The Shoal is a for-profit nursing home in Texas City, TX, managed by Robert Campion and Siobaughn Fraser since July 2022, and it's run by a Limited Liability company affiliated with Purehealth. The facility has certified beds for 134 residents but usually cares for around 101 people each day, including seniors who need help with daily activities, medication management, and those needing memory care for Alzheimer's and dementia. The Shoal follows rights-based care standards, making sure residents keep their dignity and personal belongings, and it has clear rules for preventing abuse, neglect, and exploitation. There's a focus on balancing medical treatment with social and emotional well-being, and you'll find experienced healthcare professionals, personal care assistants, and a nurse turnover rate of 58.8%. Staff provide an average of 3.55 nursing hours per resident each day, and they offer twenty-four-hour supervision, daily physician rounds, occupational therapy, wound care, and help with bathing, dressing, toileting, and walking or wheelchair use.
The Shoal has received inspection reports showing a total of 12 deficiencies, with at least one being infection-related. The latest standard inspection on April 25, 2025, cited six deficiencies, including one for infection control. Despite this, The Shoal holds a five-star rating for overall and quality measures from CMS and keeps up with Medicare.gov quality guidelines, sending out surveys to families and residents every quarter so they can keep track of the facility's care and address issues as they come up. The staff works hard to keep families involved and help residents return home safely when possible, and they cooperate with hospital-based professionals and health plan partners like ProCare to bring more on-site care and cut down on outside trips.
Seniors at The Shoal get personalized attention in a state-of-the-art, 115-bed building with 30 private rooms and suites, each with private showers, TV, and phone, plus large shared rooms for those who want them. The environment includes two outdoor courtyards with covered patios, private family dining, a rehab and therapy gym, salon/barbershop, fitness areas, dining rooms, and rooms for games and activities. Residents can use kitchenettes, washers, dryers, and receive laundry services. The facility offers chef-designed menus, serving three healthy meals and snacks each day using locally grown, organic ingredients. There's also cable TV, internet access, WiFi, guest parking, housekeeping, and maintenance support, plus features to help residents with safety and disabilities.
Programs cover short-term rehabilitation, skilled nursing, nutritional support, and long-term care, with daily activities like arts and crafts, social events, education, and wellness programs - all aimed at helping residents recover, heal, and enjoy life. The Shoal also takes long-term care insurance, making it easier for seniors and their families to manage costs. The focus stays on providing a safe, respectful place where older adults with medical disabilities can receive medical management and support around the clock, with the goal of giving individualized, compassionate care that keeps people comfortable and helps them maintain strong ties to their families and community even as they age.
