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Shady Acres Health & Rehabilitation, Newton, Texas

26
Citations from health inspectionsTexas average: 28 a home
7
Residents harmed or put in dangerTexas average: 2.3 a home
$145,059
Fines from the federal governmentTexas average: $44,141 a home
1 out of 5
Overall rating in starsTexas average: 2.7

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Seven inspection visits produced 26 citations. Residents were in immediate danger in six findings. Residents were found hurt in one case. Federal fines came to $145,059 (four fines). Once, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

Are you worried about the way someone was treated at this home?

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Quick Look at the Record

The home's overall star rating
1 out of 5
Rating for health inspections
1 out of 5
Rating for staffing
1 out of 5
Rating for quality of care
2 out of 5
Nurse time for each resident
3.87 hours each dayThe Texas average is 3.39 hours
Time from registered nurses
0.24 hours each dayThe Texas average is 0.43 hours
Nursing staff who left during one year
40%against the Texas average of 55.3%
Beds that are certified
84
Ownership
Corporation (for profit)
Chain
This home is not part of a chain
Street address
405 Shady Acres Lane, Newton, Texas 75966
County
Newton

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Five citations dated April 29, 2026

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
  • F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
  • F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.

Two citations dated Dec. 11, 2025

  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.

Three citations dated Oct. 23, 2025

  • F656 A Complete Care Plan: immediate danger to residents, a pattern, several residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: immediate danger to residents, a pattern, several residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents, found on a complaint visit.

Four citations dated Feb. 12, 2025

  • F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents.
  • F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
  • F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
  • F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.

Four citations dated Dec. 20, 2024

  • F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated July 26, 2024

  • F926 Smoking Policies: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Five citations dated Dec. 20, 2023

  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
  • F694 Safe Fluids Given Through a Vein: risk of harm, no one found hurt, one or a few residents.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
  • F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Payment Denials and Fines

DatePenaltyAmount
April 29, 2026Payment denial for new admissionsnine days
Dec. 11, 2025Fine$17,643
Oct. 23, 2025Fine$26,826
Dec. 20, 2024Fine$17,692
July 26, 2024Fine$82,898

Ownership and Management of the Home

  • Owns 78% through another company: Nathan Hines Estate.

One person with an ownership stake is also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 676055. Other homes in Texas.