Port Arthur, TX

Cascades at Port Arthur

1-star overall rating with 1-star inspections with abuse icon flag with $365,561 in total fines with 18 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

6600 Ninth Ave, Port Arthur, TX

(409) 962-5541

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

150

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cascades Healthcare

Operator or chain grouping

Approved since

1993-08-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.31

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.37

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.25

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.04

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.28

CMS adjusted RN staffing hours

Adjusted total hours

3.04

CMS adjusted total nurse staffing hours

Case-mix index

1.52

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

72%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,086

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

8.49

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Performance 21.84% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

Baseline 7.71% · Performance 9.19% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.69

Baseline 58.62% · Performance 56.76% · Measure score 1.69 · Achievement 1.69 · Improvement 0.05

Adjusted total nurse staffing

1.70

Baseline 3.19 hours · Performance 3.56 hours · Measure score 1.70 · Achievement 1.70 · Improvement 0.93

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.24%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 66 · Observed rate 12.12% · Lower 95% interval 7.68%
Discharge to community	42.15%	50.57% 8.4 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 33.33% · Lower 95% interval 28.91%
Medicare spending per beneficiary	1.3	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 59 · Denominator 59
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 59
Discharge self-care score	48.28%	53.69% 5.4 pts worse	Numerator 14 · Denominator 29
Discharge mobility score	58.62%	50.94% 7.7 pts better	Numerator 17 · Denominator 29
Pressure ulcers or injuries, new or worsened	1.69%	2.29% 0.6 pts better	Numerator 1 · Denominator 59 · Adjusted rate 1.21%
Healthcare-associated infections requiring hospitalization	9.19%	7.12% 2.1 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 14.29% · Lower 95% interval 5.39%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 103
Staff flu vaccination coverage	41.51%	42% 0.5 pts worse	Numerator 44 · Denominator 106
Discharge function score	65.52%	56.45% 9.1 pts better	Numerator 19 · Denominator 29
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 34 · Denominator 34
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	7.41%	25.2% 17.8 pts worse	Numerator 2 · Denominator 27

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.1 0.3 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.1 0.9 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	61.7%	97.1% 35.4 pts worse	93.4% 31.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 70.3% · Q2 68.6% · Q3 55.6% · Q4 50.7% · 4Q avg 61.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	57.5%	97.9% 40.4 pts worse	95.5% 38 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 57.5%
Percentage of long-stay residents experiencing one or more falls with major injury	5.5%	3.3% 2.2 pts worse	3.3% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 7.1% · Q3 4.8% · Q4 3.0% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.8%	2.7% 0.1 pts worse	11.4% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 6.8% · Q4 3.3% · 4Q avg 2.8%
Percentage of long-stay residents who lose too much weight	5.5%	3.3% 2.2 pts worse	5.4% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 5.9% · Q3 4.4% · Q4 1.9% · 4Q avg 5.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.6%	18.9% 4.7 pts worse	19.6% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 25.0% · Q3 20.4% · Q4 21.2% · 4Q avg 23.6%
Percentage of long-stay residents who received an antipsychotic medication	15.0%	10.8% 4.2 pts worse	16.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 18.2% · Q3 12.1% · Q4 18.2% · 4Q avg 15.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.4%	15.4% 11 pts better	16.3% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.2%	16.1% 9.9 pts better	14.9% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.0% · Q3 13.0% · Q4 8.5% · 4Q avg 6.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.0%	15.0% 4 pts better	19.8% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 16.8% · Q3 10.4% · Q4 3.0% · 4Q avg 11.0%
Percentage of long-stay residents with pressure ulcers	5.6%	4.2% 1.4 pts worse	5.1% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.9% · Q3 5.1% · Q4 3.1% · 4Q avg 5.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	4.7%	89.7% 85 pts worse	81.7% 77 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 1.6% · Q3 4.9% · Q4 6.3% · 4Q avg 4.7%
Percentage of short-stay residents who had an outpatient emergency department visit	15.5%	12.0% 3.5 pts worse	12.0% 3.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 19.4% · Expected 14.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	1.5%	88.0% 86.5 pts worse	79.7% 78.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 1.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.0%	25.9% 0.9 pts better	23.9% 1.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 29.0% · Expected 27.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-07 · Fire 2026-01-07

18 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-10-16 · Fire 2024-10-16

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-09-13 · Fire 2023-09-13

24 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-06

F · Potential for more than minimal harm 2024-10-16

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2024-11-05

E · Potential for more than minimal harm 2024-10-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-05

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-01-14

E · Potential for more than minimal harm 2026-01-07

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-02-06

E · Potential for more than minimal harm 2026-01-07

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2026-02-06

E · Potential for more than minimal harm 2026-01-07

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-07

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-07

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-07

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-06

D · Potential for more than minimal harm 2025-11-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-12-12

J · Immediate jeopardy 2025-09-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-23

J · Immediate jeopardy 2025-09-22

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-10

J · Immediate jeopardy 2025-09-22

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-02-10

E · Potential for more than minimal harm 2025-09-22

F761 · Pharmacy Service Deficiencies

Health

Corrected 2025-09-23

E · Potential for more than minimal harm 2025-09-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-23

J · Immediate jeopardy 2025-08-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Not marked corrected

F · Potential for more than minimal harm 2024-10-16

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-11-05

E · Potential for more than minimal harm 2024-10-16

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-11-05

E · Potential for more than minimal harm 2024-10-16

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-16

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-11-05

K · Immediate jeopardy 2024-06-17

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-07-10

K · Immediate jeopardy 2024-06-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-07-10

K · Immediate jeopardy 2023-10-03

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-10-06

K · Immediate jeopardy 2023-10-03

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-10-06

E · Potential for more than minimal harm 2023-09-13