Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 675254

Cascades At Galveston

33 federal citations on record , including 7 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $143,836.

7 Immediate Jeopardy

Record summary

Federal record · Q1 2026
33
Total citations
25
Last 3 years
7
Actual harm+
5
Federal penalties
$143,836
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning11 Medication & Pharmacy6 Quality of Care6 Resident Rights5 Administration2

Most common F-tags at this facility

F5803 F6413 F6562 F9252 F6952

Citation history

33 on record
SurveyF-TagViolationSeveritySource
Nov 25, 2025F838Conduct 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.FComplaint
Nov 25, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Nov 19, 2025F761Ensure 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.EComplaint
Sep 5, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint
Sep 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 29, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 29, 2025F641Ensure each resident receives an accurate assessment.EStandard
May 16, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
May 16, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 17, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
May 17, 2024F760Ensure that residents are free from significant medication errors.EComplaint
Mar 29, 2024F850Hire a qualified full-time social worker in a facility with more than 120 beds.EComplaint
Mar 29, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.KComplaint
Mar 29, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Mar 29, 2024F693Ensure 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.KStandard
Mar 29, 2024F641Ensure each resident receives an accurate assessment.DStandard
Mar 29, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Mar 29, 2024F637Assess the resident when there is a significant change in conditionDStandard
Mar 29, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Mar 8, 2024F695Provide safe and appropriate respiratory care for a resident when needed.JComplaint
Oct 28, 2023F695Provide safe and appropriate respiratory care for a resident when needed.JComplaint
Oct 28, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint
Sep 28, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KComplaint
Sep 28, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KComplaint
May 16, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jan 27, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
Jan 27, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Jan 27, 2023F758Implement 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.EStandard
Jan 27, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 27, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 27, 2023F641Ensure each resident receives an accurate assessment.DStandard
Jan 27, 2023F584Honor 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.DStandard
Jan 27, 2023F567Honor the resident's right to manage his or her financial affairs.EStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $143,836 and 2 payment-denial actions spanning 56 days.

DateTypeFinePayment denial
Mar 8, 2024Fine$17,000—
Mar 8, 2024Fine$39,693—
Mar 8, 2024Payment Denial—Apr 6, 2024 · 25 days
Sep 28, 2023Fine$87,143—
Sep 28, 2023Payment Denial—Oct 27, 2023 · 31 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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