Nursing home report
Registered name: Galveston Nursing and Rehabilitation Center
Galveston, TX · Medicare-certified · 150 beds
Cascades at Galveston in Galveston, TX has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings and 2-star quality measures. It is a special focus facility/SFF candidate, has $145,742 in fines in the last 24 months, and reported nurse staffing is 2.74 hours per resident per day versus the 4.1-hour federal benchmark.
Health inspections
Staffing
2.7353 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7353.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2026 — limited pattern, immediate jeopardy to residents.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K
The home failed to provide enough food and fluids to keep residents healthy. Cited April 2026 — limited pattern, immediate jeopardy to residents.
F-Tag 692 — 42 CFR §483.25(g) — 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.
F-Tag 693 — 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.
F-Tag 686 — 42 CFR §483.25(b) — 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.
F-Tag 684 — 42 CFR §483.25 — S/S: K
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 14 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal payment denial was recorded.
A federal fine of $87,717 was recorded.
A federal fine of $70,637 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $58,025 was recorded.
A federal fine of $97,680 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 5 fines · $289,578 in total fines · 3 payment denials.
Medicare/Medicaid payment denial
Jun 15, 2026
Federal fine
Jun 15, 2026
Federal fine
Mar 18, 2026
Medicare/Medicaid payment denial
Mar 8, 2024
Federal fine
Mar 8, 2024
Federal fine
Mar 8, 2024
Medicare/Medicaid payment denial
Sep 28, 2023
Federal fine
Sep 28, 2023
Now operated by Galveston Nursing and Rehabilitation Center, previously Cascades at Galveston.
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.
