Nursing HomeInspections

The Shoal

Nursing home in Texas City, TX

Medicare & Medicaid certified5★ overall (CMS)

Call (713) 358-0700Send a messageMap ↗

Public-record details

Address
1011 Mainland Center Dr, Texas City, TX 77591
Phone
(713) 358-0700
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
676360
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
134
Average residents per day
103
Ownership
For-profit, limited Liability company
Legal business name
Bellville Hospital District
Chain
Purehealth (8 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 30, 2014
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676360. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 11, 2026. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 14, 2024 to Jun 11, 2026): 1 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 11, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 11, 2026Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 25, 2025Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 25, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 25, 2025Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 25, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 25, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 25, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Feb 14, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 14, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 14, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Feb 14, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.68 hours
Registered nurse (RN) time per resident per day
0.50 hours
Nurse aide time per resident per day
2.23 hours
Total nurse staffing on weekends
3.30 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
65%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Texas City

Harbor Point Skilled Nursing1720 N Logan St · Texas City, TX 77590 · (409) 943-4914 · For-profit10 health citations in 3 inspection cycles · last standard inspection Apr 17, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)The Phoenix Post-Acute519 Ninth Ave N · Texas City, TX 77590 · (409) 949-9499 · For-profit9 health citations in 3 inspection cycles · last standard inspection May 14, 2026 · $90,049 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)The Lakes at Texas City424 N Tarpey Rd · Texas City, TX 77591 · (409) 938-8431 · For-profit29 health citations in 3 inspection cycles · last standard inspection Dec 4, 2025 · $8,410 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Seabreeze Nursing and Rehabilitation6602 Memorial Dr · Texas City, TX 77590 · (817) 410-7300 · For-profit41 health citations in 3 inspection cycles · last standard inspection Jan 8, 2026 · $146,420 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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