The Shoal: Staffing, Turnover, and Inspection Record
The Shoal is a 134-bed for-profit nursing home in Texas City, Texas, part of Purehealth. In the CMS August 2026 release it reported 2.23 nurse aide hours per resident per day, 12% above the Texas average of 2.00, and 52.3% nursing staff turnover (Texas average 55.3%).
The Shoal
1011 Mainland Center DrTexas City, TX 77591
Galveston County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Shoal, nurse aides logged 2.23 hours per resident per day, 12% above the Texas average. With about 103 residents a day, that works out to roughly 230 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.23 | 2.00 | 2.32 |
| Licensed practical nurses | 0.95 | 0.95 | 0.86 |
| Registered nurses | 0.50 | 0.43 | 0.69 |
| All nursing staff | 3.68 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.30 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
52.3% of nursing staff at The Shoal left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 64.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 11, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Shoal holds 5 of 5 overall; the Texas average is 2.6.
About The Shoal
- Ownership: For profit - Limited Liability company
- Chain: Purehealth, 8 homes
- Legal name: Bellville Hospital District
- Medicare and Medicaid certified since: May 30, 2014
- Councils: resident council
- Area: urban
Nursing homes near The Shoal
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Seabreeze Nursing and Rehabilitation Texas City · abuse citation | 0.4 | 107 | 1.89 | 2.99 | 51.0% | 1 | $146,420 |
| The Lakes at Texas City Texas City | 1.1 | 109 | 1.84 | 2.86 | 62.0% | 2 | $8,410 |
| Bayou Pines Care Center La Marque | 1.6 | 120 | 1.88 | 3.03 | 68.1% | 2 | $14,069 |
| Harbor Point Skilled Nursing Texas City | 3.5 | 129 | 1.87 | 3.15 | 59.3% | 4 | None |
| The Phoenix Post-Acute Texas City | 5.2 | 134 | 2.31 | 3.65 | 34.4% | 3 | $90,049 |
| The Heights of League City League City | 9.1 | 194 | 2.29 | 3.38 | 69.7% | 1 | $144,668 |
| Baywind Village Skilled Nursing & Rehab League City | 10.9 | 107 | 2.58 | 4.80 | 63.3% | 5 | $8,278 |
| MRC the Crossings League City | 10.9 | 48 | 2.63 | 4.35 | 39.1% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.