For profit - Corporation · 84 certified beds · CMS number 676055
Shady Acres Health & Rehabilitation, Newton, TX
CMS records 26 health deficiencies at Shady Acres Health & Rehabilitation in Newton, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 29, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 6 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 4 fines totaling $145,059 and 1 payment denial in the last three years.
- Special Focus Facility candidate (CMS)
- CMS abuse icon
- 6 immediate jeopardy (J/K/L) citations
- A tag cited in 4 inspections
- 26deficiencies, 3 cycles (TX median 25)
- 10in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $145,059fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Shady Acres Health & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Shady Acres Health & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (10 deficiencies)
Standard inspection Apr 29, 2026. CMS counts 10 health deficiencies and 4 fire safety deficiencies in this cycle.
Apr 29, 2026 · Standard inspection
5 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 13, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 13, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 13, 2026
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 13, 2026
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 13, 2026
Dec 11, 2025 · Complaint inspection
2 deficiencies, highest J
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 1, 2026
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Dec 9, 2025
Oct 23, 2025 · Complaint inspection
3 deficiencies, highest K
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 7, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 7, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 7, 2025
Previous cycle: 8 deficiencies (standard inspection Feb 12, 2025)
Standard inspection Feb 12, 2025. CMS counts 8 health deficiencies and 5 fire safety deficiencies in this cycle.
Feb 12, 2025 · Standard inspection
4 deficiencies, highest E
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 10, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 10, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 10, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 10, 2025
Dec 20, 2024 · Complaint inspection
4 deficiencies, highest G
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jan 14, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 14, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 14, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Aug 26, 2024
Earlier cycle: 8 deficiencies (standard inspection Dec 20, 2023)
Standard inspection Dec 20, 2023. CMS counts 8 health deficiencies and 9 fire safety deficiencies in this cycle.
Jul 26, 2024 · Complaint inspection
3 deficiencies, highest J
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jul 27, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jul 27, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 27, 2024
Dec 20, 2023 · Standard + complaint inspection
5 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jan 10, 2024
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 1, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 10, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 15, 2024
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 10, 2024
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Shady Acres Health & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 4 | Oct 23, 2025; Dec 20, 2024; Jul 26, 2024; Dec 20, 2023 |
| F600 Freedom from abuse and neglect | 3 | Dec 11, 2025 (PNC); Oct 23, 2025; Dec 20, 2024 (PNC) |
| F609 Reporting suspected abuse and crimes | 3 | Dec 11, 2025; Oct 23, 2025; Dec 20, 2024 |
| F689 Accident prevention and supervision | 2 | Dec 20, 2024; Jul 26, 2024 |
| F812 Food safety and sanitation | 2 | Apr 29, 2026; Dec 20, 2023 |
| F880 Infection prevention and control program | 2 | Apr 29, 2026; Feb 12, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 29, 2026 | Payment Denial | 9 days from Jul 29, 2026 |
| Dec 11, 2025 | Fine | $17,643 |
| Oct 23, 2025 | Fine | $26,826 |
| Dec 20, 2024 | Fine | $17,692 |
| Jul 26, 2024 | Fine | $82,898 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.87 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.24 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.32 h
- Nursing staff turnover
- 40.0% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
CMS figures for Shady Acres Health & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 405 Shady Acres Lane, Newton, TX 75966
- Phone
- (409) 379-8911
- County
- Newton
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 84
- Average residents per day
- 42.9
- In Medicare/Medicaid since
- Jun 27, 2005
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 3 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 3 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.