On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 45 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare Special Focus status indicates a history of serious quality problems and heightened oversight. Review the latest inspection records, ask what corrective actions remain open, and visit in person before deciding.
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
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Concerns
Rating Trends
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Distribution · 48 analyzed
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.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
3
measures
10
measures
4
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
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
Detailed Medicare record · up to 3-year lookback
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.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
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.
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.
Federal Penalties
Fine
Jun 15, 2026
$70,637
Fine
Mar 18, 2026
$58,025
Fine
Mar 8, 2024
$39,693
Fine
Mar 8, 2024
$17,000
Payment Denial
Mar 8, 2024
25-day denial
Fine
Sep 28, 2023
$87,143
Payment Denial
Sep 28, 2023
31-day denial
Winniestowell Hospital District
for profit
CASCADES AT SENIOR REHAB, LP
MAURICE L GAINES
Cascades Healthcare
19 facilities nationwide
Chain avg rating: 1.0/5 · Rank 1 of 4 (Chain ratings tied)
Owners
Christensen, Covey
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
45 reviews from families & visitors
Official Website
Visit cascadesatgalveston.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
These are the 2 closest facilities in our data within 10 miles. Proximity does not mean they provide the same care type or have stronger quality signals, so compare each profile and verify services directly.