F

Shady Acres Health and Rehabilitation Center

405 Shady Acres Lane, Newton, TX 75966
Score: 2 / 100

Shady Acres Health And Rehabilitation Center has received an F grade based on CMS data, with a score of 2/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Newton facility should carefully review its inspection history and quality metrics.

Staffing at Shady Acres Health And Rehabilitation Center is near the national average, with 3.62 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 24 deficiencies at Shady Acres Health And Rehabilitation Center, including 6 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.62 3.8 Average
Registered Nurses (RN) 0.30 0.7 Below Average
Licensed Practical Nurses (LPN) 0.89 0.7 Above Average
Certified Nursing Assistants (CNA) 2.43 2.4 Average
Weekend Total Nursing 2.84 3.8 Below Average
Weekend RN Hours 0.22 0.7 Below Average

🔍 Inspection & Deficiency History

24
Total Deficiencies
Dec 10, 2025
Most Recent Inspection
🟠 18 Moderate 🔴 6 Serious
View recent deficiencies (5 shown)
  • Tag 0600 Severity J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Dec 10, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Dec 10, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0600 Severity K
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Oct 22, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity K
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Oct 22, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0656 Severity K
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Oct 22, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.6% 4.5% Average
Falls with major injury 1.6% 3.0% Better
On antipsychotic medication 17.5% 14.5% Worse
Urinary tract infections 9.6% 2.5% Worse
ADL decline (daily activities) 22.4% 14.0% Worse
Excessive weight loss 1.6% 7.5% Better
New/worsened incontinence 7.1% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $167,925

How This Grade Was Calculated

This facility's grade of F is based on a score of 2 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
84
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 11, 2025
Deficiencies (Cycle 1)
9