The Shoal

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.68 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

All 15 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Purehealth — 8 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Las Estancias by Pure Health — Albuquerque, NM · overall 5/5
• Manzano Del Sol by Purehealth — Albuquerque, NM · overall 1/5
• Denton Village by Purehealth — Denton, TX · overall 3/5abuse
• Lake Forest Village by Purehealth — Denton, TX · overall 4/5
• Pure Health Transitional Care at Texas Health Pres — Dallas, TX · overall 5/5
• Purehealth Transitional Care at THR Arlington — Arlington, TX · overall 2/5
• The Brightpointe — Conroe, TX · overall 3/5

Listed by state, then facility name — not a ranking.

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

• "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 52% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Galveston, TX — 12 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

• Friendship Haven Healthcare and Rehabilitation Cen — Friendswood, TX · overall 4/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Texas City →