The Shoal
Nursing home in Texas City, Texas, CMS certification number 676360
1011 Mainland Center Dr, Texas City, TX 77591 · Galveston County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 134
- Certified for
- Medicare and Medicaid
- Last standard inspection
- June 11, 2026
- Deficiencies at that inspection
- 5
- Fines in 3 years
- $26,810 (1)
Does The Shoal take Medicare and Medicaid?
Yes to both. The Shoal is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 4 of 5 |
Nurse staffing hours and turnover
These are the hours The Shoal reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.90
- Registered nurse hours
- 0.58
- Licensed practical nurse hours
- 0.84
- Nurse aide hours
- 2.48
- Weekend total hours
- 3.50
- Nursing staff turnover
- 56.9%
- Registered nurse turnover
- 70.6%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on June 11, 2026 and cited 5 deficiencies, plus 3 from complaint visits.
The visit before, on April 25, 2025, found 6.
CMS shows an abuse icon for The Shoal. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined The Shoal 1 time in the past 3 years, for $26,810 in total.
Beds and residents
On an average day 99.6 residents live here, about 74% of its 134 certified beds.
- Certified beds
- 134
- Average residents per day
- 99.6
- Certified since
- May 30, 2014
- Resident or family council
- Resident
Who owns The Shoal
- Legal business name
- Bellville Hospital District
- Ownership type
- For profit - Limited Liability company
- Chain
- 8 homes nationally under Purehealth, 3.3-star chain average
Other nursing homes near The Shoal
- Seabreeze Nursing and Rehabilitation6602 Memorial Dr, Texas City 77590
- Avir at The Lakes424 N Tarpey Rd, Texas City 77591
- Bayou Pines Care Center4905 Fleming Street, La Marque 77568
- Harbor Point Skilled Nursing1720 N Logan St, Texas City 77590
- The Phoenix Post-Acute519 Ninth Ave N, Texas City 77590
See also all nursing homes in Texas City.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 5 in Texas City, or see how assisted living and nursing homes differ.
Is this your facility?
If you run The Shoal, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about The Shoal
What is the CMS star rating of The Shoal?
3 out of 5 stars overall.
Does The Shoal accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at The Shoal?
5 cited at the last standard visit.
Who owns The Shoal?
Bellville Hospital District, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.