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Nursing homeFAID #14714

The Shoal

1011 MAINLAND CENTER DR, TEXAS CITY, TX, 77591
(713) 358-0700
www.wellsentialhealth.org/location/the-shoal-nursing-and-rehabilitation-center
134 licensed beds

CMS rates The Shoal 3 out of 5 overall. Federal inspectors issued 21 citations across 8 inspections in the last three years, with $26,810 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of THE SHOAL
Photo via Google · The Shoal Nursing and Rehabilitation Center

Address

1011 Mainland Center Dr
Texas City, TX 77591
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Public record summary

What we can show you for free.
Bed capacity
134
CMS facility ID
676360
Care type
Nursing home
County
Galveston
Facility name
The Shoal
Street address
1011 MAINLAND CENTER DR
City / state / ZIP
Texas City, TX 77591
Phone
(713) 358-0700
Website
www.wellsentialhealth.org/location/the-shoal-nursing-and-rehabilitation-center

About this facility — The Shoal

The Shoal is a Medicare/Medicaid-certified skilled nursing facility in Texas City, Texas. It is licensed for 134 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 16 senior care facilities in Texas City and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Shoal 21 times across 8 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $26,810 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Purehealth
Ownership type
For profit - Limited Liability company

Registered owners & officers

Bellville Hospital District
Direct owner · Additional disclosable party — 100% stake — since 2022
1011 Mainland Center Llc
Additional disclosable party — since 2026
Armstrong, Robin
Additional disclosable party — since 2026
Cedillo, Olivia
Operational control · Additional disclosable party — since 2026
Clapp, Barbara
Additional disclosable party — since 2026
Dekowski, Donovan
Additional disclosable party — since 2026
Jack and Nancy Dwyer Workforce Development Center Inc
Additional disclosable party — since 2026
Regency Ihs Clinical Consulting, Llc
Additional disclosable party — since 2026
Regency Integrated Health Services Llc
Additional disclosable party — since 2026
Thompson, Johnny
Director — since 2023
Wellsential of Shoal Llc
Operational control · Additional disclosable party — since 2026
Wilson, Katrina
Additional disclosable party — since 2026

Regulatory standing

Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2014-05-30
CMS overall rating
3 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$26,810 total
Last standard inspection
2026-06-11
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$267 per day (≈ $8,120/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
66% Medicaid · 8% Medicare · 26% private/other
Occupancy
70% (fiscal year 2024)
Vs. state median
4% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
134
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-08-08Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-08-09
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-08-09
2026-06-11Health inspection2 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-26
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2026-06-26
5 earlier / fire-safety inspections (16 citations)
2025-04-25Health inspectionComplaint-triggered6 citations
F-0557
D · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-05-19
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-19
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-05-19
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-05-19
F-0761
D · No harm found
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
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-05-19
2024-02-14Health inspection4 citations
F-0636
E · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-03-08
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-03-08
F-0657
D · No harm found
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
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-16
2026-06-11Fire-safety inspection3 citations
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-06-26
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2026-06-26
K-0932
F · No harm found
Meet other general requirements.
Corrected 2026-06-26
2025-04-25Fire-safety inspection1 citation
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-23
2024-02-14Fire-safety inspection2 citations
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-03-01
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-03-01

Federal penalties

2026-08-08Fine$26,810
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676360.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
21
More than 17% of nursing homes in the state
State median: 33
Federal fines, 3 years
$26,810
More than 62% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.9
Higher than 86% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
57%
Higher than 68% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 11 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased11.3%15.8%13.5%Better than state
Lose too much weight2.4%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms2.9%2.3%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury1.9%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine99.1%96.4%93.7%Near state average
Ability to walk independently worsened7.7%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication18.4%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine98.8%97.0%95.3%Near state average
With pressure ulcers4.0%3.7%4.5%Near state average
With new or worsened bowel or bladder incontinence15.2%12.5%18.3%Worse than state
Received an antipsychotic medication5.1%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days4.612.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days0.531.971.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine93.5%88.7%82.3%Near state average
Newly received an antipsychotic medication1.3%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine91.8%85.4%80.1%Near state average
Were rehospitalized after a nursing home admission26.8%25.5%23.4%Near state average
Had an outpatient emergency department visit9.0%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0600 2 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  • K-0355 2 inspections. Properly select, install, inspect, or maintain portable fire extinguishes.

What its owners also hold

  • Bellville Hospital District has an ownership stake on file at 5 nursing homes, averaging 2.6 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Houston Methodist Clear Lake Hospital, about 13 miles. CMS rating 5 of 5.
  • Memorial Hermann Houston Physicians Hospital, about 13 miles.
  • University of Texas Medical Branch Galveston, about 14 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.298 ratings on Google
★★★★★Dex Gamer · 2026-07-23 · via Google

“My Dad has been at the Shoal for a few weeks now, after time in the hospital. I took the time to meet all the staff connected to my father's care and I was impressed! All staff I connected with are professional, kind, caring, and really care about the results of their patients. I would recommend The Shoal to anyone needing care in the Galveston County area.”

★★★★★LBrigitte Snyder · 2026-02-13 · via Google

“I want to say Thank You to the following people: Olivia and Alyssa, You both are really making a huge difference ! The residents seem so happy to be such fun activities! They enjoy themselves and it shows! Thank you For Bringing such Love and Laughter to your residents! Reagan Reinhart, Thank you for being an amazing Social Worker! I appreciate you so much and respect the work you are doing. It is…”

★★★★★Joshua Mays · 2026-03-09 · via Google

“My mom just transferred to the Shoals Nursing Home and it has been a great experience. The Administrative team have been very supportive, and polite. They have met all the needs of my mother who is paralyzed on her left side. Thank you”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 21 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered