Cascades Health And Rehabilitation Center

Cascades Health and Rehabilitation Center holds an overall 3-star rating from CMS, which puts it at about average nationally. That overall rating is a composite of three separate scores, and in this case those scores tell a pretty mixed story. The staffing rating comes in at 4 stars, meaning residents here get more nurse time per day than most facilities, which is a real practical plus - it often translates to faster responses, more attentive care, and less time waiting for help. The quality measures rating is a standout 5 stars, the highest possible, reflecting strong outcomes across 15 clinical indicators like fall rates, pressure wounds, and how well residents maintain their physical function. That kind of result suggests the care being delivered day-to-day is genuinely working.

Where families should pay closer attention is the health inspection rating, which sits at 2 stars, meaning state inspectors found more citations than average, or more serious ones. These inspections look at things like safety protocols, medication management, and whether the facility is following required care standards. A below-average inspection score does not automatically mean a facility is unsafe, but it does mean it is worth asking the facility directly about what was cited and what steps have been taken to address it. The gap between a 5-star quality score and a 2-star inspection score is worth understanding before making a decision.

Staffing at Cascades Health And Rehabilitation Center is a bit of a mixed picture worth understanding before you make a decision. On the registered nurse side, this facility actually stands out in a meaningful way, providing about 1.13 RN hours per resident each day compared to the Florida average of just 0.52 among Florida nursing homes. In practical terms, that means residents here are more likely to have a trained RN nearby when a health concern comes up, rather than waiting for one to become available. When you look at total nurse hours, which includes CNAs and other nursing staff, the numbers are very close to average at 3.79 hours per resident per day versus the state's 3.87. So while the overall hands-on care time is roughly in line with what you would find elsewhere, the higher RN presence is a real differentiator and could matter a lot if your loved one has complex medical needs.

Cascades Health and Rehabilitation Center in Delray Beach has a 2-out-of-5-star health inspection rating from the government, which is below average and worth taking seriously. There is one penalty on record, with a fine of $29,780, and it was issued as recently as December 2024. A single penalty does not automatically make a facility unsafe, but the combination of a low inspection rating and a recent, fairly significant fine suggests this is a place where families should ask pointed questions before making a decision. Request the full inspection reports, ask staff directly about what was cited, and pay close attention to how management responds to your concerns. Families evaluating this facility can compare it to others in Delray Beach on the Delray Beach nursing homes and assisted living page.

1. How many residents does each certified nursing assistant typically care for during a day shift, and does that number change at night or on weekends?
2. How long have your direct care staff been working here on average, and what does your turnover rate look like over the past year?
3. If my family member had a fall or a medical concern overnight, walk me through exactly what happens, who gets notified, and how quickly?
4. Can you show me the most recent state inspection report, and can you explain any deficiencies that came up and what you changed as a result?
5. What does a typical Tuesday look like for a resident who is mobile and social versus one who mostly stays in their room?
6. If my loved one's condition changes and they need more care than you can currently provide, what is your process, and who leads that conversation with our family?

For more guidance on evaluating facilities, see our guide to questions to ask when choosing a Florida nursing home.