The Shoal is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2014-05-30. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (713) 358-0700 or your local Medicaid office to verify current eligibility.

The Shoal holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (3★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 76.1/100, placing it #5401 of 14703 facilities nationally and #306 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at The Shoal receives a reported average of 3 hours 41 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 31 minutes; Licensed Practical Nurse (LPN) — 54 minutes; Nurse Aide — 2 hours 17 minutes. On weekends, total nurse staffing is 3 hours 14 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 54.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged The Shoal with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. The Shoal has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 71 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 37.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Shoal ranks 5401st out of 14,703 facilities (composite score: 76.1/100), placing it in the above average nationwide. Within TX, it ranks 306th out of 1,177 nursing homes. In Texas City, it ranks 1st out of 5 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #7,330 nationally and RN hours rank #8,533 nationally (#277 in TX). Our composite quality score of 76.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Texas City, visit: https://nursinghomesnearme.org/texas/texas-city/