ElderGrade
F

39.8/100

Poor

Shady Acres Health And Rehabilitation Center

405 Shady Acres Lane, Newton, TX 75966

CMS 1/5 stars (409) 379-8911
Certified beds
84
Occupancy
51%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 7 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $144,358 in federal fines

    CMS has fined this facility across 4 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

2.8/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 6 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -3.2 for 26 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.19 total nurse hours per resident per day (national median 3.77)
  • 0.24 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 40% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $144,358 in federal fines across 4 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.87 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.24 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.32 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 40.00%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 26 citations

Last standard health inspection: April 29, 2026 (3 months ago).

F Apr 29, 2026 F0727

Nursing and Physician Services Deficiencies

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.

No actual harm, potential for more than minimal harm

F Apr 29, 2026 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

J Dec 11, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

E Dec 11, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

K Oct 23, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

Who owns this home

Full record
Owner Type Role Since
HINES, ROSS Individual W-2 MANAGING EMPLOYEE
HINES, ROSS Individual CORPORATE DIRECTOR
HINES, ROSS Individual CORPORATE OFFICER
HINES, ROSS Individual OPERATIONAL/MANAGERIAL CONTROL
NATHAN HINES ESTATE Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
HINES, ROSS Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Shady Acres Health And Rehabilitation Center

What is the ElderGrade for Shady Acres Health And Rehabilitation Center? +

Shady Acres Health And Rehabilitation Center holds an ElderGrade of F (39.8 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Shady Acres Health And Rehabilitation Center? +

Residents receive an average of 3.87 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Shady Acres Health And Rehabilitation Center been cited for harming residents? +

Yes. 7 of the 26 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Shady Acres Health And Rehabilitation Center accept Medicaid? +

Yes, Shady Acres Health And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.