The Shoal
1011 Mainland Center Dr, Texas City, TX 77591 · Galveston County · 134 certified beds · avg 103 residents/day · certified since May 30, 2014
Part of chain: PUREHEALTH (8 facilities, chain avg rating 3.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 25, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 19, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 11, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 11, 2026 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Apr 25, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 14, 2024 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Feb 14, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 4 | 0 | E |
| 2025 | 6 | 1 | G ▲ |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.75 | 3.46 | 3.95 | top 22% in Texas; bottom 49% in the U.S. |
| Registered Nurse hours | 0.51 | 0.44 | 0.69 | top 25% in Texas; bottom 39% in the U.S. |
| Weekend total nurse staffing | 3.35 | 3.04 | 3.50 | top 22% in Texas; top 50% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.34 | 0.48 | top 17% in Texas; top 38% in the U.S. |
| Total nursing staff turnover (%) | 52.3 | 55.3 | 45.8 | bottom 49% in Texas; bottom 31% in the U.S. |
| RN turnover (%) | 64.7 | 54.6 | 42.9 | bottom 34% in Texas; bottom 16% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.68, RN 0.50, weekend 3.30. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bellville Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2022 |
| Armstrong, Robin | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2014 |
| Armstrong, Robin | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2014 |
| Campion, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Campion, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2022 |
| Cedillo, Olivia | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Cedillo, Olivia | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2022 |
| Dwight Mortgage Trust LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/01/2022 |
| Fraser, Siobaughn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Fraser, Siobaughn | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2022 |
| Smith, Lakesia | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/15/2019 |
| Smith, Lakesia | Individual | ADP of the SNF | NOT APPLICABLE | 07/15/2019 |
| Thompson, Johnny | Individual | Corporate Director | NOT APPLICABLE | 11/01/2023 |
| TX NM Operations Holdings LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| TX NM Operations Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Seabreeze Nursing and Rehabilitation | 0.4 mi | Texas City, TX | ★☆☆☆☆ | 1/5 | abuse |
| The Lakes at Texas City | 1.1 mi | Texas City, TX | ★★☆☆☆ | 3/5 | |
| Bayou Pines Care Center | 1.6 mi | La Marque, TX | ★★☆☆☆ | 3/5 | |
| Harbor Point Skilled Nursing | 3.5 mi | Texas City, TX | ★★★★☆ | 5/5 | |
| The Phoenix Post-Acute | 5.2 mi | Texas City, TX | ★★★☆☆ | 3/5 | |
| The Heights of League City | 9.1 mi | League City, TX | ★☆☆☆☆ | 1/5 | |
| Baywind Village Skilled Nursing & Rehab | 10.9 mi | League City, TX | ★★★★★ | 5/5 | |
| MRC the Crossings | 10.9 mi | League City, TX | ★★★★★ | 5/5 | |
| Galveston Nursing and Rehabilitation Center | 11.7 mi | Galveston, TX | ★☆☆☆☆ | 1/5 | SFF |
| Regency Village | 12.8 mi | Webster, TX | ★★☆☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 676360.