Cascades At Galveston
Cascades at Galveston in Galveston, TX — inspection on November 19, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an observation and interview on 11/19/2025 at 4:57 a.m., RN B was observed walking out of a door to the right of the medication cart.
She stated she was responsible for the medication cart on 100 hall at this time.
She stated the medication cart should be locked and added she had an emergency where a resident was about to fall.
She stated there was water on the floor and she went to prevent the fall.
She stated she came out of the employee lounge door when observed and denied any residents being in the employee lounge.
She stated not locking the cart could lead to residents' medications missing.
She stated she left the cart in a hurry and that was the only reason the medication cart was left unlocked and opened.
During an interview on 11/19/2025 at 5:10 a.m., RN A stated the carts were everyone's responsibility to keep the med carts locked.
She stated residents could have possibly gotten medications that were not theirs.
During an interview on 11/19/2025 at 6:20 AM, RNC stated she was the acting DON. RNC stated the facility policy stated the medication carts were locked at all times when unattended or out of the direct sight of the nurses.
She stated it was the nurse's responsibility assigned that cart to make sure the carts remained locked when not in use. RNC stated they should have monitored it better and locked the carts.
She stated the staff would be reeducated on the medication carts with that being her responsibility to reeducate. RNC stated the possible harm to residents was accidental consumption of medications not prescribed them with the failure being with the nurses having not followed the policy of medication storage.
She stated her expectations were that they followed the policy.
Record Review of facility policy Medication Labeling and Storage dated February 2025 revealed, Policy StatementThe facility stores all medications and biologicals in locked compartments under proper temperature, humidity and light controls.
Only authorized personnel have access to keys.
Policy Interpretation and ImplementationMedication Storage.4.
Controlled substances (listed as Schedule II-V of the Comprehensive Drug Abuse Prevention and Control Act of 1976) and other drugs subject to abuse are separately locked in permanently affixed compartments, except when using single unit package drug distribution systems in which the quantity stored is minimal and a missing dose can be readily detected.
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