The Shoal
1011 Mainland Center Dr · Texas City, TX · 77591 · 7133580700
134 certified beds For profit - Limited Liability company Chain: Purehealth
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.17 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (11 in the current record)
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Actual harm · G April 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 25, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 19, 2025 · Resident Rights
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Potential for harm · D April 25, 2025
Ensure each resident receives an accurate assessment.
Corrected May 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected May 19, 2025 · Quality of Life and Care
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Potential for harm · D April 25, 2025
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.
Corrected May 19, 2025 · Pharmacy Service
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Potential for harm · D April 25, 2025
Provide and implement an infection prevention and control program.
Corrected May 19, 2025 · Infection Control
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Potential for harm · E February 14, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 14, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 14, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 16, 2024 · Nutrition and Dietary
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Potential for harm · D July 7, 2023 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 11, 2023 · Resident Assessment and Care Planning
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676360 · certified since May 30, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.