The Shoal
1011 MAINLAND CENTER DRIVE, Texas City, TX, 77591
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Purehealth
- Certified beds
- 134 · avg 100 residents/day
- Total nursing staff turnover
- 54% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 64.3% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308700
- Service type
- Medicare/medicaid
- Licensed capacity
- 134 beds
- Bed type breakdown
- 40 Medicare-only · 94 Medicaid/Medicare
- Current license effective
- July 1, 2023
- Current license expires
- July 1, 2026
- Initial license date
- May 30, 2014
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Bellville Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Ph Ops Of Texas City Llc
- Administrator
- Olivia Hall
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Purehealth chain — 8 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (14 on record)
- (unnamed Owner)
Adp of The Snf · since 2025
- tx nm Operations Holdings Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Johnny Thompson
Corporate Director · since 2023
- (unnamed Owner)
Adp of The Snf · since 2022
+ 8 additional owners on the federal record.
Recent change of ownership
July 2022 (3 years ago) · acquired from The Rio at Mainland Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 11)
- G0600·Apr 25, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0880·Apr 25, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Apr 25, 2025
Pharmacy Service Deficiencies
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.
- D0685·Apr 25, 2025
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
- D0641·Apr 25, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0557·Apr 25, 2025
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- E0812·Feb 14, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0657·Feb 14, 2024
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Apr 25, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Shoal is a 134-bed nursing home in Texas City, Galveston County, licensed for Medicare and Medicaid. CMS rates it 3 stars overall, with a 2-star health inspection rating and a substantiated finding of resident abuse or neglect within the past 36 months. Quality-of-care measures rate 5 stars for long-stay residents. Managed by Ph Ops Of Texas City LLC under a hospital district license, the facility is operating at about 75% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS has substantiated findings of resident abuse or neglect at The Shoal within the past 36 months. This is a health and safety designation that appears on the CMS Care Compare record; it means an investigation concluded that abuse or neglect occurred here, not merely that a complaint was filed.
CMS rates staffing 3 stars. Each resident receives about 221 minutes of nursing care per day — roughly 20 minutes less than at a 4-star-staffing facility in Texas. About 19% of Texas nursing homes share this staffing rating.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Nature of the abuse finding
CMS has a substantiated abuse or neglect finding on record here — ask what happened, when, and what specific policy or staffing changes followed.
Current staffing on nights and weekends
Reported weekend nursing hours run at 3.23 per resident per day, below the weekday figure — ask how many nurses and aides are on each shift Friday through Sunday.
RN coverage on each shift
Registered nurse hours average about 31 minutes per resident per day; ask whether a registered nurse is on-site around the clock or only during day shifts.
Management company's role day to day
The licensee is a hospital district but day-to-day operations are run by Ph Ops Of Texas City LLC — ask which entity sets staffing levels, hiring decisions, and care policies.
How the 5-star quality measures are tracked
Long-stay quality measures rate 5 stars despite a 2-star inspection score — ask what internal tracking or clinical oversight drives those outcome numbers.
Resident council activity and access
The facility has a resident council but no family council — ask how often the council meets and how family members receive information from those meetings.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.