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SHADY OAK NURSING AND REHABILITATION

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SHADY OAK NURSING AND REHABILITATION is a for profit - corporation facility in MOULTON, TX with 61 certified beds and a 5-star overall CMS rating. The facility has 14 deficiency records on file.

101 S LANCASTER, MOULTON, TX 77975

Phone: 3615967373

Overall Rating

5/5

Health Inspection

5/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
676030
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
61
Residents
32
In Hospital
No
County
Lavaca
Last Inspection
Sep 5, 2025

Staffing Data

RN Hours
0.36 (nat'l avg: 0.68)
LPN Hours
1.04
CNA Hours
1.83
Total Nursing Hours
3.23 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
56.3%
RN Turnover
66.7%

What the CMS Record Reveals About SHADY OAK NURSING AND REHABILITATION

SHADY OAK NURSING AND REHABILITATION operates 61 certified beds in MOULTON, TX with approximately 32 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (2★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 14 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.23 total nursing hours per resident day (national average 3.89), with RN coverage at 0.36 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, SHADY OAK NURSING AND REHABILITATION falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 56.3%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (14 most recent)

D — Isolated - Minimal harm Sep 5, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Sep 8, 2025

E — Pattern - Minimal harm Sep 5, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 8, 2025

D — Isolated - Minimal harm Sep 5, 2025 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 8, 2025

D — Isolated - Minimal harm Sep 5, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 8, 2025

E — Pattern - Minimal harm Aug 8, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Aug 9, 2024

D — Isolated - Minimal harm Aug 8, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 9, 2024

E — Pattern - Minimal harm Jul 14, 2023 Tag: 0949

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Category: Administration Deficiencies

Corrected: Aug 9, 2023

E — Pattern - Minimal harm Jul 14, 2023 Tag: 0946

Provide training in compliance and ethics.

Category: Administration Deficiencies

Corrected: Aug 9, 2023

E — Pattern - Minimal harm Jul 14, 2023 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Aug 9, 2023

D — Isolated - Minimal harm Jul 14, 2023 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Aug 9, 2023

D — Isolated - Minimal harm Jul 14, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 9, 2023

D — Isolated - Minimal harm Jul 14, 2023 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 9, 2023

E — Pattern - Minimal harm Jul 14, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 9, 2023

F — Widespread - Minimal harm Jul 14, 2023 Tag: 0570

Assure the security of all personal funds of residents deposited with the facility.

Category: Resident Rights Deficiencies

Corrected: Aug 9, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 2.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.9% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for SHADY OAK NURSING AND REHABILITATION?
SHADY OAK NURSING AND REHABILITATION has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at SHADY OAK NURSING AND REHABILITATION?
SHADY OAK NURSING AND REHABILITATION reports 3.23 total nursing hours per resident day (national average: 3.89). RN hours are 0.36 per resident day (national average: 0.68). Nursing staff turnover is 56.3%.
How many beds does SHADY OAK NURSING AND REHABILITATION have?
SHADY OAK NURSING AND REHABILITATION has 61 certified beds with approximately 32 residents. The facility is located at 101 S LANCASTER, MOULTON, TX 77975.
Does SHADY OAK NURSING AND REHABILITATION have any deficiencies on record?
Yes, SHADY OAK NURSING AND REHABILITATION has 14 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has SHADY OAK NURSING AND REHABILITATION received any fines or penalties?
No, SHADY OAK NURSING AND REHABILITATION has no fines or penalties on record.
Who owns SHADY OAK NURSING AND REHABILITATION?
SHADY OAK NURSING AND REHABILITATION is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was SHADY OAK NURSING AND REHABILITATION last inspected?
The most recent health inspection for SHADY OAK NURSING AND REHABILITATION was on Sep 5, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for SHADY OAK NURSING AND REHABILITATION?
SHADY OAK NURSING AND REHABILITATION is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial