Cascades at Galveston
3702 Cove View Blvd · Galveston, TX · 77554 · 4097407330
150 certified beds For profit - Limited Liability company Chain: Cascades Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $97,680 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$97,680 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 2.66 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 4 · $241,516 |
Inspection citations (41 in the current record)
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Immediate jeopardy · K April 22, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has no plan of correction · Resident Rights
-
Immediate jeopardy · K April 22, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 22, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D April 22, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D April 2, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 18, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 13, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E March 18, 2026 · found via complaint
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.
Corrected April 13, 2026 · Nursing and Physician Services
-
Potential for harm · E March 18, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 13, 2026 · Pharmacy Service
-
Potential for harm · D March 18, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 13, 2026 · Infection Control
-
Potential for harm · E November 25, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 26, 2025 · Nursing and Physician Services
-
Potential for harm · F November 25, 2025 · found via complaint
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.
Corrected November 26, 2025 · Administration
-
Potential for harm · E November 19, 2025 · found via complaint
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.
Corrected December 9, 2025 · Pharmacy Service
-
Potential for harm · D September 5, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D September 5, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 12, 2026 · Environmental
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Potential for harm · E May 29, 2025
Ensure each resident receives an accurate assessment.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 29, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 16, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 17, 2025 · Resident Rights
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Potential for harm · D May 16, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 17, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 24, 2024 · Pharmacy Service
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Potential for harm · E May 17, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 24, 2024 · Resident Assessment and Care Planning
-
Immediate jeopardy · K March 29, 2024
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.
Corrected May 1, 2024 · Quality of Life and Care
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Immediate jeopardy · K March 29, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 1, 2024 · Resident Rights
-
Potential for harm · D March 29, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected May 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 29, 2024
Assess the resident when there is a significant change in condition
Corrected May 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 29, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected May 1, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 18, 2026 | Fine | $97,680 |
| March 8, 2024 | Fine | $17,000 |
| March 8, 2024 | Fine | $39,693 |
| March 8, 2024 | Payment Denial | 25 days |
| September 28, 2023 | Fine | $87,143 |
| September 28, 2023 | Payment Denial | 31 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675254 · certified since February 2, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.