The Shoal
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 97 Google reviews
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What this means for your family
The Shoal is an excellent choice for short-term rehabilitation, with many families reporting highly successful physical therapy outcomes. However, if you are considering long-term care, you should proactively monitor hygiene and responsiveness, as some families have reported a decline in care quality during the transition to permanent residency.
Google Reviews
Google Reviews
97 reviews on Google“The Shoal is highly regarded for its exceptional physical therapy and a compassionate nursing staff that many families describe as treating residents like family. While many praise the facility's cleanliness and bright atmosphere, some families have reported serious concerns regarding neglect in long-term care and inconsistent responsiveness to call lights.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab services
- Compassionate and attentive nursing staff
- Clean, bright, and well-maintained facility
- Welcoming and professional administrative team
Concerns
- Decline in care quality when transitioning from skilled nursing to long-term care (mentioned by 2 reviewers)
- Slow response times to call lights or medical needs (mentioned by 2 reviewers)
- Issues with hygiene and timely bathing/changing (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 75 analyzed
How They Respond to Reviews
The owner provides highly personalized, warm, and empathetic responses to positive reviews, often mentioning specific staff members or family members by name. For negative reviews, the owner attempts to address concerns professionally, either by offering direct contact with management or by clarifying facility services.
Questions for Your Tour
- 1We've heard wonderful things about the physical therapy and rehab services here; how do you coordinate those services for residents transitioning into long-term care?
- 2How do you ensure that the high level of attentive nursing care provided during skilled nursing stays consistent once a resident moves to long-term care?
- 3What is your process for monitoring call lights to ensure that staff can respond quickly to a resident's needs, especially during busy shifts?
- 4Could you tell us about your protocols for maintaining daily hygiene routines, such as scheduled bathing and timely changes, to ensure everyone stays comfortable?
- 5What does a typical day of social activities and engagement look like for the residents here?
- 6In the event of a medical emergency after hours, what is the specific procedure for contacting physicians and providing immediate care?
Personalized based on this facility's data
Key Review Excerpts
“The care I received at The Shoal was the most favorable experience of my healing journey... I received personalized, excellent care.”
“The staff here are simply amazing! There are too many to mention by name and title so I will just say every single person that took care of him was compassionate, kind, patient, and personable.”
“The therapy gym looks like an upscale fitness center. I am thoroughly impressed!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
The Shoal has faced serious concerns including a complaint-triggered deficiency for abuse protection, along with families filing reports about assessment issues. The facility has persistent problems with resident assessments and care planning (appearing in multiple surveys), fire safety systems, and infection control. While all 17 deficiencies across four surveys show correction dates, the recurring pattern of assessment problems and the abuse protection complaint raise significant care quality concerns that families should carefully consider.
Apr 25, 2025Complaint1
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.
Apr 25, 2025Routine6
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 14, 2024Routine6
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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.
Jul 7, 2023Complaint1
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Dec 8, 2022Routine3
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Ownership & Operations
Who Operates This Facility
Bellville Hospital District
for profit
PH OPS OF TEXAS CITY LLC
OLIVIA HALL
Chain Affiliation
Purehealth
8 facilities nationwide
Chain avg rating: 3.0/5 · Rank 3 of 6
Ownership & Management
Owners
Bellville Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
97 reviews from families & visitors
Official Website
Visit shoal.yourpurehealth.com
Medicare data downloads
Original nursing home datasets
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