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Public Record

Cascades at Galveston

Nursing HomeGalveston, TXCMS 675254
37 citations on record

Operated by Cascades Healthcare

From CMS

Facility profile

CMS overall rating
1 / 5

*CMS Five-Star

Certified beds
150

*CMS

Avg. residents per day
60.9

*CMS

Inspection record

On record from CMS

Health citations
37

*CMS

Fire safety findings
12

*CMS

Inspections on file
16

*CMS

Last inspection
2026-03-18

*CMS

Citations

37 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0726Generalpotential for harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  • 0656Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0755Generalpotential for harm

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

  • 0725Generalpotential for harm

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

  • 0838Generalpotential for harm

    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.

  • 0761Generalpotential for harm

    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.

  • 0925Generalpotential for harm

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

  • 0656Generalpotential for harm

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

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0656Generalpotential for harm

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

  • 0657Generalpotential for harm

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

  • 0580Generalpotential for harm

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

  • 0842Generalpotential for harm

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

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0850Generalpotential for harm

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

  • 0580Seriousimmediate jeopardy

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

  • 0636Generalpotential for harm

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

  • 0637Generalpotential for harm

    Assess the resident when there is a significant change in condition

  • 0640Generalpotential for harm

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

  • 0693Seriousimmediate jeopardy

    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.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0695Seriousimmediate jeopardy

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

  • 0695Seriousimmediate jeopardy

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

  • 0580Seriousimmediate jeopardy

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

  • 0684Seriousimmediate jeopardy

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

  • 0686Seriousimmediate jeopardy

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

  • 0755Generalpotential for harm

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

  • 0925Generalpotential for harm

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

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0758Generalpotential for harm

    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.

  • 0645Generalpotential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 0689Generalpotential for harm

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

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0584Generalpotential for harm

    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.

  • 0567Generalpotential for harm

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

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection4 deficiencies
    View inspection report
  • Inspection2 deficiencies

    F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…

    Read full statement of deficiencies
  • Inspection1 deficiency

    F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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…

    Read full statement of deficiencies
  • Inspection2 deficiencies

    F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based…

    Read full statement of deficiencies
  • InspectionFire Safety5 deficiencies
    View inspection report
  • Inspection2 deficiencies

    F 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to accurately assess each resident's…

    Read full statement of deficiencies
  • Inspection2 deficiencies

    F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…

    Read full statement of deficiencies
  • Inspection2 deficiencies

    F 0760 Ensure that residents are free from significant medication errors. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview the facility failed to ensure that residents…

    Read full statement of deficiencies
  • InspectionFire Safety5 deficiencies
    View inspection report
  • Inspection8 deficiencies

    F 0580 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…

    Read full statement of deficiencies

Showing the 10 most recent inspections. 6 earlier inspections are also on record.

Ownership

Cascades Healthcare

20nursing homes nationwide, in CMS records

FAQ

Questions and answers

What is Cascades at Galveston?
Cascades at Galveston is a Medicare- and Medicaid-certified nursing home in Galveston, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 675254.
What is the CMS rating for Cascades at Galveston?
Cascades at Galveston has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Cascades at Galveston have?
Cascades at Galveston is certified for 150 beds. It serves an average of 60.9 residents per day.
How many citations does Cascades at Galveston have?
Cascades at Galveston has 37 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Cascades at Galveston last inspected?
Cascades at Galveston was last inspected on March 18, 2026. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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