722 25TH AVE N, Texas City, TX 77590
Adult Day Services
Adult day servicesDaytime supervision & activitiesRespite for caregivers
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About The Shoal
The Shoal in Texas City, Texas provides compassionate skilled nursing and rehabilitation care designed to support recovery and healing. Our experienced team focuses on personalized treatment plans that help residents regain independence and return home whenever possible.
Community at a glance
Capacity
134 residents
Location
Texas City, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1011 MAINLAND CENTER DR, Texas City, Texas 77591
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on June 11, 2026, state inspectors cited 2 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 41 minutes with each resident a day, above the Texas average of 3 hours 23 minutes.
Medicare fined The Shoal once in the last three years, $26,810 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 41 minutesAbove the Texas average |
| Registered nurse time per resident, per day | 30 minutesAbove the Texas average |
| Nursing staff who left in the past year | 52%Below the Texas average |
Inspections
12 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 11, 2026 · Standard inspection · 2 citations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 26, 2026Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 26, 2026
April 25, 2025 · Standard inspection · 6 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 19, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 19, 2025Assist a resident in gaining access to vision and hearing services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 19, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 19, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 19, 2025Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 19, 2025
February 14, 2024 · Standard inspection · 4 citations+
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 8, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 16, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 8, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 8, 2024
Fines and payment denials
1 fine totaling $26,810 in the last three years.
- August 8, 2026Fine: $26,810
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Bellville Hospital District
- Medicare-certified beds
- 134
- Average residents per day
- 103
- Accepts
- Medicare and Medicaid
- First certified
- May 30, 2014
- Part of a chain
- Purehealth, 8 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676360
Location
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1011 MAINLAND CENTER DRTexas City, TX 77591
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Questions about The Shoal
How did The Shoal do on its last inspection?+
State inspectors visited on June 11, 2026 and cited 2 health deficiencies. The Texas average is 9.4.
How much nursing care does each resident get at The Shoal?+
Nurses and aides spend 3 hours 41 minutes with each resident per day, including 30 minutes from registered nurses. 52% of nursing staff left over the past year.
Has The Shoal been fined by Medicare?+
Yes. Medicare fined The Shoal once in the last three years, totaling $26,810.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.