Shady Acres Health & Rehabilitation

405 Shady Acres Lane, Newton, TX 75966

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Shady Acres Health & Rehabilitation is a nursing home in Newton, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

CMS overall star rating1 of 5
Last standard health inspectionApril 29, 2026 (6 months ago)
Health citations since December 20, 202326 (Texas average 28)
Fines in the past three years4, $145,059 in total
CMS flagsSpecial Focus Facility candidate, CMS abuse icon

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

Special Focus Facility candidate
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

CMS update of October 8, 2026
- Name
  CMS lists a new name for this home. It was Shady Acres Health and Rehabilitation Center.
- Fine
  CMS changed the fine from October 23, 2025 from $26,423 to $26,826.
- Fine
  CMS changed the fine from December 11, 2025 from $17,345 to $17,643.
July 29, 2026
Payment stopped
CMS stopped payment for new admissions from July 29, 2026, for 9 days.
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CMS update of July 29, 2026
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 1 of 5.
- Fine
  CMS changed the fine from December 11, 2025 from $26,685 to $17,345.
CMS update of June 24, 2026
- Special Focus Facility
  CMS now lists this home as a Special Focus Facility candidate.
- Fine
  CMS changed the fine from October 23, 2025 from $40,650 to $26,423.
Health inspection on April 29, 2026
5 citations
CMS lists this as a standard inspection.
Show the 5 citations
- Citation F0727. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 13, 2026.
- Citation F0812. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on May 13, 2026.
  CMS has cited this home for F0812 2 times since 2023.
- Citation F0760. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on May 13, 2026.
- Citation F0761. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 13, 2026.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on May 13, 2026.
  CMS has cited this home for F0880 2 times since 2025.
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Fire safety inspection on April 29, 2026
4 citations
CMS lists this as a standard inspection.
Show the 4 citations
- Citation K0372. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  CMS lists it as corrected on June 14, 2026.
  CMS has cited this home for K0372 3 times since 2023.
- Citation K0353. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on June 14, 2026.
  CMS has cited this home for K0353 2 times since 2025.
- Citation K0374. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.
  CMS lists it as corrected on June 14, 2026.
  CMS has cited this home for K0374 2 times since 2025.
- Citation K0521. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  CMS has cited this home for K0521 3 times since 2023.
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CMS update of April 29, 2026
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of March 25, 2026
- Fine
  CMS changed the fine from October 23, 2025 from $34,650 to $40,650.
CMS update of February 25, 2026
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
- Fine
  CMS changed the fine from December 20, 2024 from $17,592 to $17,692.
CMS update of January 14, 2026
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5.
- Star rating
  The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
- CMS abuse icon
  CMS added its abuse icon to this home.
- Fine
  CMS changed the fine from July 26, 2024 from $82,605 to $82,898.
- Fine
  CMS changed the fine from December 20, 2024 from $16,801 to $17,592.
Health inspection on December 11, 2025
2 citations
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $17,643 on December 11, 2025.
Show the 2 citations
- Citation F0600. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  CMS lists it as corrected on December 9, 2025.
  CMS has cited this home for F0600 3 times since 2024.
- Citation F0609. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on January 1, 2026.
  CMS has cited this home for F0609 3 times since 2024.
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CMS update of November 20, 2025
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Health inspection on October 23, 2025
3 citations
CMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $26,826 on October 23, 2025.
Show the 3 citations
- Citation F0600. Severity K: immediate jeopardy, pattern.
  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  CMS lists it as corrected on November 7, 2025.
- Citation F0609. Severity K: immediate jeopardy, pattern.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on November 7, 2025.
- Citation F0656. Severity K: immediate jeopardy, pattern.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on November 7, 2025.
  CMS has cited this home for F0656 4 times since 2023.
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CMS update of July 30, 2025
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 2 of 5.
- Staffing
  Total nurse staffing reported to CMS went from 4.1 to 3.6 hours per resident per day.
CMS update of June 25, 2025
- Fine
  CMS changed the fine from December 20, 2024 from $25,847 to $16,801.
CMS update of April 30, 2025
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 3 of 5.
- Fine
  CMS changed the fine from July 26, 2024 from $80,106 to $82,605.
CMS update of February 26, 2025
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
- Fine
  CMS changed the fine from July 26, 2024 from $123,240 to $80,106.
Health inspection on February 12, 2025
4 citations
CMS lists this as a standard inspection.
Show the 4 citations
- Citation F0695. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on March 10, 2025.
- Citation F0908. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Keep all essential equipment working safely.
  CMS lists it as corrected on March 10, 2025.
- Citation F0641. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on March 10, 2025.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on March 10, 2025.
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Fire safety inspection on February 12, 2025
5 citations
CMS lists this as a standard inspection.
Show the 5 citations
- Citation K0353. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on March 3, 2025.
- Citation K0511. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have properly installed electrical wiring and gas equipment.
  CMS lists it as corrected on March 10, 2025.
  CMS has cited this home for K0511 2 times since 2023.
- Citation K0372. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  CMS lists it as corrected on March 10, 2025.
- Citation K0374. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.
  CMS lists it as corrected on March 10, 2025.
- Citation K0521. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Health inspection on December 20, 2024
4 citations
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
143 of 1,177 Texas homes (12%) got a citation at the actual harm level in 2024.
CMS fine of $17,692 on December 20, 2024.
Show the 4 citations
- Citation F0689. Severity G: actual harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on January 14, 2025.
  CMS has cited this home for F0689 2 times since 2024.
- Citation F0600. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  CMS lists it as corrected on August 26, 2024.
- Citation F0609. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on January 14, 2025.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on January 14, 2025.
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CMS update of October 30, 2024
- Star rating
  The CMS overall star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of July 31, 2024
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Staffing
  Total nurse staffing reported to CMS went from 4.1 to 3.4 hours per resident per day.
Health inspection on July 26, 2024
3 citations
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $82,898 on July 26, 2024.
Show the 3 citations
- Citation F0689. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on July 27, 2024.
- Citation F0926. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Have policies on smoking.
  CMS lists it as corrected on July 27, 2024.
- Citation F0656. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on July 27, 2024.
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CMS update of April 25, 2024
- Star rating
  The CMS overall star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of January 31, 2024
- Star rating
  The CMS overall star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on December 20, 2023
5 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
- Citation F0812. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on January 10, 2024.
- Citation F0656. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on February 15, 2024.
- Citation F0636. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  CMS lists it as corrected on January 10, 2024.
- Citation F0690. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  CMS lists it as corrected on January 10, 2024.
- Citation F0694. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  CMS lists it as corrected on February 1, 2024.
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Fire safety inspection on December 20, 2023
9 citations
CMS lists this as a standard inspection.
Show the 9 citations
- Citation K0223. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
  CMS lists it as corrected on February 21, 2024.
- Citation K0372. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  CMS lists it as corrected on February 21, 2024.
- Citation K0321. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  CMS lists it as corrected on February 21, 2024.
- Citation K0324. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide properly protected cooking facilities.
  CMS lists it as corrected on February 21, 2024.
- Citation K0341. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Install a fire alarm system that can be heard throughout the facility.
  CMS lists it as corrected on February 21, 2024.
- Citation K0355. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.
  CMS lists it as corrected on February 21, 2024.
- Citation K0511. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have properly installed electrical wiring and gas equipment.
  CMS lists it as corrected on February 21, 2024.
- Citation K0712. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have simulated fire drills held at unexpected times.
  CMS lists it as corrected on February 21, 2024.
- Citation K0521. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
See this home on CMS Care Compare

