Texas City, TX

The Shoal

3-star overall rating with 2-star inspections with abuse icon flag with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1011 Mainland Center Dr, Texas City, TX

(713) 358-0700

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

134

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Purehealth

Operator or chain grouping

Approved since

2014-05-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing

LPN hours / resident day

0.89

Licensed practical nurse staffing

Aide hours / resident day

2.28

Nurse aide staffing

Weekend hours

3.23

Weekend nurse staffing

RN turnover

64%

Annual RN turnover

Total nurse turnover

54%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.6
2.1
1.5 pts worse
1.9
1.7 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
2.1
1.3 pts better
1.8
1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
97.1%
2.6 pts better
93.4%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.9%
2.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.1%
3.3%
1.2 pts better
3.3%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.0%
2.7%
1.7 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.1%
3.3%
2.2 pts better
5.4%
4.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.5%
18.9%
5.4 pts better
19.6%
6.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 8.0%
10.8%
2.8 pts better
16.7%
8.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 5.2%
15.4%
10.2 pts better
16.3%
11.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 5.9%
16.1%
10.2 pts better
14.9%
9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
0.5%
0.3 pts worse
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.5%
15.0%
3.5 pts worse
19.8%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.5%
4.2%
0.3 pts worse
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
89.7%
8.6 pts better
81.7%
16.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.3%
12.0%
4.7 pts better
12.0%
4.7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.2%
1.5%
1.3 pts better
1.6%
1.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.9%
88.0%
10.9 pts better
79.7%
19.2 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.0%
25.9%
3.9 pts better
23.9%
1.9 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-25 · Fire 2025-04-25

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-02-14 · Fire 2024-02-14

4 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-12-08 · Fire 2022-12-08

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-23

E · Potential for more than minimal harm 2024-02-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-02-14

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-03-01

E · Potential for more than minimal harm 2022-12-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-12-27

E · Potential for more than minimal harm 2022-12-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-12-27

C · Minimal harm 2022-12-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-12-27

Inspection history

Recent health citations

G · Actual harm 2025-04-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-25

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-25

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-25

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-19

E · Potential for more than minimal harm 2024-02-14

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-03-08

E · Potential for more than minimal harm 2024-02-14

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-02-16

D · Potential for more than minimal harm 2024-02-14

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-14

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-03-08

D · Potential for more than minimal harm 2023-07-07

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-08-11

Penalties and ownership

What sits behind the stars

Ownership

Bellville Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2022-07-01
Armstrong, Robin

Operational/Managerial Control · Individual

0% 1 facilities 2014-12-01
Campion, Robert

Operational/Managerial Control · Individual

0% 9 facilities 2022-07-01
Cedillo, Olivia

Operational/Managerial Control · Individual

0% 1 facilities 2022-07-01
Dwight Mortgage Trust LLC

5% Or Greater Mortgage Interest · Organization

0% 11 facilities 2022-07-01
Fraser, Siobaughn

Operational/Managerial Control · Individual

0% 5 facilities 2022-07-01
Smith, Lakesia

Operational/Managerial Control · Individual

0% 1 facilities 2019-07-15
Thompson, Johnny

Corporate Director · Individual

0% 69 facilities 2023-11-01
Tx Nm Operations Holdings LLC

Operational/Managerial Control · Organization

0% 3 facilities 2022-07-01

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#3

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