Nursing home
The Shoal
1011 Mainland Center Dr, Texas City, TX 77591 · Map
For profit - Limited Liability company · Part of Purehealth (8 facilities) · 134 certified beds
The Shoal is a Medicare-certified nursing home in Texas City, Texas. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.69 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Apr 25, 2025 cited 6 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Shoal compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.69 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.28 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 54.0% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at The Shoal
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
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 · Apr 25, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
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 · Apr 25, 2025 · Full report (PDF) - Potential for harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2025 · Full report (PDF)
Show all 11 deficiencies
- Potential for harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 14, 2024 · Full report (PDF) - Potential for harm
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 · Feb 14, 2024 · Full report (PDF) - Potential for harm
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 · Feb 14, 2024 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Feb 14, 2024 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Jul 7, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1011 Mainland Center Dr
Texas City, TX 77591 - CMS certification #
- 676360
- Ownership
- For profit - Limited Liability company
- Certified beds
- 134
- Avg residents/day
- 100.0
- Provider type
- Medicare and Medicaid
- First certified
- 2014-05-30
- Chain
- Purehealth (8 facilities)
- Setting
- Urban
Part of Purehealth
Purehealth operates 8 nursing facilities across the United States. View all Purehealth facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Shoal using Google Maps.
Other public records
- Website says Respite stays, diabetes care, transportation
- Emergency In hurricane evacuation zone Zip-Zone A
Full public records, with dates and sources
Care and services
From the community’s website
What The Shoal says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Offers diabetes care.
Diabetes Care and Management
(page, checked Oct 12, 2026) - Provides transportation.
Transportation
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Semi-Private Rooms
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Houston Methodist Clear Lake Hospital, Nassau Bay. 12.8 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Seabreeze Nursing and Rehabilitation, Texas City. 0.4 miles away, straight line.
- Nearest home health agency office
- Choice Health At Home, Texas City. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 2.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77591 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Texas City Dialysis, Texas City, 0.4 miles away, straight line (CMS rating 2 of 5 stars)
Davita Mainland Dialysis, La Marque, 1.3 miles away, straight line (CMS rating 3 of 5 stars)
Davita Texas City Pd, La Marque, 1.4 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 54 Medicare hospices tell CMS they serve ZIP code 77591.
Hopestone Hospice & Palliative Care, office in Texas City, 1.1 miles away, straight line
Choice Health At Home, office in Texas City, 1.9 miles away, straight line (CMS family survey rating 2 of 5 stars)
Hospice Care Team Inc, office in Texas City, 3.5 miles away, straight line - Nearest geriatric medicine practice
- Optimal Health Primary Care PLLC, Galveston. 11.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Zip-Zone A on the Houston-Galveston hurricane evacuation ZIP-Zones. (Houston-Galveston Area Council, map updated Jul 30, 2026)
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively high, inland flooding relatively moderate, coastal flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is The Shoal a good nursing home?
CMS gives The Shoal an overall rating of 3 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Shoal staffed?
The Shoal reports 3.69 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Shoal had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does The Shoal have?
The Shoal is certified for 134 beds.