Cascades At Galveston
3702 COVE VIEW BLVD, Galveston, TX, 77554
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Cascades Healthcare
- Certified beds
- 150 · avg 61 residents/day
- Total nursing staff turnover
- 61.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $143,836 total
- Payment denials
- 2 denials
State licensing & capacity
- License number
- 312227
- Service type
- Medicare/medicaid
- Licensed capacity
- 150 beds
- Bed type breakdown
- 38 Medicare-only · 112 Medicaid/Medicare
- Current license effective
- November 1, 2024
- Current license expires
- November 1, 2027
- Initial license date
- February 2, 1994
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Cascades At Senior Rehab, Lp
- Administrator
- Maurice L Gaines
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Cascades Healthcare chain — 20 facilities across 4 states. Chain-wide average overall rating 2.0 / 5.
Parent entity
Galveston Holdings, lp
Disclosed owners (18 on record)
- Aurala, Flp
Adp of The Snf · since 2024
- Cascades at Galveston Rehab lp
Adp of The Snf · since 2024
- Crumo, Flp
Adp of The Snf · since 2024
- Galveston Holdings, lp
Adp of The Snf · since 2024
- Gary Wayne Spangler
Adp of The Snf · since 2024
- Gulf Assets, Flp
Adp of The Snf · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
November 2024 (1 year ago) · acquired from Cascades at Galveston
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 33)
- F0838·Nov 25, 2025Complaint
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.
- E0725·Nov 25, 2025Complaint
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.
- E0761·Nov 19, 2025Complaint
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.
- D0925·Sep 5, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D0656·Sep 5, 2025Complaint
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.
- D0656·May 29, 2025
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.
- E0641·May 29, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0657·May 16, 2025Complaint
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.
Federal penalties
By year
- 20242 fines · $57K · 1 payment denial
- 20231 fine · $87K · 1 payment denial
Most recent events
- Mar 8, 2024Payment denial · 25 days · starting Apr 6, 2024
- Mar 8, 2024Fine · $40K
- Mar 8, 2024Fine · $17K
- Sep 28, 2023Payment denial · 31 days · starting Oct 27, 2023
- Sep 28, 2023Fine · $87K
Largest single fine on record: $87K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: May 29, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Cascades at Galveston is a 150-bed Medicare/Medicaid nursing home in Galveston County, operated under a hospital district license and managed by Cascades At Senior Rehab, LP. CMS rates it 1 star overall, with 1-star health inspection and 2-star staffing ratings. Three CMS fines have totaled $143,836 since the most recent inspection cycle — nearly 7 times the Texas median of $20,699. Only about 61 of its 150 beds are occupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — each resident receives about 190 minutes of nursing care per day, roughly 51 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility, so those 190 minutes stretch thinner than the number alone suggests.
About 6 in 10 nursing staff left in the past year — above the Texas 75th percentile of 60%, meaning turnover is higher than at roughly three-quarters of nursing homes in the state. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
Three CMS fines have totaled $143,836 — nearly 7 times the Texas median of $20,699, and roughly 70% of Texas nursing homes have no fines at all. The health inspection rating stands at 1 star.
The facility is operating at roughly 41% of its licensed 150 beds, with about 61 residents on a given day. That low occupancy, set alongside the 1-star health inspection rating, high turnover, and fine total, is part of the same record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Behind the $143,836 in fines
Ask what the three CMS violations were, what corrective steps followed, and whether any repeat deficiencies appeared in the most recent inspection.
Staffing on nights and weekends
Reported weekend nursing hours run lower than weekday figures — ask how many nurses and aides are on the floor on a Saturday night with 61 residents.
Why so many beds are empty
Only about 61 of 150 beds are occupied; ask what is driving that vacancy and whether any planned changes to admissions, ownership, or operations are underway.
Nursing staff retention since last year
Six in 10 nursing staff left in the past year — ask what specific steps management has taken since then and whether turnover has slowed.
Short-stay outcomes rated 1 star
CMS rates short-stay quality measures at 1 star; ask which specific outcomes — such as re-hospitalization or pain management — pulled the rating down.
Administrator continuity going forward
One administrator change is recorded in the past year; ask how long the current administrator Maurice Gaines has been in the role and whether any further leadership changes are expected.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.