Cascades at Galveston
3702 Cove View Blvd, Galveston, TX 77554
Galveston, Texas · CMS verdict
Cascades at Galveston holds a 1 of 5 CMS overall star rating - below the Texas state average of 2.8, reflecting below-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Cascades at Galveston in Galveston, Texas holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 19 of 100 (grade F). The 150-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
With 33 CMS deficiencies on file, this facility sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 19 is built
Each segment is a dimension's weighted points toward the score, summing to 19.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Cascades at Galveston's heavier CMS deficiency book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Cascades at Galveston's overall quality rating at 1 out of 5 stars, a composite of three sub-ratings: health inspection (1/5), staffing (2/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Galveston, Texas, this facility operates 150 certified beds with an average daily census of roughly 61 residents - an occupancy rate of about 41%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 41% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.
Same-ownership peers
Within Texas, Cascades at Galveston is one of 313 for profit - limited liability company nursing homes CMS rates. Its 1-star overall rating sits below the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 0% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (33 total). CMS has levied 3 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Cascades at Galveston's lower-tercile stars compare to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Cascades at Galveston ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Cascades at Galveston’s 1-star overall rating is higher than 0% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
267 Texas homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 150 |
| Residents | 61 |
| Ownership | For profit - Limited Liability company |
| County | Galveston |
| Penalties | 3 |
| Deficiencies | 33 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Cascades at Galveston's inspection record
What is the quality rating for Cascades at Galveston? ▾
1 out of 5 stars is Cascades at Galveston's current CMS overall rating, built from a health inspection rating of 1/5, a staffing rating of 2/5, and a quality measures rating of 2/5.
How much does a nursing home cost per month in Texas? ▾
The median cost for a semi-private nursing home room in Texas is $5,627 per month ($67,525 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.
What services does Cascades at Galveston offer? ▾
Cascades at Galveston is a skilled nursing facility with 150 beds with approximately 61 current residents. It operates under for profit - limited liability company ownership. The facility has recorded 33 deficiencies and 3 penalties in CMS inspections.
Does Cascades at Galveston have any deficiencies or penalties? ▾
Cascades at Galveston has multiple deficiencies (33 total) and 3 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 675254.
Read our methodology - how this data is sourced, computed, and verified.