The nursing home failed to protect residents from abuse and neglect by others. Cited October 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Shady Acres Health and Rehabilitation Center
Newton, TX · Medicare-certified · 84 beds
Needs attention
Abuse citationFor-profit
1 of 5 overall
Shady Acres Health and Rehabilitation Center in Newton, TX has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating, 2-star quality measures, and 3-star staffing. Reported nurse staffing is 3.57 hours per resident per day versus the 4.1 federal benchmark, and the facility has had $167,925 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.574 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, last 24 months: $167,925recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.574.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 0.99
- Nurse aides
- 2.26
- Weekend nursing
- 2.99
Hours per resident per day.
Total staff turnover: 40%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.5%Improving
Residents with a fall causing major injury
0.5%Worsening
Residents with pressure ulcers (bedsores)
3.5%Improving
Residents with a urinary tract infection
9.9%Worsening
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22.5%Improving
Residents whose ability to walk got worse
17.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
45.8%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
4.1%Improving
Residents with new or worsening incontinence
4.5%Worsening
Residents with depressive symptoms
41.2%Improving
Long-stay residents given the seasonal flu vaccine
91.7%Steady
Long-stay residents given the pneumonia vaccine
99.5%Improving
Short-stay residents given the seasonal flu vaccine
72%Steady
Short-stay residents given the pneumonia vaccine
92.6%Worsening
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited October 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: K
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited October 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to have policies to keep smoking safe and properly managed. Cited July 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 926 — 42 CFR §483.90 — S/S: J
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $26,685 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $40,650 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,692 was recorded.
- PENALTY
A federal fine of $82,898 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $167,925 in total fines.
- $26,685
Federal fine
Dec 11, 2025
- $40,650
Federal fine
Oct 23, 2025
- $17,692
Federal fine
Dec 20, 2024
- $82,898
Federal fine
Jul 26, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 48.4 residents on an average day (58% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 20 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.