The Shoal

Inspection findings

1. Jun 11, 2026 Health · 5 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     CMS health inspection

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Jun 26, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Jun 26, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0932 Smoke Deficiencies

     Meet other general requirements.

     Corrected Jun 26, 2026 · CMS fire safety

2. Apr 25, 2025 Health · 7 findings
   • Not serious Scope/severity D

     F0557 Resident Rights Deficiencies

     Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

     Corrected May 19, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0600 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.

     Corrected May 19, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected May 19, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0685 Quality of Life and Care Deficiencies

     Assist a resident in gaining access to vision and hearing services.

     Corrected May 19, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 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.

     Corrected May 19, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 19, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected May 23, 2025 · CMS fire safety

3. Feb 14, 2024 Health · 6 findings
   • Not serious Scope/severity E

     F0636 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.

     Corrected Mar 8, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected Mar 8, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0657 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.

     Corrected Mar 8, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Feb 16, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Mar 1, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Mar 1, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• ARMSTRONG, ROBIN — adp of the snf, NOT APPLICABLE, since 12/01/2014
• ARMSTRONG, ROBIN — operational/managerial control, NOT APPLICABLE, since 12/01/2014
• CAMPION, ROBERT — adp of the snf, NOT APPLICABLE, since 07/01/2022
• CAMPION, ROBERT — operational/managerial control, NOT APPLICABLE, since 07/01/2022
• CEDILLO, OLIVIA — operational/managerial control, NOT APPLICABLE, since 07/01/2022
• CEDILLO, OLIVIA — adp of the snf, NOT APPLICABLE, since 07/01/2022
• FRASER, SIOBAUGHN — operational/managerial control, NOT APPLICABLE, since 07/01/2022
• FRASER, SIOBAUGHN — adp of the snf, NOT APPLICABLE, since 07/01/2022
• SMITH, LAKESIA — operational/managerial control, NOT APPLICABLE, since 07/15/2019
• SMITH, LAKESIA — adp of the snf, NOT APPLICABLE, since 07/15/2019
• THOMPSON, JOHNNY — corporate director, NOT APPLICABLE, since 11/01/2023
• BELLVILLE HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 07/01/2022
• DWIGHT MORTGAGE TRUST LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 07/01/2022
• TX NM OPERATIONS HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 04/14/2025
• TX NM OPERATIONS HOLDINGS LLC — operational/managerial control, NOT APPLICABLE, since 07/01/2022