Federal inspection record · CMS data as of October 1, 2026
Galveston Nursing and Rehabilitation Center
3702 Cove View Blvd, Galveston, TX · (409) 740-7330
- Special Focus Facility
- Certified beds
- 150
- Residents per day
- 64
- Ownership
- For-Profit
- Chain
- Cascades Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 2, 1994
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Galveston Nursing and Rehabilitation Center carries 376.75 inspection points. That is fewer than 1% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
46 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (7)
-
K
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
K
Provide enough food/fluids to maintain a resident's health.
-
K
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
K
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.
-
J
Provide safe and appropriate respiratory care for a resident when needed.
-
J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
J
Provide safe and appropriate respiratory care for a resident when needed.
Everything else, by area of care
Resident Assessment and Care Planning16E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assess the resident when there is a significant change in condition
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
Pharmacy Service5E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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
Ensure that residents are free from significant medication errors.
- E
Ensure medication error rates are not 5 percent or greater.
Resident Rights4E
- E
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Environmental4E
- E
Keep all essential equipment working safely.
- E
Provide bedrooms that don't allow residents to see each other when privacy is needed.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Dispose of garbage and refuse properly.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services2E
- E
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
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Administration2F
- F
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.
- E
Hire a qualified full-time social worker in a facility with more than 120 beds.
Quality of Life and Care1D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-07-15
27 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2025-05-29
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-03-29
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 15 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 15 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 78% of nursing staff and 71% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$202,435 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-15 | Fine | $87,717 |
| 2026-06-15 | Payment Denial · 3 day denial | $0 |
| 2026-03-18 | Fine | $58,025 |
| 2024-03-08 | Fine | $17,000 |
| 2024-03-08 | Fine | $39,693 |
| 2024-03-08 | Payment Denial · 25 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse | 3.6 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 98.7% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts better | 98.4% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse | 4.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.5 pts worse | 8.8% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 2.6% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication20.2 pts worse | 38.0% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.6 pts better | 8.2% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.4 pts worse | 23.3% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts worse | 18.3% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.2 pts worse | 2.5% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 0.9% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence17.7 pts worse | 30.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 3.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts worse | 85.9% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts worse | 12.9% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 86.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts worse | 29.4% | 25.5% | 23.4% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Barnum, Patrice | Adp Of The SNF · Individual | 0% | 1 facilities |
| Christensen, Covey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 16 facilities |
| Cove View Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Gaines, Maurice | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ikerd, John | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Murrell, Edward | Corporate Director · Individual | 0% | 77 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Install properly constructed windows in hallway walls or doors.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- F
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
The Meridian
Galveston, TX
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
-
The Phoenix Post-Acute
Texas City, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 35 min
- Fines
- $90,049
-
Harbor Point Skilled Nursing
Texas City, TX · Fundamental Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 9 min
- Fines
- $0