nursing home in Texas City, TX
The Shoal
1011 Mainland Center Dr, Texas City, TX 77591 · (713) 358-0700
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Shoal at a glance
The Shoal is a 134-bed for-profit nursing home in Texas City, Texas (Galveston County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.7 hours of nursing care per day (0.5 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (June 11, 2026) found 2 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $26,810.
Nursing staff turnover is 52.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 134
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Purehealth
- Medicare-certified since
- May 30, 2014
- Resident/family council
- Resident
- County
- Galveston County
- CMS Certification Number
- 676360
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.68 hrs | 3.39 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.50 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.23 hrs | 2.01 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.30 hrs | 2.98 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 52.3% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 64.7% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 16 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $26,810 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 134 | 113 | 107 | |
| Average residents per day | 103 | 76 | 86 | |
| Occupancy | 76.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.9% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 5.2% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.5% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 7.9% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.5% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.5% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 17.2% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 98.9% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.1% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 11, 2026 Fire safety | Meet other general requirements. Smoke Deficiencies · Tag K0932 | F Potential harm, widespread | Corrected June 26, 2026 |
| June 11, 2026 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected June 26, 2026 |
| June 11, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected June 26, 2026 |
| June 11, 2026 Standard | Ensure 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 Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected June 26, 2026 |
| June 11, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 26, 2026 |
| April 25, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 23, 2025 |
| April 25, 2025 Complaint | Protect 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 Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected May 19, 2025 |
| April 25, 2025 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 25, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 25, 2025 Standard | Ensure 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 25, 2025 Standard | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 25, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 19, 2025 |
| February 14, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected March 1, 2024 |
| February 14, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected March 1, 2024 |
| February 14, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 16, 2024 |
| February 14, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | E Potential harm, pattern | Corrected March 8, 2024 |
| February 14, 2024 Standard | Develop 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 8, 2024 |
| February 14, 2024 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected March 8, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $26,810 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 8, 2026 | Fine | $26,810 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BELLVILLE HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 07/01/2022 |
| DWIGHT MORTGAGE TRUST LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 07/01/2022 |
| ARMSTRONG, ROBIN Individual | adp of the snf | NOT APPLICABLE | 12/01/2014 |
| CAMPION, ROBERT Individual | adp of the snf | NOT APPLICABLE | 07/01/2022 |
| CEDILLO, OLIVIA Individual | adp of the snf | NOT APPLICABLE | 07/01/2022 |
| FRASER, SIOBAUGHN Individual | adp of the snf | NOT APPLICABLE | 07/01/2022 |
| SMITH, LAKESIA Individual | adp of the snf | NOT APPLICABLE | 07/15/2019 |
| TX NM OPERATIONS HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 04/14/2025 |
| THOMPSON, JOHNNY Individual | corporate director | NOT APPLICABLE | 11/01/2023 |
| ARMSTRONG, ROBIN Individual | operational/managerial control | NOT APPLICABLE | 12/01/2014 |
| CAMPION, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 07/01/2022 |
| CEDILLO, OLIVIA Individual | operational/managerial control | NOT APPLICABLE | 07/01/2022 |
| FRASER, SIOBAUGHN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2022 |
| SMITH, LAKESIA Individual | operational/managerial control | NOT APPLICABLE | 07/15/2019 |
| TX NM OPERATIONS HOLDINGS LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2022 |
Other nursing homes near The Shoal
Seabreeze Nursing and Rehabilitation
6602 Memorial Dr, Texas City, TX 77590 · under 1 mi
For-profit · 107 beds · Part of Slp Operations
- Abuse citation
★★★★★1Much below averageAvir at the Lakes
424 N Tarpey Rd, Texas City, TX 77591 · 1.1 mi
For-profit · 109 beds · Part of Hamilton County Hospital District
★★★★★2Below average- ★★★★★2Below average
Harbor Point Skilled Nursing
1720 N Logan St, Texas City, TX 77590 · 3.5 mi
For-profit · 129 beds · Part of Fundamental Healthcare
★★★★★4Above averageThe Phoenix Post-Acute
519 Ninth Ave N, Texas City, TX 77590 · 5.2 mi
For-profit · 134 beds · Part of The Ensign Group
★★★★★3AverageThe Heights of League City
2620 West Walker Street, League City, TX 77573 · 9.1 mi
Government · 194 beds · Part of Touchstone Communities
★★★★★1Much below average
Frequently asked questions
What is The Shoal's rating?
The Shoal has 5 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did The Shoal receive?
Its most recent standard health inspection found 2 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does The Shoal accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Shoal?
It is for profit - limited liability company and part of Purehealth. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Shoal and how do I contact it?
The Shoal is at 1011 Mainland Center Dr, Texas City, TX 77591. Phone: (713) 358-0700.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.