Texas › Newton County › Newton
Shady Acres Health & Rehabilitation
405 Shady Acres Lane, Newton, TX 75966
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Shady Acres Health & Rehabilitation, in Newton, Texas, is certified for 84 beds under for-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (10, 8, 8 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 31.0 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $145K.
Reported nurse staffing is 3.9 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 40.0%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Newton Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 26 | 26 | 25 | 28.7 |
| Citations per 100 beds | 31.0 | 31.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.9 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.2 | 0.4 | 0.7 |
| Nursing staff turnover | 40.0% | 40.0% | 52.1% | 45.8% |
| Fines listed | $144,761 | $144,761 | $16,801 | — |
County and state figures are medians across facilities (1 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Apr 2026, 12 Feb 2025.
Severity mix: J ×3 K ×3 G ×1 D ×11 E ×5 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2026 | F0727 | 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. | F | Standard survey | 13 May 2026 |
| 29 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 May 2026 |
| 29 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 13 May 2026 |
| 29 Apr 2026 | F0761 | 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. | D | Standard survey | 13 May 2026 |
| 29 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 May 2026 |
| 11 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 9 Dec 2025 |
| 11 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 1 Jan 2026 |
| 23 Oct 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 7 Nov 2025 |
| 23 Oct 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | Complaint investigation | 7 Nov 2025 |
| 23 Oct 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | Complaint investigation | 7 Nov 2025 |
| 12 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 10 Mar 2025 |
| 12 Feb 2025 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 10 Mar 2025 |
| 12 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Mar 2025 |
| 12 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Mar 2025 |
| 20 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 14 Jan 2025 |
| 20 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Aug 2024 |
| 20 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Jan 2025 |
| 20 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 14 Jan 2025 |
| 26 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Jul 2024 |
| 26 Jul 2024 | F0926 | Have policies on smoking. | J | Complaint investigation | 27 Jul 2024 |
| 26 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 27 Jul 2024 |
| 20 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Jan 2024 |
| 20 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 15 Feb 2024 |
| 20 Dec 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 10 Jan 2024 |
| 20 Dec 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Jan 2024 |
| 20 Dec 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 1 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Dec 2025 | Fine | $17,345 | |
| 23 Oct 2025 | Fine | $26,826 | |
| 20 Dec 2024 | Fine | $17,692 | |
| 26 Jul 2024 | Fine | $82,898 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 40.0%, RNs —; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.9% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 8.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.5% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Clint L. Hines Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nathan Hines Estate | 5% or greater indirect ownership interest | 78% | 12/29/2020 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Shady Acres Health & Rehabilitation been cited for?
26 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Shady Acres Health & Rehabilitation been fined?
Yes. CMS lists fines totalling $145K in the period covered.
How does staffing at Shady Acres Health & Rehabilitation compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Shady Acres Health & Rehabilitation?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Nathan Hines Estate. Individual owners and managers are not listed on this site.
When was Shady Acres Health & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 29 Apr 2026; the most recent standard health survey was 29 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.