Cascades Health and Rehabilitation Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 26 Google reviews

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What this means for your family
While the facility has some dedicated staff members who provide quality care, the recent ownership change has led to significant operational instability. Families should be cautious and specifically inquire about current staffing ratios, the status of facility maintenance, and the consistency of the dining program before committing to admission.
Google Reviews
Google Reviews
26 reviews on Google“Cascades Health and Rehabilitation Center is currently experiencing a period of significant instability following a change in ownership and management in 2025. While some families report positive experiences with individual staff members and rehab outcomes, a growing number of reviewers cite severe declines in food quality, maintenance, and administrative responsiveness. Prospective families should be aware of reports regarding understaffing, facility maintenance issues like broken elevators, and inconsistent communication.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated and compassionate individual nursing staff
- Effective physical and rehabilitation therapy
- Engaging activities department personnel
Concerns
- Poor food quality and reduced meal portions (mentioned by 4 reviewers)
- Understaffing and slow response times (mentioned by 3 reviewers)
- Negligent or non-responsive administration (mentioned by 3 reviewers)
- Facility maintenance issues (broken elevators/plumbing) (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 31 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the therapy department receives great feedback; how do you coordinate those rehabilitation sessions with a resident's daily schedule?
- 2Could you walk me through your current process for addressing maintenance needs, such as plumbing or elevator repairs, to ensure the environment stays comfortable for residents?
- 3With staffing being a top priority for families, what steps is the leadership team taking to improve response times for call lights and daily assistance?
- 4I see that the facility actively responds to feedback online; how does the administration use that input to improve the dining experience and meal quality for residents?
- 5What is your protocol for keeping families informed when there are changes in a resident's health status or if a medical emergency occurs?
- 6The activities team is highly regarded here; what are some of the most popular social programs that help residents stay connected and engaged throughout the week?
Personalized based on this facility's data
Key Review Excerpts
“They could use more Staffing it would help immensely. The food was so so could use Improvement.”
“Unfortunately, to date, the transition has been a disaster. Many of the services have been reduced or eliminated. In addition, the restaurant has reduced portion sizes and the higher quality meal choices have been taken off of the menu.”
“The quality of life has gone down drastically. Amenities, food, programming, transportation, and responsiveness are poor. Elevators go out routinely and the "chair" to help folks down the stairs were broken.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents on antipsychotic medication
Residents who lost too much weight
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
This facility has concerning patterns with families filing 6 complaints that revealed serious issues including resident neglect, safety hazards, and inadequate personal care. The most recurring problems involve food safety and dietary services, fire safety systems, and basic care like assistance with daily living activities. While the facility reports correcting each deficiency, the repeated issues with core safety systems and a recent December 2024 complaint involving neglect suggest ongoing challenges with maintaining consistent quality care standards.
Dec 14, 2025Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 6, 2024Complaint3
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Jun 6, 2024Routine10
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Jun 21, 2023Complaint2
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Mar 17, 2023Routine13
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nov 18, 2021Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Federal Penalties
Fine
Dec 6, 2024
$29,780
Ownership & Operations
Who Operates This Facility
Cascades Health and Rehabilitation Center
nonprofit
Chain Affiliation
Lifespace Communities
16 facilities nationwide
Chain avg rating: 4.0/5 · Rank 16 of 16 (Worst)
Ownership & Management
Owners
Lifespace Communities INC
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
26 reviews from families & visitors
Official Website
Visit cascadesatdelray.com
Medicare data downloads
Original nursing home datasets
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