All states › Texas › Newton › Shady Acres Health & Rehabilitation
405 Shady Acres Lane Newton, TX 75966 · Newton County
CMS certification number 676055 · See this home on Medicare Care Compare
Is Shady Acres Health & Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Shady Acres Health & Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.67 hours per resident per day at Shady Acres Health & Rehabilitation, above the Texas median of 3.30 (US median: 3.72). About 0.25 of those hours are from registered nurses. On weekends it falls to 3.25 hours, 12% below its all-week average. 46.8% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Shady Acres Health & Rehabilitation: Medicare and Medicaid
Shady Acres Health & Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 29, 2026 and found 5 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 26 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 26 citations at Shady Acres Health & Rehabilitation across 7 inspection dates, 13 of them from complaint investigations. 6 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 11, 2025 (complaint inspection). The most common areas cited were freedom from abuse, neglect, and exploitation (6) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, October 23, 2025). 6 citations were under CMS's abuse, neglect and exploitation rules.
April 29, 2026 · 5 citations
FHave 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure that residents are free from significant medication errors.
DEnsure 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.
DProvide and implement an infection prevention and control program.
December 11, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
October 23, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
KDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
February 12, 2025 · 4 citations
EProvide safe and appropriate respiratory care for a resident when needed.
EKeep all essential equipment working safely.
DEnsure each resident receives an accurate assessment.
DProvide and implement an infection prevention and control program.
December 20, 2024 · 4 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
July 26, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
JHave policies on smoking.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
December 20, 2023 · 5 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
Questions to ask on a tour of Shady Acres Health & Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on October 23, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 11, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- The home averages about 47% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $145,059 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 29, 2026 | Payment Denial | 9 days of payments denied |
| Dec 11, 2025 | Fine | $17,643 |
| Oct 23, 2025 | Fine | $26,826 |
| Dec 20, 2024 | Fine | $17,692 |
| Jul 26, 2024 | Fine | $82,898 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
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Location
Hospitals near Shady Acres Health & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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16.2 mi
CHRISTUS Jasper Memorial Hospital JasperEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 48m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.