CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
The Shoal is a 3-star Medicare and Medicaid certified nursing home in Texas City, Texas with 134 certified beds. It has been operating since 2014. Its overall CMS rating is 3 out of 5.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
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.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| BELLVILLE HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jul 1, 2022 |
| DWIGHT MORTGAGE TRUST LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jul 1, 2022 |
| THOMPSON, JOHNNY | CORPORATE DIRECTOR | Individual | N/A | Nov 1, 2023 |
| TX NM OPERATIONS HOLDINGS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 1, 2022 |
| ARMSTRONG, ROBIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 1, 2014 |
| CAMPION, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2022 |
| CEDILLO, OLIVIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2022 |
| FRASER, SIOBAUGHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2022 |
| SMITH, LAKESIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 15, 2019 |
| TX NM OPERATIONS HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | Apr 14, 2025 |
| ARMSTRONG, ROBIN | ADP OF THE SNF | Individual | N/A | Dec 1, 2014 |
| CAMPION, ROBERT | ADP OF THE SNF | Individual | N/A | Jul 1, 2022 |
| CEDILLO, OLIVIA | ADP OF THE SNF | Individual | N/A | Jul 1, 2022 |
| FRASER, SIOBAUGHN | ADP OF THE SNF | Individual | N/A | Jul 1, 2022 |
| SMITH, LAKESIA | ADP OF THE SNF | Individual | N/A | Jul 15, 2019 |
Compare CMS ratings and recorded fines for The Shoal and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 8 facilities. View all →