CMS star ratings

1 of 5CMS overall star rating
1 of 5CMS health inspection star rating
1 of 5CMS staffing star rating
2 of 5CMS quality measures star rating

Facts from CMS

Phone: (409) 379-8911
Last standard health inspection: April 29, 2026 (6 months ago)
Certified beds: 84
Residents per day, on average: 39.3
Ownership type: For profit - Corporation
Legal business name: Clint L. Hines INC.
Chain: Not listed by CMS
Takes part in: Medicare and Medicaid

Fewer health citations than the Texas average (26 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

HINES, ROSS5% or greater direct ownership interest · 22% · since 01/01/2012
NATHAN HINES ESTATE5% or greater indirect ownership interest · 78% · since 12/29/2020
HINES, ROSSOperational/managerial control · not applicable · since 12/29/2020

Questions

When was Shady Acres Health & Rehabilitation last inspected?

CMS lists April 29, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Shady Acres Health & Rehabilitation have?

CMS lists 26 health citations since December 20, 2023. CMS also calls these deficiencies.

Has Shady Acres Health & Rehabilitation been fined?

CMS lists 4 fines in the past three years, $145,059 in total.

What is the CMS star rating of Shady Acres Health & Rehabilitation?

Its CMS overall star rating is 1 of 5.

Is Shady Acres Health & Rehabilitation a Special Focus Facility?

Yes. CMS lists it as a Special Focus Facility candidate.

At a glance

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CMS flags

Inspections, fines and changes

CMS update of October 8, 2026

July 29, 2026

CMS update of July 29, 2026

CMS update of June 24, 2026

Health inspection on April 29, 2026

Fire safety inspection on April 29, 2026

CMS update of April 29, 2026

CMS update of March 25, 2026

CMS update of February 25, 2026

CMS update of January 14, 2026

Health inspection on December 11, 2025

CMS update of November 20, 2025

Health inspection on October 23, 2025

CMS update of July 30, 2025

CMS update of June 25, 2025

CMS update of April 30, 2025

CMS update of February 26, 2025

Health inspection on February 12, 2025

Fire safety inspection on February 12, 2025

Health inspection on December 20, 2024

CMS update of October 30, 2024

CMS update of July 31, 2024

Health inspection on July 26, 2024

CMS update of April 25, 2024

CMS update of January 31, 2024

Health inspection on December 20, 2023

Fire safety inspection on December 20, 2023

CMS star ratings

Facts from CMS

Owners and managers

Questions