The nursing home failed to protect residents from abuse and neglect by others. Cited April 2025 — isolated incident, actual harm.
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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
3 of 5 overall
3 of 5 stars overall. The Shoal has low health inspection and staffing ratings (2 of 5 stars each), nurse staffing below the federal benchmark (3.59 vs 4.1 hours/resident/day), no fines in the last 24 months, and a recent abuse citation; its quality measures rating is 5 of 5 stars.
Facility ratings
Health inspections
Staffing
3.589 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 3.589.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.88
- Nurse aides
- 2.19
- Weekend nursing
- 3.17
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 75%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.1%Worsening
Residents with a fall causing major injury
1.9%Steady
Residents with pressure ulcers (bedsores)
4.3%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.3%Steady
Residents whose ability to walk got worse
8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
15.2%Worsening
Short-stay residents newly given an antipsychotic
0.6%Worsening
Residents with a long-term catheter
0.6%Improving
Residents with new or worsening incontinence
15.9%Steady
Residents with depressive symptoms
1.7%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.7%Steady
Short-stay residents given the seasonal flu vaccine
98.9%Steady
Short-stay residents given the pneumonia vaccine
96.3%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.
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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.
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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.
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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.
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- INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PUREHEALTH · 8 homes · 3.3 stars avg
- Occupancy
- 104.7 residents on an average day (78% 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.