Nursing homes › Texas › Cascades at Galveston
3702 Cove View Blvd, Galveston, TX 77554 · 4097407330 · 150 certified beds
Per CMS filings, this facility is affiliated with Cascades Healthcare, a group operating 20 facilities in 4 states. Group record: average rating 1.9/5, 5 abuse citation icons, 3 facilities on the Special Focus list, $1,574,555 in federal fines. This facility rates below its group average (1.9/5).
Total nurse staffing: 2.74 (Texas median: 3.27). RN hours: 0.60. Weekend total: 2.11. Nursing staff turnover: 71%.
All-time on record: 41 deficiency citations, including 9 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-22 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | complaint | Deficient, Provider has no plan of correction |
| 2026-04-22 | Provide enough food/fluids to maintain a resident's health. | K | complaint | Deficient, Provider has no plan of correction |
| 2026-04-22 | Ensure each resident receives an accurate assessment. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-04-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-04-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-03-18 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | complaint | corrected 2026-04-13 |
| 2026-03-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2026-04-13 |
| 2026-03-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-04-13 |
| 2026-03-18 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-04-13 |
| 2025-11-25 | 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. | F | complaint | corrected 2025-11-26 |
| 2025-11-25 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2025-11-26 |
| 2025-11-19 | 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. | E | complaint | corrected 2025-12-09 |
| 2025-09-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-01-12 |
| 2025-09-05 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | complaint | corrected 2026-01-12 |
| 2025-05-29 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2025-05-30 |
| 2025-05-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-05-30 |
| 2025-05-16 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-05-17 |
| 2025-05-16 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-05-17 |
| 2024-05-17 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2024-05-24 |
| 2024-05-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2024-05-24 |
| 2024-03-29 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | complaint | corrected 2024-05-01 |
| 2024-03-29 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | K | Health | corrected 2024-05-01 |
| 2024-03-29 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-05-01 |
| 2024-03-29 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | complaint | corrected 2024-05-01 |
| 2024-03-29 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2024-05-01 |
| 2024-03-29 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-05-01 |
| 2024-03-29 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2024-05-01 |
| 2024-03-29 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-05-01 |
| 2024-03-08 | Provide safe and appropriate respiratory care for a resident when needed. | J | complaint | corrected 2024-03-13 |
| 2023-10-28 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | complaint | corrected 2023-11-27 |
| 2023-10-28 | Provide safe and appropriate respiratory care for a resident when needed. | J | complaint | corrected 2023-11-27 |
| 2023-09-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | corrected 2023-10-30 |
| 2023-09-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | complaint | corrected 2023-10-30 |
| 2023-01-27 | Honor the resident's right to manage his or her financial affairs. | E | Health | corrected 2023-02-20 |
| 2023-01-27 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Health | corrected 2023-02-20 |
| 2023-01-27 | 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. | D | Health | corrected 2023-02-20 |
| 2023-01-27 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-02-20 |
| 2023-01-27 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2023-02-20 |
| 2023-01-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-02-20 |
| 2023-01-27 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-02-20 |
| Date | Type | Amount |
|---|---|---|
| 2026-03-18 | Fine | $97,680 |
| 2024-03-08 | Fine | $17,000 |
| 2024-03-08 | Fine | $39,693 |
| 2024-03-08 | Payment Denial | 25 days payment denial |
| 2023-09-28 | Fine | $87,143 |
| 2023-09-28 | Payment Denial | 31 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MURRELL, EDWARD | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2024 |
| COVE VIEW OPERATIONS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2026 |
| IKERD, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2026 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675254. Corrections: data@carerecords.org.