Cascades at Galveston
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 44 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (9 vs median 8.0)
- High staff turnover (61%)
- High RN turnover (67%)
Bottom 25% in Texas · Below recommended RN staffing · Best in CASCADES HEALTHCARE chain · $143,836 in fines
What this means for your family
This facility is a strong candidate if your loved one requires intensive physical or occupational therapy, as the rehab team is highly rated. However, you must closely monitor hygiene and dietary compliance, as multiple recent reviews highlight significant concerns regarding cleanliness, odors, and failure to follow medical dietary orders.
Google Reviews
Google Reviews
44 reviews on Google“Families seeking rehabilitation services may find the therapy and physical/occupational teams to be a significant strength, with several reviewers praising their ability to help patients regain independence. However, there are serious and recurring allegations regarding poor hygiene, unpleasant odors, and inconsistent staffing levels. Prospective families should be aware of conflicting reports regarding food quality and the facility's ability to follow specific medical dietary orders.”
Quality Themes
Tap a score for detailsStrengths
- Outstanding rehabilitation and therapy teams
- Engaging and dedicated activities director
- Professional marketing and leadership transitions
- Friendly and caring nursing staff
Concerns
- Unpleasant facility odors and cleanliness issues (mentioned by 3 reviewers)
- Staffing shortages and inconsistent care delivery (mentioned by 2 reviewers)
- Poor food quality and dietary management (mentioned by 3 reviewers)
- Difficulty communicating with staff or reaching family members (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 47 analyzed
How They Respond to Reviews
The owner uses templated, formulaic responses that avoid addressing specific complaints. While they acknowledge the feedback, they rely on standard phrases like 'take all feedback seriously' and redirect all conflicts to private communication.
Questions for Your Tour
- 1We've heard wonderful things about your activities director; could you tell us more about the specific types of engaging programs available for residents?
- 2How does the facility manage daily cleaning and maintenance schedules to ensure a fresh and comfortable environment for everyone?
- 3With the recent transitions in leadership, what specific steps are being taken to improve communication between the nursing staff and family members?
- 4Could you walk us through the process for handling medical emergencies or sudden changes in a resident's health during the night?
- 5What recent improvements have been made to the dining services and the variety of meal options provided each day?
- 6How do you ensure consistent care delivery and support for your nursing team during busy shifts?
Personalized based on this facility's data
Key Review Excerpts
“The rehab is outstanding and has my husband strong and healthy and walking again without help. The food is real home cooking and delicious”
“I worked primarily with Evan for physical therapy n Shawn for occupational . They developed a plan for me ,guided me through it and got me back up ,strong and confident!”
“The activity director goes out of her way for the residents.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
4
measures
11
measures
2
measures
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 17 complaints triggering inspections at this facility, revealing concerning patterns in resident care and safety. The facility repeatedly struggles with medication management, resident assessment and care planning, and family notification of incidents - with communication failures appearing in multiple complaint investigations. While all deficiencies show correction dates, the high volume of family complaints and recurring issues in core care areas suggest persistent quality concerns that families should carefully evaluate.
Mar 18, 2026Complaint4
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 25, 2025Complaint2
Administration Deficiencies
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.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nov 19, 2025Complaint1
Pharmacy Service Deficiencies
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.
Sep 5, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
May 29, 2025Routine7
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 16, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal Penalties
Fine
Mar 8, 2024
$17,000
Fine
Mar 8, 2024
$39,693
Payment Denial
Mar 8, 2024
25-day denial
Fine
Sep 28, 2023
$87,143
Payment Denial
Sep 28, 2023
31-day denial
Ownership & Operations
Who Operates This Facility
Winniestowell Hospital District
for profit
CASCADES AT SENIOR REHAB, LP
MAURICE L GAINES
Chain Affiliation
Cascades Healthcare
20 facilities nationwide
Chain avg rating: 1.0/5 · Rank 1 of 4 (Worst) (Best)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
44 reviews from families & visitors
Official Website
Visit cascadesatgalveston.com
Medicare data downloads
Original nursing home datasets
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