For profit - Limited Liability company ·
134 certified beds ·
Medicare and Medicaid
· Part of Purehealth (8 facilities)
3
Overall CMS Rating
★★★☆☆
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 Icon: this facility has an active abuse icon on its CMS record.
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CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★★☆☆ 3/5
Health Inspections
★★☆☆☆ 2/5
Staffing
★★★☆☆ 3/5
Quality Measures
★★★★★ 5/5
Long-Stay QM
★★★★★ 5/5
Short-Stay QM
★★★★☆ 4/5
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
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.
3.69
Total Nurse Hrs/Resident/Day
0.51
RN Hrs/Resident/Day
0.89
LPN Hrs/Resident/Day
2.28
Aide Hrs/Resident/Day
3.23
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
54.0%
Registered Nurses
64.3%
Administrator Changes0 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Apr 25, 2025
Most Recent Inspection Date
6
Total Deficiencies Found
40
Health Inspection Score
0
Number of Fines
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
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Apr 25, 2025
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
Potential for harm
Assist a resident in gaining access to vision and hearing services.Quality of Life and Care Deficiencies · Apr 25, 2025
Potential for harm
Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Apr 25, 2025
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
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
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
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
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
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
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
8
Facilities Nationwide
Purehealth operates 8 nursing facilities across the United States.
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.
The Shoal reports 3.69 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 6 deficiencies.
The Shoal is certified for 134 beds.
Admissions at The Shoal
For admissions, availability and rehab questions, call (713) 358-0700. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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