The Shoal
1011 Mainland Center Dr, Texas City, TX 77591 · Galveston County
For-profit · 134 certified beds · 77% occupancy · (713) 358-0700
The U.S. government (CMS) rates The Shoal 3 out of 5 stars overall — average. Its nurse staffing is at or above the Texas median. It currently carries a federal abuse-warning icon.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.68 nurse hours per resident per day. 13% above the Texas median of 3.27.
Nursing staff turnover: 52.3% · RN turnover: 64.7%
Safety & compliance flags
- Federal abuse warning icon
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Actual harmTag F0600 · Apr 25, 2025ComplaintCorrected May 19, 2025
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
- Potential for harmTag F0557 · Apr 25, 2025Corrected May 19, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies
- Potential for harmTag F0641 · Apr 25, 2025Corrected May 19, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0685 · Apr 25, 2025Corrected May 19, 2025
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
- Potential for harmTag F0761 · Apr 25, 2025Corrected May 19, 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.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Apr 25, 2025Corrected May 19, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0636 · Feb 14, 2024Corrected Mar 8, 2024
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
- Potential for harmTag F0812 · Feb 14, 2024Corrected Feb 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0640 · Feb 14, 2024Corrected Mar 8, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0657 · Feb 14, 2024Corrected Mar 8, 2024
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
Showing the 10 most recent and serious of 11 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Purehealth chain (8 facilities), chain average overall rating 3.3★.