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Cascades at Galveston

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Cascades at Galveston is a for profit - limited liability company facility in Galveston, TX with 150 certified beds and a 1-star overall CMS rating. The facility has 33 deficiency records on file. Total penalties: $144K.

3702 Cove View Blvd, Galveston, TX 77554

Phone: 4097407330

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675254
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
150
Residents
61
In Hospital
No
County
Galveston
Last Inspection
May 29, 2025

Staffing Data

RN Hours
0.63 (nat'l avg: 0.68)
LPN Hours
0.57
CNA Hours
1.98
Total Nursing Hours
3.17 (nat'l avg: 3.89)
PT Hours
0.10
Nursing Turnover
61.4%
RN Turnover
66.7%

What the CMS Record Reveals About Cascades at Galveston

Cascades at Galveston operates 150 certified beds in Galveston, TX with approximately 61 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 33 deficiency records from recent surveys, of which 7 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $144K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.17 total nursing hours per resident day (national average 3.89), with RN coverage at 0.63 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Cascades at Galveston falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 61.4%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (33 most recent)

F — Widespread - Minimal harm Nov 25, 2025 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Nov 26, 2025

E — Pattern - Minimal harm Nov 25, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 26, 2025

E — Pattern - Minimal harm Nov 19, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 9, 2025

D — Isolated - Minimal harm Sep 5, 2025 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Jan 12, 2026

D — Isolated - Minimal harm Sep 5, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 12, 2026

D — Isolated - Minimal harm May 29, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 30, 2025

E — Pattern - Minimal harm May 29, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 30, 2025

D — Isolated - Minimal harm May 16, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 17, 2025

D — Isolated - Minimal harm May 16, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 17, 2025

E — Pattern - Minimal harm May 17, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 24, 2024

E — Pattern - Minimal harm May 17, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 24, 2024

E — Pattern - Minimal harm Mar 29, 2024 Tag: 0850

Hire a qualified full-time social worker in a facility with more than 120 beds.

Category: Administration Deficiencies

Corrected: May 1, 2024

K — Pattern - Jeopardy Mar 29, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 1, 2024

E — Pattern - Minimal harm Mar 29, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: May 1, 2024

K — Pattern - Jeopardy Mar 29, 2024 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: May 1, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 1, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 1, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 1, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 1, 2024

J — Isolated - Jeopardy Mar 8, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 13, 2024

J — Isolated - Jeopardy Oct 28, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 27, 2023

J — Isolated - Jeopardy Oct 28, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Nov 27, 2023

K — Pattern - Jeopardy Sep 28, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 30, 2023

K — Pattern - Jeopardy Sep 28, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 30, 2023

E — Pattern - Minimal harm May 16, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: May 17, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Feb 20, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Feb 20, 2023

E — Pattern - Minimal harm Jan 27, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Feb 20, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 20, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 20, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 20, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Feb 20, 2023

E — Pattern - Minimal harm Jan 27, 2023 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Feb 20, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 5.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 82.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 30.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 23.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 80.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 14.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 7.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 5.7% Yes

Penalty History 3 penalties totaling $144K

Date Type Amount
Mar 8, 2024 Fine $17K
Mar 8, 2024 Fine $40K
Mar 8, 2024 Payment Denial -
Sep 28, 2023 Fine $87K
Sep 28, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Cascades at Galveston?
Cascades at Galveston has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at Cascades at Galveston?
Cascades at Galveston reports 3.17 total nursing hours per resident day (national average: 3.89). RN hours are 0.63 per resident day (national average: 0.68). Nursing staff turnover is 61.4%.
How many beds does Cascades at Galveston have?
Cascades at Galveston has 150 certified beds with approximately 61 residents. The facility is located at 3702 Cove View Blvd, Galveston, TX 77554.
Does Cascades at Galveston have any deficiencies on record?
Yes, Cascades at Galveston has 33 deficiencies on record from recent inspections. Of these, 7 are classified as causing actual harm or jeopardy.
Has Cascades at Galveston received any fines or penalties?
Yes, Cascades at Galveston has received 3 penalties totaling $144K.
Who owns Cascades at Galveston?
Cascades at Galveston is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Cascades at Galveston last inspected?
The most recent health inspection for Cascades at Galveston was on May 29, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Cascades at Galveston?
Cascades at Galveston is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial