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 & Rehabilitation
Registered name: Shady Acres Health and Rehabilitation Center
Newton, TX · Medicare-certified · 84 beds
Needs attention
Special Focus candidateAbuse citationFor-profit
Data as of July 1, 2026
1 of 5 overall
Shady Acres Health & Rehabilitation in Newton, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It is a Special Focus Facility candidate/flagged for special focus, had $144,358 in fines in the last 24 months, and reported nurse staffing of 3.87 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.8658 hrs/resident/day
Quality measures
Last inspection: April 29, 2026Penalties, last 24 months: $144,358special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8658.
Staffing detail
- Registered nurses
- 0.24
- Licensed practical nurses
- 1.19
- Nurse aides
- 2.44
- Weekend nursing
- 3.32
Hours per resident per day.
Total staff turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.7%20%Worsening
Residents with a fall causing major injury
0%2.2%Worsening
Residents with pressure ulcers (bedsores)
3%1.8%Improving
Residents with a urinary tract infection
14.3%0%Improving
Residents who lost too much weight
0%2.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.9%29%Worsening
Residents whose ability to walk got worse
—15.2%—
Long-stay residents on antianxiety or sleep medication
42.9%41.7%Improving
Short-stay residents newly given an antipsychotic
—3.1%—
Residents with a long-term catheter
5.3%3.4%Improving
Residents with new or worsening incontinence
0%4%Worsening
Residents with depressive symptoms
51.2%30.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—91.7%—
Long-stay residents given the pneumonia vaccine
100%95.7%Worsening
Short-stay residents given the seasonal flu vaccine
—72%—
Short-stay residents given the pneumonia vaccine
100%90%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.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,345 was recorded.
- 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 $26,423 was recorded.
- 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 · $144,358 in total fines.
- $17,345
Federal fine
Dec 11, 2025
- $26,423
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
- 42.9 residents on an average day (51% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 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.