Shady Oak Nursing and Rehabilitation

101 S Lancaster · Moulton, TX · 77975 · 3615967373

61 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 74 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.

Red flags

Total nurse staffing below 3.0 hours per resident-day

2.84 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 75
Serious harm & abuse 20% 100
Staffing 20% 41
Federal penalties 15% 100
Trend 10% 41
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.843.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day2.29≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (14 in the current record)

  • Potential for harm · D September 5, 2025

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

    Corrected September 8, 2025 · Quality of Life and Care

  • Potential for harm · D September 5, 2025

    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.

    Corrected September 8, 2025 · Nutrition and Dietary

  • Potential for harm · E September 5, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 8, 2025 · Infection Control

  • Potential for harm · D September 5, 2025

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

    Corrected September 8, 2025 · Environmental

  • Potential for harm · D August 8, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 9, 2024 · Infection Control

  • Potential for harm · E August 8, 2024

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

    Corrected August 9, 2024 · Environmental

  • Potential for harm · F July 14, 2023

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

    Corrected August 9, 2023 · Resident Rights

  • Potential for harm · E July 14, 2023

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

    Corrected August 9, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 14, 2023

    Assess the resident when there is a significant change in condition

    Corrected August 9, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 14, 2023

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

    Corrected August 9, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 14, 2023

    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.

    Corrected August 9, 2023 · Administration

  • Potential for harm · E July 14, 2023

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

    Corrected August 9, 2023 · Administration

  • Potential for harm · E July 14, 2023

    Provide training in compliance and ethics.

    Corrected August 9, 2023 · Administration

  • Potential for harm · E July 14, 2023

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

    Corrected August 9, 2023 · Administration

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676030 · certified since December 10, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.