nursing home in Newton, TX

Shady Acres Health & Rehabilitation

405 Shady Acres Lane, Newton, TX 75966 · (409) 379-8911

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★1
  • Quality measures★★★★★2
  • Special Focus candidate
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Shady Acres Health & Rehabilitation at a glance

Shady Acres Health & Rehabilitation is a 84-bed for-profit nursing home in Newton, Texas (Newton County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.9 hours of nursing care per day (0.2 of them from registered nurses), better than the state average of 3.4 hours.

Its most recent standard health inspection (April 29, 2026) found 10 health citations. The Texas average is 9.4.

Federal regulators fined it 4 times in the past three years, totaling $145,059.

Nursing staff turnover is 40% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
84
Certified for
Medicare and Medicaid
Medicare-certified since
June 27, 2005
Resident/family council
Resident
County
Newton County
CMS Certification Number
676055

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)2 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 54 / 53.8 / 5Worse

Staffing

This facility3.87 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.87 hrs3.39 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.24 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.44 hrs2.01 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.32 hrs2.98 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)40%55.3%45.8%Better
Administrators who left in the past year (lower is better)011Better

Inspections

This facility10Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1099Worse
Citations from complaint investigations (latest cycle) (lower is better)543Worse
Weighted health inspection score ⓘ (lower is better)364.810280.6Worse

Penalties

This facility4Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)411Worse
Total fines in the past 3 years (lower is better)$145,059$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)521Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds84113107
Average residents per day437686
Occupancy51.1%67.6%80.9%

Long-stay residents

This facility1%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.1%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)16.5%9.6%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)8.5%0.8%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)3.9%0.3%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)23.3%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)15.2%14%14.1%Worse
Long-stay residents who lose too much weight (lower is better)0.7%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)36.4%2.4%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)42.8%18%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)4.3%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)91.7%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)99%96.6%93.6%Better

Short-stay residents

This facility3.1%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.1%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)72%88%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)86.4%88.9%82%Better

Inspection citations

State inspectors cited this home for 26 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. 7 citations involved actual harm, including 6 rated "immediate jeopardy".

DateCitationSeverityStatus
April 29, 2026
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected June 14, 2026
April 29, 2026
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
D
Potential harm, isolated
Corrected June 14, 2026
April 29, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected June 14, 2026
April 29, 2026
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Deficient, Provider has no plan of correction
April 29, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected May 13, 2026
April 29, 2026
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected May 13, 2026
April 29, 2026
Standard
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 drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected May 13, 2026
April 29, 2026
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected May 13, 2026
April 29, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected May 13, 2026
December 11, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
J
Immediate jeopardy, isolated
Corrected December 9, 2025
December 11, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
E
Potential harm, pattern
Corrected January 1, 2026
October 23, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
K
Immediate jeopardy, pattern
Corrected November 7, 2025
October 23, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
K
Immediate jeopardy, pattern
Corrected November 7, 2025
October 23, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
K
Immediate jeopardy, pattern
Corrected November 7, 2025
February 12, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
F
Potential harm, widespread
Corrected March 10, 2025
February 12, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected March 3, 2025
February 12, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected March 10, 2025
February 12, 2025
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected March 10, 2025
February 12, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Waiver has been granted
February 12, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected March 10, 2025
February 12, 2025
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
E
Potential harm, pattern
Corrected March 10, 2025
February 12, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected March 10, 2025
February 12, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 10, 2025
December 20, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected January 14, 2025
December 20, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected January 14, 2025
December 20, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected August 26, 2024
December 20, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected January 14, 2025
July 26, 2024
Complaint
Have policies on smoking.
Environmental Deficiencies · Tag F0926
J
Immediate jeopardy, isolated
Corrected July 27, 2024
July 26, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected July 27, 2024
July 26, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected July 27, 2024
December 20, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected February 21, 2024
December 20, 2023
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected February 21, 2024
December 20, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected February 21, 2024
December 20, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected February 21, 2024
December 20, 2023
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
D
Potential harm, isolated
Corrected February 21, 2024
December 20, 2023
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected February 21, 2024
December 20, 2023
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected February 21, 2024
December 20, 2023
Fire safety
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies · Tag K0341
D
Potential harm, isolated
Corrected February 21, 2024
December 20, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Waiver has been granted
December 20, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected January 10, 2024
December 20, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected February 15, 2024
December 20, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected January 10, 2024
December 20, 2023
Complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
D
Potential harm, isolated
Corrected January 10, 2024
December 20, 2023
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected February 1, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.

Fines and payment denials

CMS reports 5 federal penalties in the past three years, including $145,059 in fines.

DatePenaltyAmount / length
April 29, 2026Payment Denial9 days from July 29, 2026
December 11, 2025Fine$17,643
October 23, 2025Fine$26,826
December 20, 2024Fine$17,692
July 26, 2024Fine$82,898

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
HINES, ROSS
Individual
5% or greater direct ownership interest22%01/01/2012
NATHAN HINES ESTATE
Organization
5% or greater indirect ownership interest78%12/29/2020
HINES, ROSS
Individual
corporate directorNOT APPLICABLE12/29/2020
HINES, ROSS
Individual
corporate officerNOT APPLICABLE12/29/2020
HINES, ROSS
Individual
operational/managerial controlNOT APPLICABLE12/29/2020
HINES, ROSS
Individual
w-2 managing employeeNOT APPLICABLE12/29/2020

Other nursing homes near Shady Acres Health & Rehabilitation

  1. Rayburn Health Care & Rehabilitation

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    For-profit · 107 beds

    ★★★★★3Average
  2. Avalon Place Kirbyville

    700 N Herndon Ave, Kirbyville, TX 75956 · 15.5 mi

    Government · 114 beds · Part of Creative Solutions in Healthcare

    ★★★★★4Above average
  3. Timberidge Nursing and Rehabilitation Center

    315 W Gibson, Jasper, TX 75951 · 15.9 mi

    For-profit · 114 beds

    • CMS high performer
    ★★★★★5Much above average
  4. Deridder Retirement & Rehab Center

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    For-profit · 90 beds · Part of Rightcare Health Services

    ★★★★★2Below average
  5. Westwood Manor Nursing Home, INC

    714 High School Drive, Deridder, LA 70634 · 26.9 mi

    For-profit · 132 beds · Part of Rightcare Health Services

    ★★★★★3Average
  6. Rosepine Retirement & Rehab Center, LLC

    18364 Central Avenue, Rosepine, LA 70659 · 28.1 mi

    For-profit · 108 beds · Part of Rightcare Health Services

    ★★★★★4Above average

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Frequently asked questions

What is Shady Acres Health & Rehabilitation's rating?

Shady Acres Health & Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Shady Acres Health & Rehabilitation receive?

Its most recent standard health inspection found 10 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Shady Acres Health & Rehabilitation accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Shady Acres Health & Rehabilitation?

It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.

Where is Shady Acres Health & Rehabilitation and how do I contact it?

Shady Acres Health & Rehabilitation is at 405 Shady Acres Lane, Newton, TX 75966. Phone: (409) 379-8911.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.