brain injury, seizures, and tracheostomy, was dependent on staff for activities of daily living and required oxygen therapy. During an observation, it was noted that three oxygen cylinders were present, with only one secured in a metal stand, while the other two were unsecured and standing on the floor next to a bedside oxygen concentrator. Interviews with staff revealed that the unsecured tanks were left at the bedside due to family requests for additional oxygen tanks, and it was acknowledged that they should not have been left free-standing. The RN and DON both confirmed that the tanks posed a potential hazard if they fell and should have been secured according to the facility's policy. The facility's policy clearly stated that oxygen cylinders should be stored in racks, carts, or stands and not left free-standing or stored in resident rooms, which was not adhered to in this instance.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Galveston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Galveston Nursing And Rehabilitation Center | 5.7 mi | ★★★★★ | 15 | 2 |
| The Phoenix Post-acute | 9.8 mi | ★★★★★ | 4 | 0 |
| Harbor Point Skilled Nursing | 11.5 mi | ★★★★★ | 9 | 0 |
| The Shoal | 13.7 mi | ★★★★★ | 5 | 0 |
| Seabreeze Nursing And Rehabilitation | 13.8 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.