The nursing home failed to protect residents from abuse and neglect by others. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
THE SHOAL
TEXAS CITY, TX · Medicare-certified · 134 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
3 of 5 overall
The SHOAL in Texas City has a 3-star overall rating, with low health inspection and staffing ratings (2 stars each) despite a 5-star quality measures rating. It reports 3.68 nurse hours per resident per day versus the 4.1 federal benchmark, has no fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.6822 hrs/resident/day
Quality measures
Last inspection: April 25, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6822.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.95
- Nurse aides
- 2.23
- Weekend nursing
- 3.30
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 65%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.3%3.6%Improving
Residents with a fall causing major injury
1.2%2.5%Worsening
Residents with pressure ulcers (bedsores)
5.2%3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.4%1.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6%22%Worsening
Residents whose ability to walk got worse
8%11.6%Worsening
Long-stay residents on antianxiety or sleep medication
13.5%20.3%Worsening
Short-stay residents newly given an antipsychotic
0%0.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.1%17.9%Worsening
Residents with depressive symptoms
1.3%4.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.9%—
Short-stay residents given the pneumonia vaccine
98.9%94.8%Worsening
What the inspectors found
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to respect the resident’s dignity and personal belongings. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 557 — 42 CFR §483.10 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Jul 1, 2022
Now operated by The Shoal, previously The Rio at Mainland Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PUREHEALTH · 8 homes · 3.3 stars avg
- Occupancy
- 102.7 residents on an average day (77% of 134 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 12 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.