The Shoal
1011 Mainland Center Dr, Texas City, TX 77591
The Shoal is a nursing home in Texas City, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
CMS star ratings
- 3 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (713) 358-0700
- Last standard health inspection
- June 11, 2026 (5 months ago)
- Certified beds
- 134
- Residents per day, on average
- 99.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Bellville Hospital District
- Chain
- Purehealth
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (15 vs 28).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 5 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
3 citations
Health inspection on August 8, 2026
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
129 of 1,177 Texas homes (11%) got a citation at the immediate jeopardy level in 2026.
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS has cited this home for F0600 2 times since 2025.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on August 9, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on August 9, 2026.
Fine
August 8, 2026 (3 months ago)
CMS fine of $26,810 on August 8, 2026.
2 citations
Health inspection on June 11, 2026
CMS lists this as a standard inspection.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on June 26, 2026.
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 26, 2026.
3 citations
Fire safety inspection on June 11, 2026
CMS lists this as a standard inspection.
Citation K0932. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on June 26, 2026.
Citation K0929. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
CMS lists it as corrected on June 26, 2026.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on June 26, 2026.
CMS has cited this home for K0355 2 times since 2024.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of June 25, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
6 citations
Health inspection on April 25, 2025
CMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
107 of 1,177 Texas homes (9%) got a citation at the actual harm level in 2025.
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on May 19, 2025.
Citation F0557. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
CMS lists it as corrected on May 19, 2025.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on May 19, 2025.
Citation F0685. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assist a resident in gaining access to vision and hearing services.
CMS lists it as corrected on May 19, 2025.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on May 19, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 19, 2025.
1 citation
Fire safety inspection on April 25, 2025
CMS lists this as a standard inspection.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on May 23, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of March 28, 2024
Ownership
CMS lists this home under a new chain.
4 citations
Health inspection on February 14, 2024
CMS lists this as a standard inspection.
Citation F0636. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on March 8, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 16, 2024.
Citation F0640. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on March 8, 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on March 8, 2024.
2 citations
Fire safety inspection on February 14, 2024
CMS lists this as a standard inspection.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on March 1, 2024.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on March 1, 2024.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- BELLVILLE HOSPITAL DISTRICT5% or greater direct ownership interest · 100% · since 07/01/2022
- WELLSENTIAL OF SHOAL LLCOperational/managerial control · not applicable · since 08/01/2026
- CEDILLO, OLIVIAOperational/managerial control · not applicable · since 08/01/2026
Questions
When was The Shoal last inspected?
CMS lists June 11, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does The Shoal have?
CMS lists 15 health citations since February 14, 2024. CMS also calls these deficiencies.
Has The Shoal been fined?
CMS lists 1 fine in the past three years, $26,810 in total.
What is the CMS star rating of The Shoal?
Its CMS overall star rating is 3 of 5.
Is The Shoal a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.