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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.