Galveston Nursing and Rehabilitation Center
3702 Cove View Blvd, Galveston, TX 77554
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Follow this homeGalveston Nursing and Rehabilitation Center is a nursing home in Galveston, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionJuly 15, 2026 (3 months ago)
- Health citations since October 28, 202346 (Texas average 28)
- Fines in the past three years4, $202,435 in total
- CMS flagsSpecial Focus Facility candidate
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CMS flags
Special Focus Facility candidate
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of October 8, 2026
Name
CMS lists a new name for this home. It was Cascades at Galveston.
Fine
CMS changed the fine from March 18, 2026 from $97,680 to $58,025.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
Staffing
Total nurse staffing reported to CMS went from 3.2 to 2.7 hours per resident per day.
Ownership
CMS ownership records list new owners for this home.
July 22, 2026
Payment stoppedCMS stopped payment for new admissions from July 22, 2026, for 3 days.
Health inspection on July 15, 2026
14 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 14 citations
Citation F0558. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on August 14, 2026.
Citation F0565. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on August 14, 2026.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 14, 2026.
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on August 14, 2026.
CMS has cited this home for F0842 2 times since 2024.
Citation F0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on August 14, 2026.
Citation F0914. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide bedrooms that don't allow residents to see each other when privacy is needed.
CMS lists it as corrected on August 14, 2026.
Citation F0925. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on August 14, 2026.
CMS has cited this home for F0925 2 times since 2025.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on August 14, 2026.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on August 14, 2026.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on August 14, 2026.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on August 14, 2026.
CMS has cited this home for F0656 5 times since 2025.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on August 14, 2026.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on August 14, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 14, 2026.
CMS has cited this home for F0880 2 times since 2026.
Fire safety inspection on July 15, 2026
10 citationsCMS lists this as a standard inspection.
Show the 10 citations
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on September 4, 2026.
CMS has cited this home for K0324 2 times since 2025.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 4, 2026.
CMS has cited this home for K0345 3 times since 2024.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on April 1, 2026.
CMS has cited this home for K0712 3 times since 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 4, 2026.
Citation K0923. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on September 4, 2026.
Citation K0929. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
CMS lists it as corrected on September 4, 2026.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on September 4, 2026.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 4, 2026.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on September 4, 2026.
Citation K0364. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install properly constructed windows in hallway walls or doors.
CMS lists it as corrected on September 4, 2026.
Health inspection on June 30, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0814. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on July 25, 2026.
June 15, 2026
FineCMS fine of $87,717 on June 15, 2026.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on April 22, 2026
4 citationsCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
129 of 1,177 Texas homes (11%) got a citation at the immediate jeopardy level in 2026.
Show the 4 citations
Citation F0580. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on April 23, 2026.
CMS has cited this home for F0580 4 times since 2023.
Citation F0692. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on April 23, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on April 23, 2026.
CMS has cited this home for F0641 3 times since 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 23, 2026.
Health inspection on April 2, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on April 9, 2026.
Health inspection on March 18, 2026
4 citationsCMS lists this as a complaint inspection.
CMS fine of $58,025 on March 18, 2026.
Show the 4 citations
Citation F0726. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on April 13, 2026.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on April 13, 2026.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 13, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 13, 2026.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5.
CMS update of January 14, 2026
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
Health inspection on November 25, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0838. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on November 26, 2025.
Citation F0725. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on November 26, 2025.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 4 of 5.
Health inspection on November 19, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on December 9, 2025.
Health inspection on September 5, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on January 12, 2026.
Citation F0925. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on January 12, 2026.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of June 25, 2025
Name
CMS lists a new legal business name for this home.
Health inspection on May 29, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0641. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on May 30, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 30, 2025.
Fire safety inspection on May 29, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on June 19, 2025.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 24, 2025.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on June 19, 2025.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on June 19, 2025.
Citation K0741. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on June 19, 2025.
CMS has cited this home for K0741 2 times since 2024.
Health inspection on May 16, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on May 17, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on May 17, 2025.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Fine
CMS changed the fine from March 8, 2024 from $16,055 to $17,000.
Fine
CMS changed the fine from March 8, 2024 from $37,512 to $39,693.
CMS update of March 26, 2025
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Name
CMS lists a new legal business name for this home.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of September 26, 2024
Fine
CMS changed the fine from March 8, 2024 from $24,700 to $16,055.
Fine
CMS changed the fine from March 8, 2024 from $57,710 to $37,512.
CMS update of August 29, 2024
Health citation
CMS changed citation F0693 from severity J to K. It is from the health inspection on March 29, 2024. Severity K: immediate jeopardy, pattern.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
Health citation
CMS changed citation F0693 from severity K to J. It is from the health inspection on March 29, 2024. Severity J: immediate jeopardy, isolated.
Health inspection on May 17, 2024
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on May 24, 2024.
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on May 24, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
April 6, 2024
Payment stoppedCMS stopped payment for new admissions from April 6, 2024, for 25 days.
Health inspection on March 29, 2024
8 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
Show the 8 citations
Citation F0580. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on May 1, 2024.
Citation F0693. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on May 1, 2024.
Citation F0759. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on May 1, 2024.
Citation F0850. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Hire a qualified full-time social worker in a facility with more than 120 beds.
CMS lists it as corrected on May 1, 2024.
Citation F0636. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on May 1, 2024.
Citation F0637. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on May 1, 2024.
Citation F0640. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on May 1, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on May 1, 2024.
Fire safety inspection on March 29, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on April 23, 2024.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on April 1, 2024.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on April 1, 2024.
Citation K0741. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on April 19, 2024.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on April 1, 2024.
CMS update of March 28, 2024
Fine
CMS changed the fine from September 28, 2023 from $134,065 to $87,142.
Health inspection on March 8, 2024
1 citationCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $17,000 on March 8, 2024.
CMS fine of $39,693 on March 8, 2024.
Show the 1 citation
Citation F0695. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on March 13, 2024.
CMS has cited this home for F0695 2 times since 2023.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on October 28, 2023
2 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
152 of 1,177 Texas homes (13%) got a citation at the immediate jeopardy level in 2023.
Show the 2 citations
Citation F0580. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on November 27, 2023.
Citation F0695. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on November 27, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (409) 740-7330
- Last standard health inspection
- July 15, 2026 (3 months ago)
- Certified beds
- 150
- Residents per day, on average
- 63.8
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Winnie-Stowell Hospital District
- Chain
- Cascades Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the Texas average (46 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- COVE VIEW OPERATIONS LLCOperational/managerial control · not applicable · since 04/01/2026
- IKERD, JOHNOperational/managerial control · not applicable · since 04/01/2026
Questions
When was Galveston Nursing and Rehabilitation Center last inspected?
CMS lists July 15, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Galveston Nursing and Rehabilitation Center have?
CMS lists 46 health citations since October 28, 2023. CMS also calls these deficiencies.
Has Galveston Nursing and Rehabilitation Center been fined?
CMS lists 4 fines in the past three years, $202,435 in total.
What is the CMS star rating of Galveston Nursing and Rehabilitation Center?
Its CMS overall star rating is 1 of 5.
Is Galveston Nursing and Rehabilitation Center a Special Focus Facility?
Yes. CMS lists it as a Special Focus Facility candidate.