facebook tracking The Shoal, Texas City TX: CMS Ratings & Inspections
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The Shoal

All states › Texas › Texas City › The Shoal

1011 Mainland Center Dr Texas City, TX 77591 · Galveston County

(713) 358-0700

All 5 nursing homes in Texas City, TX (5 take Medicaid)

Cited for abuse Accepts Medicare Accepts Medicaid 134 certified beds For profit

CMS certification number 676360 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is The Shoal a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Shoal as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8. Inspectors issued 15 citations in the last three years. CMS imposed 1 penalty, including $26,810 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 5 out of 5. CMS currently shows its abuse icon for this home (see above).

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 3.90 hours per resident per day at The Shoal, above the Texas median of 3.30 (US median: 3.72). About 0.58 of those hours are from registered nurses. On weekends it falls to 3.50 hours, 10% below its all-week average. 56.9% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.90 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.58 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.50 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 56.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 70.6% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds134
Residents per day 100 About 74% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceMay 2014
Part of a chainPurehealth
Legal business nameBELLVILLE HOSPITAL DISTRICT

Paying for care at The Shoal: Medicare and Medicaid

The Shoal is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on June 11, 2026 and found 2 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 15 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 15 citations at The Shoal across 4 inspection dates, 4 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 8, 2026 (complaint inspection). The most common areas cited were resident assessment and care planning (4) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, August 8, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.

August 8, 2026 · 3 citations · includes complaint inspection

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

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has plan of correction (Aug 9, 2026)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has plan of correction (Aug 9, 2026)

June 11, 2026 · 2 citations

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jun 26, 2026)

DEnsure 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Jun 26, 2026)

April 25, 2025 · 6 citations, includes actual harm · includes complaint inspection

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

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (May 19, 2025)

DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0557 · Deficient, Provider has date of correction (May 19, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (May 19, 2025)

DAssist a resident in gaining access to vision and hearing services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0685 · Deficient, Provider has date of correction (May 19, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 19, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 19, 2025)

February 14, 2024 · 4 citations

EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Mar 8, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 16, 2024)

DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Mar 8, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Mar 8, 2024)

Questions to ask on a tour of The Shoal

  1. Inspectors cited the home at the immediate-jeopardy level on August 8, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 8, 2026. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $26,810 in fines.

DateTypeAmount or length
Aug 8, 2026 Fine $26,810

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 3/5 5/5
August 2026 5/5 5/5 2/5 5/5
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Location

Hospitals near The Shoal

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Seabreeze Nursing and Rehabilitation Texas City · 0.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 107 beds · Medicaid
The Lakes at Texas City Texas City · 1.1 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 109 beds · Medicaid
Bayou Pines Care Center La Marque · 1.6 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 120 beds · Medicaid
Harbor Point Skilled Nursing Texas City · 3.5 mi away ★★★★☆ Inspection 5/5 · Staffing 1/5 129 beds · Medicaid
The Phoenix Post-Acute Texas City · 5.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 134 beds · Medicaid

More nursing homes near The Shoal ›   All nursing homes in Texas City ›

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Other Purehealth nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Purehealth nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/texas-city/the-shoal/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.