Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Shoal during CMS and state inspections, most recent first.
A resident with epilepsy and moderate cognitive impairment, fully dependent on staff for toileting, was verbally abused by a CNA who made derogatory remarks and placed the call light out of reach during the night shift. Video evidence confirmed the CNA's actions and comments, and the resident was visibly distressed when interviewed. The incident was not reported to facility leadership until brought to their attention by a surveyor, despite the CNA having completed required abuse prevention training.
A resident with epilepsy and moderate cognitive impairment did not receive privacy during incontinence care when a CNA left both the door and privacy curtains open, contrary to facility policy and training. Facility leadership confirmed that privacy should be maintained during care to protect resident dignity.
A resident with a history of hearing loss and use of hearing aids was repeatedly assessed in the MDS as having adequate hearing and no hearing aid use, despite direct observations, interviews, and the resident's own statements confirming significant hearing impairment and missing hearing aids. Staff were unaware of the hearing issue, and there was no documentation in the care plan or physician's orders regarding hearing aids, resulting in inaccurate assessments.
A resident with a history of hearing impairment was not properly assessed or provided with hearing assistive devices. Despite staff awareness of the resident's hearing difficulties and the resident's own reports of lost hearing aids and requests for medical attention, there was no documentation or care planning for her hearing needs. The MDS inaccurately indicated no hearing issues, and the resident did not receive appropriate care for her hearing deficit.
A medication cart was found to contain Latanoprost eye drops for a resident with glaucoma that were not labeled with the date they were opened, as required. Staff interviews confirmed that eye drops should be dated when opened, and facility policy requires proper labeling and removal of outdated medications. Despite regular audits by nursing and pharmacy staff, the missing open date was not identified, resulting in a deficiency related to medication labeling and storage.
A CNA failed to follow infection control protocols while providing incontinence care to a resident with epilepsy and moderate cognitive impairment. The CNA ate food, touched multiple surfaces, and then provided care without performing hand hygiene or using wipes, and handled clean and dirty items interchangeably. These actions did not comply with facility policies or standard precautions.
Resident Subjected to Verbal Abuse and Deprivation of Call Light by CNA
Penalty
Summary
A male resident with epilepsy and a cognitive communication deficit, who was dependent on staff for toileting hygiene, was subjected to verbal and mental abuse by a CNA during the overnight shift. The CNA entered the resident's room, made derogatory remarks such as "Shame on you" and "You are messing everybody else's night up," and placed the resident's call light out of reach, stating, "I bet you won't get it back." Video evidence captured the CNA's actions and comments, as well as the call light being left on the floor, inaccessible to the resident. The resident's care plan required staff to approach him in a calm, non-threatening manner and ensure the call light was within reach. Despite this, the CNA's behavior was observed to be contrary to these interventions. The resident was visibly upset during a subsequent interview, tearing up while the video was shown, and indicated through gestures that he felt uncared for and afraid during the incident. The family member who recorded the video reported the incident to the surveyor, who confirmed the events by viewing the footage. Staff schedules and training records confirmed that the CNA involved had completed abuse and neglect training prior to the incident. The facility's policies required call lights to be left within easy reach after care and prohibited verbal and mental abuse. The incident was not reported to facility leadership until the surveyor brought it to their attention, and there was no prior documentation of disciplinary action against the CNA involved.
Failure to Provide Privacy During Incontinence Care
Penalty
Summary
A deficiency occurred when a male resident with epilepsy and moderate cognitive impairment did not receive privacy during incontinence care. On the specified date and time, a CNA provided incontinence care to the resident while leaving both the door to the hallway and the privacy curtains open, as confirmed by video observation. This action was in direct violation of the facility's policies on perineal care and personal privacy, which require avoiding unnecessary exposure of the resident's body and protecting privacy during personal care. Interviews with facility leadership, including the Administrator, DON, and ADON, confirmed that the expectation is for doors and curtains to be closed during care to maintain resident dignity. The staff involved in the incident worked the overnight shift on the resident's hallway. The facility's training records indicated that privacy training was provided upon hire, annually, and as needed. The incident was documented, and the staff member involved was subsequently dismissed, but the deficiency itself was due to the failure to provide privacy during care as observed.
