SNF

Cascades at Jacinto Rehab LP

CCN: 675231 · Houston, TX 77029 · Harris County

Overview

Address
1405 Holland, Houston, TX 77029
Phone
7134551744
Certified beds
148
Avg daily residents
75 (51% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1993-12-02
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 2.94 4.02 2.82 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.12 0.70 0.12 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.98 0.89 0.94 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.84 2.42 1.77 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.10 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.02 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.63
hrs / resident / day
RN (weekend)
0.11
hrs / resident / day
Total nurse (adjusted, weekend)
2.53
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
53.0%
annual
RN turnover
66.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.42
higher acuity than avg
Case-Mix Index Ratio
1.03
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-12-05 9 4 5 76 1 76
Cycle 2/3 (prior) 2023-09-07 22 16 8 233 1 233
Total weighted health score
115.3
lower is better

Deficiencies (32)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
28 D/E/F Actual harm — potential for minor
3 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0584 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. E 2026-01-22 —
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. D 2026-01-22 —
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2025-11-21 2025-12-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-10-30 —
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-10-30 —
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-12-27 2025-02-10
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-12-27 2025-02-10
0583 Keep residents' personal and medical records private and confidential. D 2024-12-05 2024-12-20
0727 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. F 2024-12-05 2024-12-20
0759 Ensure medication error rates are not 5 percent or greater. E 2024-12-05 2024-12-20
0880 Provide and implement an infection prevention and control program. D 2024-12-05 2024-12-20
0692 Provide enough food/fluids to maintain a resident's health. D 2024-11-15 2024-12-05
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-11-15 2024-12-05
0641 Ensure each resident receives an accurate assessment. D 2023-09-07 2023-10-10
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-09-07 2023-10-10
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-09-07 2023-10-10
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. E 2023-09-07 2023-10-10
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2023-09-07 2023-10-10
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2023-09-07 2023-10-10
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. E 2023-09-07 2023-10-10
0758 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. E 2023-09-07 2023-10-10
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-09-07 2023-10-10
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. J 2023-09-07 2023-10-10
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. C 2023-09-07 2023-10-10
0880 Provide and implement an infection prevention and control program. D 2023-09-07 2023-10-10
0914 Provide bedrooms that don't allow residents to see each other when privacy is needed. E 2023-09-07 2023-10-10
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2023-09-07 2023-10-10
0584 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. E 2023-09-07 2023-10-10
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. J 2023-09-07 2023-10-10
0880 Provide and implement an infection prevention and control program. D 2023-06-23 2023-07-14
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2023-06-23 2023-07-14
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2022-06-30 2022-07-01

Penalties (3)

Fines issued
2
last 3 years
Total fines
$51,586
Payment denials
1
Date Type Fine amount
2023-11-06 Fine $4,194
2023-09-07 Fine $47,392
2023-09-07 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 1.6% Medicaid 14.1% Other 84.3%

Operating performance

Operating Margin
-7.5%
Total Margin
-5.3%
Occupancy Rate
44.8%
Cost per Resident Day
$23

Revenue & costs

Net Patient Revenue
$5.2M
Total Costs
$562K
Net Income
-$282K

Balance sheet

Total Assets
$1.1M
Total Liabilities
$1.9M
Fund Balance
-$866K
Current Ratio
0.73

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CASCADES HEALTHCARE

Chain ID
117
Facilities in chain
20
Legal business name
CASCADES AT JACINTO REHAB, LP
Chain-average star ratings (for peer context)
Overall
2.0
Health
1.7
Staffing
2.1
QM
4.1

Owner / manager organizations (7)

Organization Role Association
CASCADES AT JACINTO REHAB, LP 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/01/2021
CASCADES HEALTHCARE OF TEXAS, LLC GENERAL PARTNERSHIP INTEREST since 06/01/2021
LONE STAR ASSETS, FLP LIMITED PARTNERSHIP INTEREST since 06/01/2021
NODYAH, FLP LIMITED PARTNERSHIP INTEREST since 06/01/2021
SAIMAA, FLP LIMITED PARTNERSHIP INTEREST since 06/01/2021
TAKI, FLP LIMITED PARTNERSHIP INTEREST since 06/01/2021
CASCADES AT JACINTO REHAB, LP OPERATIONAL/MANAGERIAL CONTROL since 06/01/2021

Owner / manager individuals (8)

Name Role Association
CRUMP, JASON OPERATIONAL/MANAGERIAL CONTROL since 06/01/2021
FULLMER, CHAD OPERATIONAL/MANAGERIAL CONTROL since 06/01/2021
MCSPADDEN, DARIN OPERATIONAL/MANAGERIAL CONTROL since 06/01/2021
WHITE, DEREK OPERATIONAL/MANAGERIAL CONTROL since 06/01/2021
CRUMP, JASON CORPORATE DIRECTOR since 06/01/2021
FULLMER, CHAD CORPORATE DIRECTOR since 06/01/2021
MCSPADDEN, DARIN CORPORATE DIRECTOR since 06/01/2021
WHITE, DEREK CORPORATE DIRECTOR since 06/01/2021

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $23 metrics.cost_per_resident_day
Cost Report Current Ratio 0.73 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 14.1% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 1.6% metrics.medicare_day_share
Cost Report Net Income ($) $-281,940 metrics.net_income
Cost Report Net Patient Revenue ($) $5,236,966 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 44.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -7.5% metrics.operating_margin
Cost Report Total Assets ($) $1,052,707 metrics.total_assets
Cost Report Total Costs ($) $561,877 metrics.total_costs
Cost Report Total Fund Balances ($) $-866,428 metrics.fund_balance
Cost Report Total Liabilities ($) $1,919,135 metrics.total_liabilities
Cost Report Total Margin (%) -5.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.93831 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.76826 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.11659 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.82315 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.52561 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 75.4 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.89149 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.42286 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.70269 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.01703 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.54059 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 117 Chain ID
Provider Information Chain Name CASCADES HEALTHCARE Chain Name
Provider Information City/Town Houston City/Town
Provider Information CMS Certification Number (CCN) 675231 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Harris County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1993-12-02 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 29.7662 Latitude
Provider Information Legal Business Name CASCADES AT JACINTO REHAB, LP Legal Business Name
Provider Information Location 1405 Holland,Houston,TX,77029 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -95.234 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 148 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 20 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.42306 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.03296 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1405 Holland Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Cascades at Jacinto Rehab LP Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 610 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 76 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 5 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 4 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-12-05 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 76 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 9 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 16 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-09-07 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 233 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 8 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 233 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 22 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.10874 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 66.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.09755 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.97625 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.83975 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02198 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.12130 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 2.93730 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 7134551744 Telephone Number
Provider Information Total Amount of Fines in Dollars 51586.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.62772 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 53.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 115.250 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 77029 ZIP Code