Cascades At Galveston is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-02-02. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (409) 740-7330 or your local Medicaid office to verify current eligibility.

Cascades At Galveston holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 48.0/100, placing it #14209 of 14703 facilities nationally and #1135 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Cascades At Galveston receives a reported average of 3 hours 10 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 38 minutes; Licensed Practical Nurse (LPN) — 34 minutes; Nurse Aide — 1 hour 59 minutes. On weekends, total nurse staffing is 2 hours 43 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 61.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 3 fine(s) totaling $143,836. 76 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 2 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 3 fine(s) totaling $143,836, and 2 Medicare payment denial(s). Total penalties: 5. The Total Weighted Health Survey Score is 227.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Cascades At Galveston ranks 14209th out of 14,703 facilities (composite score: 48.0/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1135th out of 1,177 nursing homes. In Galveston, it ranks 2nd out of 2 facilities. For 2026 staffing: total nurse hours rank #12,169 nationally and RN hours rank #6,130 nationally (#138 in TX). Our composite quality score of 48.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Galveston, visit: https://nursinghomesnearme.org/texas/galveston/