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Nursing home report

Cascades at Galveston

Galveston, TX · Medicare-certified · 150 beds

Needs attention
For-profitChain member
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.2191 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. 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.