Shady Oak Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 101 S Lancaster, Moulton, TX 77975
- CCN
- 676030
- Ownership type
- For-profit, corporation
- Certified beds
- 61
- Residents per day
- 33
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Shady Oak Nursing and Rehabilitation an overall rating of 5 of 5 stars. The last standard survey was on 5 Sep 2025. The latest survey cycle has 4 health citations. The median for nursing homes in Texas is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Lavaca County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 5 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 6 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 5 Sep 2025 | 4 | 8 |
| Cycle 2 | 8 Aug 2024 | 2 | 8 |
| Cycle 3 | No date | 8 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Sep 2025 | 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 | 8 Sep 2025 |
| 5 Sep 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 8 Sep 2025 |
| 5 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Sep 2025 |
| 5 Sep 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 8 Sep 2025 |
Survey cycle 2: 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Aug 2024 |
| 8 Aug 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 9 Aug 2024 |
Survey cycle 3: 8 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Jul 2023 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | F | Standard survey | 9 Aug 2023 |
| 14 Jul 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 9 Aug 2023 |
| 14 Jul 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 9 Aug 2023 |
| 14 Jul 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 9 Aug 2023 |
| 14 Jul 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 9 Aug 2023 |
| 14 Jul 2023 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard survey | 9 Aug 2023 |
| 14 Jul 2023 | F0946 | Provide training in compliance and ethics. | E | Standard survey | 9 Aug 2023 |
| 14 Jul 2023 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard survey | 9 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 2.85 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.35 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 1.10 | 0.95 | |
| Nurse aides | 1.39 | 2.00 | |
| All nurse staff, weekends | 2.42 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 100.0%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.5% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- West Wharton County Hospital District
- Chain
- Creative Solutions in Healthcare (149 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Moulton I Enterprises LLC | Operational/managerial control | 1 Sep 2022 | |
| Moulton I Enterprises LLC | Adp of the snf | 20 May 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Lavaca County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Shiner Nursing and Rehabilitation Center | Shiner | 3 of 5 | 11 | $0 | 20 Mar 2026 | |
| Hallettsville Nursing and Rehabilitation Center | Hallettsville | 2 of 5 | 9 | $8,824 | 16 Jan 2026 | |
| Stevens Nursing and Rehabilitation Center of Halle | Hallettsville | 5 of 5 | 7 | $0 | 1 May 2026 | |
| Yoakum Nursing and Rehabilitation Center | Yoakum | 2 of 5 | 11 | $13,627 | 30 May 2025 | |
| Paradigm at Stevens | Yoakum | 2 of 5 | 7 | $0 | 15 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Shady Oak Nursing and Rehabilitation (CCN 676030). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/shady-oak-nursing-and-rehabilitation-moulton-tx-676030/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Shady Oak Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 5 Sep 2025. It was a standard survey. It gave 4 citations. The standard survey before the last one was on 8 Aug 2024.
- Who operates Shady Oak Nursing and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Creative Solutions in Healthcare. The CMS ownership file names Moulton I Enterprises LLC for operational or managerial control. This site does not show the names of persons.
- Is Shady Oak Nursing and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.