F

Cascades at Galveston

3702 Cove View Blvd, Galveston, TX 77554
Score: 2 / 100

Cascades At Galveston has received an F grade based on CMS data, with a score of 2/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Galveston facility should carefully review its inspection history and quality metrics.

With 3.17 total nurse hours per resident per day, Cascades At Galveston falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 33 deficiencies at Cascades At Galveston, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day ope.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.17 3.8 Below Average
Registered Nurses (RN) 0.63 0.7 Below Average
Licensed Practical Nurses (LPN) 0.57 0.7 Below Average
Certified Nursing Assistants (CNA) 1.98 2.4 Below Average
Weekend Total Nursing 2.72 3.8 Below Average
Weekend RN Hours 0.63 0.7 Below Average

🔍 Inspection & Deficiency History

33
Total Deficiencies
Nov 24, 2025
Most Recent Inspection
🟠 26 Moderate 🔴 7 Serious
View recent deficiencies (5 shown)
  • Tag 0838 Severity F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day ope
    Nov 24, 2025 · Administration Deficiencies
  • Tag 0725 Severity E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Nov 24, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Nov 18, 2025 · Pharmacy Service Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Sep 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0925 Severity D
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    Sep 4, 2025 · Environmental Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.8% 4.5% Worse
Falls with major injury 3.3% 3.0% Worse
On antipsychotic medication 5.7% 14.5% Better
Urinary tract infections 0.5% 2.5% Better
ADL decline (daily activities) 20.1% 14.0% Worse
Excessive weight loss 4.6% 7.5% Better
New/worsened incontinence 26.8% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $143,836

How This Grade Was Calculated

This facility's grade of F is based on a score of 2 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
150
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 28, 2025
Deficiencies (Cycle 1)
9