For profit - Limited Liability company · 134 certified beds · CMS number 676360
The Shoal, Texas City, TX
CMS records 12 health deficiencies at The Shoal in Texas City, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 11, 2026. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 1 fine totaling $26,810 in the last three years.
- 12deficiencies, 3 cycles (TX median 25)
- 2in the latest cycle (TX median 8)
- Ghighest severity · Actual harm
- $26,810fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Shoal as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Shoal may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (2 deficiencies)
Standard inspection Jun 11, 2026. CMS counts 2 health deficiencies and 3 fire safety deficiencies in this cycle.
Jun 11, 2026 · Standard inspection
2 deficiencies, highest D
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 26, 2026
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 26, 2026
Previous cycle: 6 deficiencies (standard inspection Apr 25, 2025)
Standard inspection Apr 25, 2025. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Apr 25, 2025 · Standard + complaint inspection
6 deficiencies, highest G
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 19, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 19, 2025
F685 · Vision and hearing services
Requirement cited (CMS): Assist a resident in gaining access to vision and hearing services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 19, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 19, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date May 19, 2025
F557 · Respect and personal belongings
Requirement cited (CMS): Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 19, 2025
Earlier cycle: 4 deficiencies (standard inspection Feb 14, 2024)
Standard inspection Feb 14, 2024. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.
Feb 14, 2024 · Standard inspection
4 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 16, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 8, 2024
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Aug 8, 2026 | Fine | $26,810 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.68 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.50 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.30 h
- Nursing staff turnover
- 52.3% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for The Shoal, copied as published; Texas medians are ours.
Facility details
- Address
- 1011 Mainland Center Dr, Texas City, TX 77591
- Phone
- (713) 358-0700
- County
- Galveston
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Purehealth
- Certified beds
- 134
- Average residents per day
- 102.7
- In Medicare/Medicaid since
- May 30, 2014
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
- What personal items and furniture can residents bring for their rooms? (F557, cited 1 time)
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 1 time)
- Who completes the admission assessment, and how is the family's input included? (F636, cited 1 time)
Other nursing homes in Texas City and the same chain
- Seabreeze Nursing and Rehabilitation
Texas City · 41 deficiencies - Avir at The Lakes
Texas City · 29 deficiencies - Harbor Point Skilled Nursing
Texas City · 10 deficiencies - The Phoenix Post-Acute
Texas City · 8 deficiencies - Denton Village by PureHealth
Denton · 26 deficiencies - The Brightpointe
Conroe · 13 deficiencies - Lake Forest Village by PureHealth
Denton · 12 deficiencies - Purehealth Transitional Care at Thr Arlington
Arlington · 10 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.