Inaccurate MDS Assessment of Resident's Hearing Status
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected a resident's hearing status. Specifically, for one resident with a history of hearing loss and use of hearing aids, the MDS assessments repeatedly documented her hearing as adequate and indicated no use of hearing aids. This was inconsistent with the resident's own statements, staff interviews, and direct observations, all of which confirmed significant hearing impairment and the absence of hearing aids. The resident reported difficulty hearing, the need for others to speak loudly, and the loss of her hearing aids, which she had upon admission. Staff interviews corroborated that the resident had trouble hearing and that hearing aids were not present or in use. Record reviews showed no documentation in the care plan or physician's orders regarding hearing aids, and the MDS nurse acknowledged that the assessments were inaccurate. The social worker and nursing staff were unaware of the resident's hearing issues, and the MDS nurse confirmed that the coding for hearing status was incorrect on multiple assessments. The facility's policy requires that assessments accurately reflect the resident's status, but this was not followed in this case, resulting in inaccurate documentation of the resident's hearing ability.
Failure to Assess and Provide Hearing Assistive Devices
Penalty
Summary
The facility failed to ensure that a resident with a known hearing deficit was properly assessed and provided with necessary hearing assistive devices. The resident, an elderly female with multiple diagnoses including dementia, depression, and diabetes, was admitted with hearing aids but was not assessed for hearing needs upon admission or during subsequent assessments. The Minimum Data Set (MDS) inaccurately reflected that the resident had no hearing issues and did not use hearing aids, despite the resident's own reports of hearing difficulty and the absence of her hearing aids. There was no documentation in the care plan or physician's orders regarding her hearing aids or hearing needs. Staff interviews revealed that direct care staff were aware of the resident's hearing difficulties, often needing to speak loudly or repeat themselves, but this information was not communicated to nursing or social work for further action. The social worker and MDS nurse were unaware of the resident's hearing issues, and the MDS nurse acknowledged that the assessments were inaccurate. The resident reported to staff that she could not hear well, had lost her hearing aids, and had requested to see a doctor, but these concerns were not addressed or documented, resulting in a lack of appropriate care and services for her hearing deficit.
Failure to Label Open Date on Latanoprost Eye Drops
Penalty
Summary
The facility failed to ensure that all drugs and biologicals, specifically Latanoprost eye drops, were labeled with the date they were opened on at least one medication cart. During observation, it was found that the Latanoprost 0.005% eye drops for a female resident with a diagnosis of open-angle glaucoma and diabetes were not labeled with an open date. The medication administration record and care plan confirmed the ongoing use of these eye drops for the resident. Multiple staff interviews, including with medication aides, the DON, ADON, and the facility pharmacist, confirmed that eye drops should be dated when opened to ensure proper disposal within the recommended timeframe. Staff and pharmacy audits of medication carts were reported to occur weekly and monthly, respectively, but the lack of an open date on the Latanoprost eye drops was not identified or corrected prior to the survey. The facility's policy required medications to be stored properly and outdated or deteriorated medications to be removed immediately, but this policy was not followed in this instance, resulting in the deficiency.
Failure to Follow Infection Control Practices During Resident Care
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) failed to follow proper infection prevention and control practices while providing incontinence care to a male resident with epilepsy and moderate cognitive impairment. The resident's care plan required cleaning the peri-area with each incontinence episode. Video evidence showed the CNA eating food from a bag with her hands, touching various surfaces in the resident's room, and then proceeding to provide direct care to the resident without performing hand hygiene or using hand sanitizer at any point during the interaction. The CNA was observed picking up items from the floor, handling the resident's bedding, and touching the resident and his diaper with the same hands used to eat food. She donned gloves only after handling multiple potentially contaminated items and did not use wipes during incontinence care, instead using the dirty diaper to wipe the resident. The CNA also placed a clean diaper that had fallen on the floor onto the resident and continued to handle the resident's blankets and trash while wearing the same gloves used for incontinence care. At no time was hand hygiene performed before, during, or after the care episode. Facility policies required staff to wash and dry hands thoroughly before and after providing care, use gloves appropriately, and perform hand hygiene after glove removal and after contact with potentially contaminated surfaces. The CNA had completed required infection control training, but her actions during this incident did not align with facility policies or standard precautions, as confirmed by interviews with facility leadership and review of training records.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Texas City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Seabreeze Nursing And Rehabilitation | 0.4 mi | — | 8 | 0 |
| The Lakes At Texas City | 1.1 mi | — | 15 | 1 |
| Bayou Pines Care Center | 1.6 mi | — | 4 | 1 |
| Solidago Health And Rehabilitation | 3.5 mi | — | 9 | 0 |
| The Phoenix Post-acute | 5.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.