Cascades at Senior Rehab
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 42 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.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (16 vs median 8.0)
Bottom 25% in Texas · Critically understaffed (RN) · Best in CASCADES HEALTHCARE chain · $368,377 in fines · Abuse citation
What this means for your family
The facility excels in its admissions process and maintains a very clean, welcoming environment that is great for rehabilitation. However, because there are historical, highly critical reviews regarding neglect and staff conduct, you should perform your own unannounced visits to verify the current quality of care.
Google Reviews
Google Reviews
42 reviews on Google“Families considering Cascades at Senior Rehab can expect a highly praised admissions and administrative team, with many reviewers specifically highlighting the helpfulness of Brittany and the admissions staff. The facility is frequently noted for its cleanliness, lack of unpleasant odors, and a friendly, welcoming atmosphere. While most reviews are overwhelmingly positive, there are isolated, severe allegations of neglect and poor treatment that should be investigated personally.”
Quality Themes
Tap a score for detailsStrengths
- Welcoming and professional admissions process
- Clean and well-maintained environment
- Friendly and attentive nursing and therapy staff
- Transparent and informative communication
Concerns
- Allegations of patient neglect
- Issues with staff professionalism and resident rights
Rating Trends
Tap a year to see what changed
Distribution · 41 analyzed
How They Respond to Reviews
The owner provides personalized responses that frequently acknowledge specific staff members mentioned in reviews. They use a warm, prideful tone regarding their team and demonstrate a professional approach to addressing serious grievances.
Questions for Your Tour
- 1We were so impressed by how professional and welcoming the admissions team was when we first called; how do you ensure that same level of transparent communication continues once a resident is settled in?
- 2Since the facility looks so clean and well-maintained, what is your routine for ensuring the resident's private room stays just as tidy?
- 3What specific steps does your nursing team take to ensure that every resident's individual rights and personal preferences are respected daily?
- 4How does the therapy staff work with the nursing team to ensure residents are meeting their rehabilitation goals and receiving consistent care?
- 5In the event of a medical emergency during the night, what is the protocol for notifying the family and ensuring immediate care?
- 6What kind of daily activities or social programs do you have planned to help residents stay engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“I visited Cascades with an old family friend. Everyone I spoke with was knowledgeable and courteous while answering all of our questions! Everything seems to be well-ran and orderly. The place was clean with no weird smells. 10/10”
“I am a resident here. I had admitted 2 weeks ago. I called different places and no one was willing to help me. I called Cascades at Senior Rehab and spoke to Mrs. Brittany. She got me in the very next day. Mrs. Brittany was a heaven sent.”
“The therapy staff here are experienced and professional. Jamie and her team take excellent care of their patients and provide outstanding treatment”
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 · 16 measures
14
measures
1
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
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.
Residents on antipsychotic medication
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
This facility has significant ongoing concerns with families repeatedly filing complaints about abuse and neglect protection, accident prevention, and medication management. With 31 complaint-triggered deficiencies out of 63 total, families have frequently reported issues including multiple violations for protecting residents from abuse, ensuring safe environments, and proper medication handling. While the facility corrects most violations when cited, the pattern of recurring complaints about fundamental safety and abuse prevention suggests persistent quality problems that families should carefully investigate before choosing this facility.
Feb 21, 2026Complaint2
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Jan 8, 2026Complaint1
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.
Nov 21, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Jun 25, 2025Routine9
Resident Rights Deficiencies
Honor 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.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jun 25, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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 safe and appropriate respiratory care for a resident when needed.
Jun 4, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Jun 4, 2025
$17,345
Fine
Feb 27, 2025
$71,152
Fine
Mar 18, 2024
$17,095
Fine
Nov 7, 2023
$204,685
Fine
Jun 6, 2023
$24,380
Fine
Jun 6, 2023
$24,380
Payment Denial
Jun 6, 2023
2-day denial
Ownership & Operations
Who Operates This Facility
Kirbyville I Enterprises, LLC
for profit
CASCADES AT SENIOR REHAB, LP
BROOKLYN JOHNSON
Chain Affiliation
Cascades Healthcare
20 facilities nationwide
Chain avg rating: 1.0/5 · Rank 3 of 4 (Worst) (Best)
Ownership & Management
Owners
Liberty County Hospital District no. 1
Owner · Organization
Senior Rehab Holdings, Lp
Owner · Organization
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
42 reviews from families & visitors
Official Website
Visit cascadesatseniorrehab.com
Medicare data downloads
Original nursing home datasets
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