Cascades at Galveston has a 1-star overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It is flagged for the lowest overall rating, had no fines in the last 24 months, and reported nurse staffing of 3.22 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: March 18, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2191.
Staffing detail
Registered nurses
0.57
Licensed practical nurses
0.60
Nurse aides
2.06
Weekend nursing
2.66
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
0%8%Worsening
Residents with a fall causing major injury
3.8%5.4%Worsening
Residents with pressure ulcers (bedsores)
9.5%4.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.6%19.6%Worsening
Residents whose ability to walk got worse
43.2%30%Improving
Long-stay residents on antianxiety or sleep medication
18.2%44.7%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.8%Worsening
Residents with new or worsening incontinence
22.7%39.1%Worsening
Residents with depressive symptoms
4.3%10%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—80%—
Long-stay residents given the pneumonia vaccine
82.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—14%—
Short-stay residents given the pneumonia vaccine
23.3%81.2%Improving
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited March 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: K
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: J
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $143,836 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Mar 8, 2024
25 days
Federal fine
Mar 8, 2024
$39,693
Federal fine
Mar 8, 2024
$17,000
Medicare/Medicaid payment denial
Sep 28, 2023
31 days
Federal fine
Sep 28, 2023
$87,143
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CASCADES HEALTHCARE · 20 homes · 2 stars avg
Occupancy
60.9 residents on an average day (41% of 150 beds)
Resident voice
Resident council
Medicare history
Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.