Nursing Homes · Medicare certified
The Shoal
1011 Mainland Center Dr · Texas City, TX 77591 · 134 certified beds
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About The Shoal
The Shoal is a nursing home in Texas City, Texas. Its capacity is 134 beds, above the Galveston County median of 120 for nursing homes. It is run by a nonprofit operator and is part of Purehealth. It is Medicare certified. Its public inspection record shows 11 citations, the most recent on April 25, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.90 hours per resident per day. It is one of 5 nursing homes listed in Texas City. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
3.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (11)
Records from July 2023 to April 2025.
April 25, 2025
Tag F0761Ensure 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: isolated, no actual harm, potential for more than minimal harm. Corrected May 19, 2025.
April 25, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected May 19, 2025.
April 25, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 19, 2025.
April 25, 2025
Tag F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 19, 2025.
April 25, 2025
Tag F0685Assist a resident in gaining access to vision and hearing services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 19, 2025.
April 25, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 19, 2025.
February 14, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
February 14, 2024
Tag F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
February 14, 2024
Tag F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
February 14, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 16, 2024.
July 7, 2023
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
Penalties (1)
August 8, 2026 · Fine
CMS recorded a civil money penalty of $26,810 against this nursing home on August 8, 2026.
Staffing
3.90 nurse hours per resident per day in Q2 2026, up from 3.59 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Purehealth, a chain of 8 nursing homes.
Average CMS star ratings across the chain: 3.3 overall, 2.9 for health inspections, 3.8 for staffing, 4.5 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Texas City.
Harbor Point Skilled Nursing
Seabreeze Nursing and Rehabilitation
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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