Lilisity

Nursing home

Cascades at Galveston

3702 Cove View Blvd, Galveston, TX 77554 · Map
For profit - Limited Liability company · Part of Cascades Healthcare (20 facilities) · 150 certified beds

Medicare and Medicaid certified
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Cascades at Galveston is a Medicare-certified nursing home in Galveston, Texas. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.17 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on May 29, 2025 cited 9 deficiencies.

1 out of 5Overall CMS rating
1 out of 5Health inspections
2 out of 5Staffing
150 bedsCertified beds
  • 3 fines totaling $143,836In CMS records: 5 total penalties, 2 Medicare payment denials.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections1/5
Staffing2/5
Quality measures2/5
Long-stay quality4/5
Short-stay quality1/5

How Cascades at Galveston compares

This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityTexas avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.173.403.89below avg
RN staffing (hrs/resident/day)0.630.440.68above avg
Aide staffing (hrs/resident/day)1.982.012.34below avg
Nursing staff turnover61.4%51.5%46.4%above avg
Deficiencies cited, last inspection9.09.19.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.17Total nurse hrs/resident/day
0.63RN hrs/resident/day
0.57LPN hrs/resident/day
1.98Aide hrs/resident/day
2.72Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff61.4%
Registered nurses66.7%
Administrator changes1 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

May 29, 2025Most recent inspection
9Deficiencies found
60Health inspection score
3Fines

Penalties in CMS records: 3 fines totaling $143,836, 5 total penalties, 2 Medicare payment denials.

What inspectors found at Cascades at Galveston

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

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

    Pharmacy Service Deficiencies · Mar 18, 2026 · Full report (PDF)
  • Potential 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.

    Nursing and Physician Services Deficiencies · Mar 18, 2026 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Mar 18, 2026 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Mar 18, 2026 · Full report (PDF)
  • Potential 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.

    Administration Deficiencies · Nov 25, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential 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.

    Nursing and Physician Services Deficiencies · Nov 25, 2025 · Full report (PDF)
  • Potential 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.

    Pharmacy Service Deficiencies · Nov 19, 2025 · Full report (PDF)
  • Potential for harm

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

    Environmental Deficiencies · Sep 5, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Sep 5, 2025 · Full report (PDF)
  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · May 29, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · May 29, 2025 · Full report (PDF)
  • Potential 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.

    Resident Assessment and Care Planning Deficiencies · May 16, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
3702 Cove View Blvd
Galveston, TX 77554
CMS certification #
675254
Ownership
For profit - Limited Liability company
Certified beds
150
Avg residents/day
61.2
Provider type
Medicare and Medicaid
First certified
1994-02-02
Chain
Cascades Healthcare (20 facilities)
Setting
Urban

Part of Cascades Healthcare

Cascades Healthcare operates 20 nursing facilities across the United States. View all Cascades Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Cascades at Galveston using Google Maps.

Other public records

  • Emergency In hurricane evacuation zone Coastal Zip-Zone; in FEMA's high-risk flood area (Zone AE)
Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
University Of Texas Medical Branch Galveston, Galveston. 7.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
Nearest Medicare nursing home
The Meridian, Galveston. 5.7 miles away, straight line.
Nearest home health agency office
Accentcare Home Health Of Texas, Galveston. 3.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Randalls Pharmacy. 2.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 77554 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Island Dialysis, Galveston, 3.0 miles away, straight line (CMS rating 3 of 5 stars)
Davita Texas City Pd, La Marque, 10.6 miles away, straight line (CMS rating 5 of 5 stars)
Fkc Texas City Dialysis Center, Texas City, 11.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Hospice
34 Medicare hospices tell CMS they serve ZIP code 77554.
North Star Hospice, LLC, office in Galveston, 3.0 miles away, straight line
Choice Health At Home, office in Texas City, 13.5 miles away, straight line (CMS family survey rating 2 of 5 stars)
Hospice Care Team Inc, office in Texas City, 14.9 miles away, straight line
Nearest geriatric medicine practice
Optimal Health Primary Care PLLC, Galveston. 3.0 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Hurricane evacuation zone
Coastal Zip-Zone on the Houston-Galveston hurricane evacuation ZIP-Zones. (Houston-Galveston Area Council, map updated Jul 30, 2026)
Flood zone
Zone AE: 1% annual chance flood area (high risk); base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. Base flood elevation 12 Feet NAVD88. (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively low, coastal flooding relatively high, wildfire relatively low, tornado relatively moderate, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Only cases that look tied to an earlier operator (not shown)
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Hurricane evacuation zone mapsSee above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record

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Frequently asked questions

Is Cascades at Galveston a good nursing home?

CMS gives Cascades at Galveston an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Cascades at Galveston staffed?

Cascades at Galveston reports 3.17 total nurse hours per resident per day, compared with the Texas average of 3.40.

Has Cascades at Galveston had inspection problems?

Its most recent CMS inspection cited 9 deficiencies.

How many beds does Cascades at Galveston have?

Cascades at Galveston is certified for 150 beds.