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Deficiency Records for Cascades at Galveston
View the most recent health deficiencies and inspection results for Cascades at Galveston. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cascades at Galveston. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-18 | 2026-04-13 | Y |
| 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. | Health | 2026-03-18 | 2026-04-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-18 | 2026-04-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-03-18 | 2026-04-13 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-09-05 | 2026-01-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-05 | 2026-01-12 | Y |
| 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. | Health | 2025-11-19 | 2025-12-09 | Y |
| 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. | Health | 2025-11-25 | 2025-11-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-11-25 | 2025-11-26 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-29 | 2025-06-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-29 | 2025-06-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-29 | 2025-06-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-29 | 2025-06-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-05-29 | 2025-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-29 | 2025-05-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-29 | 2025-05-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-16 | 2025-05-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-05-16 | 2025-05-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-17 | 2024-05-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-17 | 2024-05-24 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-03-29 | 2024-05-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-29 | 2024-05-01 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-29 | 2024-05-01 | N |
| 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. | Health | 2024-03-29 | 2024-05-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-29 | 2024-05-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-03-29 | 2024-05-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-03-29 | 2024-05-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-03-29 | 2024-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-29 | 2024-04-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-29 | 2024-04-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-29 | 2024-04-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-29 | 2024-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-29 | 2024-04-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-08 | 2024-03-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-28 | 2023-11-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-28 | 2023-11-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-10-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-28 | 2023-10-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-16 | 2023-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-02-20 | N |
| 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. | Health | 2023-01-27 | 2023-02-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-01-27 | 2023-02-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-27 | 2023-02-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-27 | 2023-02-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-27 | 2023-02-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-27 | 2023-02-20 | N |
| 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. | Health | 2023-01-27 | 2023-02-20 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-01-27 | 2023-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-27 | 2023-02-20 | N |