Shady Acres Health and Rehabilitation Center
405 Shady Acres Lane · Newton, TX · 75966 · 4093798911
84 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $153,698 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$153,698 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.99 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 4 · $153,698 |
Inspection citations (26 in the current record)
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Potential for harm · F April 29, 2026
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.
Corrected May 13, 2026 · Nursing and Physician Services
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Potential for harm · D April 29, 2026
Ensure that residents are free from significant medication errors.
Corrected May 13, 2026 · Pharmacy Service
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Potential for harm · D April 29, 2026
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 13, 2026 · Pharmacy Service
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Potential for harm · F April 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 13, 2026 · Nutrition and Dietary
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Potential for harm · D April 29, 2026
Provide and implement an infection prevention and control program.
Corrected May 13, 2026 · Infection Control
-
Immediate jeopardy · J December 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K October 23, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K October 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K October 23, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025
Ensure each resident receives an accurate assessment.
Corrected March 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 12, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 10, 2025 · Quality of Life and Care
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Potential for harm · D February 12, 2025
Provide and implement an infection prevention and control program.
Corrected March 10, 2025 · Infection Control
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Potential for harm · E February 12, 2025
Keep all essential equipment working safely.
Corrected March 10, 2025 · Environmental
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Actual harm · G December 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 14, 2025 · Quality of Life and Care
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Potential for harm · D December 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 20, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 20, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 14, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · J July 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 27, 2024 · Quality of Life and Care
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Immediate jeopardy · J July 26, 2024 · found via complaint
Have policies on smoking.
Corrected July 27, 2024 · Environmental
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Potential for harm · E July 26, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 20, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 20, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 10, 2024 · Quality of Life and Care
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Potential for harm · D December 20, 2023
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 1, 2024 · Quality of Life and Care
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Potential for harm · F December 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 10, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 11, 2025 | Fine | $26,685 |
| October 23, 2025 | Fine | $26,423 |
| December 20, 2024 | Fine | $17,692 |
| July 26, 2024 | Fine | $82,898 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676055 · certified since June 27, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.