F
37/100

Shady Acres Health & Rehabilitation Inspection Report, Violations & Safety Grade (Newton, Texas)

405 Shady Acres Lane, Newton, Texas 75966

Phone: 4093798911

CMS Overall:1/5

Overview & Bed Count

Certified Beds
84
Avg Residents/Day
39.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Newton
Sprinkler Systems
Yes
Special Focus
SFF Candidate
Abuse Icon
Yes

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.250.44-0.19
Total Nurse Hours per Resident per Day3.673.42+0.26
CMS Staffing Rating1/51.9/5-
Nursing Staff Turnover46.8%50.8%-

Health Citation History

26 health citations on record

DateCategoryDescriptionSeverity
2026-04-29Nursing and Physician Services DeficienciesHave 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 – Moderate Harm Potential
2026-04-29Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-04-29Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2026-04-29Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential
2026-04-29Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-12-11Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2025-12-11Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2025-10-23Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K – Immediate Jeopardy
2025-10-23Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.K – Immediate Jeopardy
2025-10-23Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.K – Immediate Jeopardy
2025-02-12Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2025-02-12Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2025-02-12Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-02-12Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-12-20Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-12-20Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2024-12-20Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-12-20Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-07-26Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2024-07-26Environmental DeficienciesHave policies on smoking.J – Immediate Jeopardy
2024-07-26Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2023-12-20Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-12-20Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2023-12-20Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D – Moderate Harm Potential
2023-12-20Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2023-12-20Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.D – Moderate Harm Potential

Fire Safety Citation History

18 fire safety citations on record

DateCategoryDescriptionSeverity
2026-04-29Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2026-04-29Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2026-04-29Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.D – Moderate Harm Potential
2026-04-29Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2025-02-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-02-12Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2025-02-12Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2025-02-12Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2025-02-12Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2023-12-20Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2023-12-20Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2023-12-20Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-12-20Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2023-12-20Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.D – Moderate Harm Potential
2023-12-20Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2023-12-20Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2023-12-20Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2023-12-20Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential

Total Penalties & Fines

$145,059
Total Fine Amount (CMS)
4
Number of Fines
5
Total Penalties
DateTypeFine AmountPayment Denial
2026-04-29Payment Denial-9 days starting 2026-07-29
2025-12-11Fine$17,643-
2025-10-23Fine$26,826-
2024-12-20Fine$17,692-
2024-07-26Fine$82,898-

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