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Nursing HomeMedicaid Investigative

Shady Acres Health & Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

405 Shady Acres Lane, Newton, TX 7596684 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 7 Google reviews

5
4
3
2
1
Shady Acres Health & Rehabilitation Nursing Home in Newton, TX — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (9 vs median 8.0)

Bottom 25% in Texas · Critically understaffed (RN) · Above average staffing · $167,925 in fines · Abuse citation

Source: Medicare data

What this means for your family

The facility currently enjoys high praise for its nursing staff's compassion and its welcoming atmosphere for religious services. However, because of a past report of serious neglect regarding feeding and fall prevention, families should closely monitor meal delivery and mobility assistance for residents with high care needs.

Google Reviews

Google Reviews

7 reviews analyzed
Families can expect a caring and loving nursing staff, with recent reviews highlighting excellent nursing care and a positive atmosphere for religious services. However, a significant historical concern involves patient safety and neglect regarding feeding and fall prevention for residents with limited mobility.

Quality Themes

Tap a score for details
Food1.0Staff9.0CleanN/AActivities5.0MedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Loving and caring nursing staff
  • Positive environment for religious services
  • High-quality nursing care

Rating Trends

Tap a year to see what changed

2345.02017(1)1.02018(1)1.02021(1)1.02023(1)5.02024(4)

Distribution

5
4
4
0
3
0
2
0
1
1

How They Respond to Reviews

14%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed some families mention how much they appreciate the religious services here; could you tell me more about how those are organized and who participates?
  • 2We want to make sure our loved one is eating well; could you walk us through the daily meal schedule and how much input residents have in their food choices?
  • 3With the nursing staff being such a highly regarded part of your team, how do you ensure they have enough time to provide personalized care to each resident?
  • 4Can you explain the protocol for handling medical emergencies or sudden changes in health during the night shifts?
  • 5What kind of daily activities or social outings are available to help residents stay engaged with one another?
  • 6How does the administration work with families to address any concerns or feedback that might arise regarding the facility's care or environment?

Personalized based on this facility's data


Key Review Excerpts

The entire staff has been so so loving and caring. Excellent nursing care!

Long-term resident's family · 2024★★★★★

They kept her clean and fed. However, she fell and broke her hip, had surgery, and then came back there. They did not feed her. We found her trays sitting there with plastic on them.

Long-term resident's family · 2018☆☆☆☆
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
43%
Registered nurses for medical care
Total Nursing
3.57hrs
87%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility41.2%
Worse than Avg
Here
41.2%
US
12.1%
TX
2.5%
Newton
6.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility45.8%
Worse than Avg
Here
45.8%
US
19.5%
TX
18.4%
Newton
23.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.5%
Better than Avg
Here
4.5%
US
19.4%
TX
14.2%
Newton
23.2%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility9.9%
Worse than Avg
Here
9.9%
US
1.6%
TX
0.8%
Newton
3.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.5%
Worse than Avg
Here
22.5%
US
14.4%
TX
16.1%
Newton
20.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility91.7%
Worse than Avg
Here
91.7%
US
95.5%
TX
98.0%
Newton
98.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility72.0%
Worse than Avg
Here
72.0%
US
79.7%
TX
88.0%
Newton
78.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.6%
Better than Avg
Here
92.6%
US
81.8%
TX
89.2%
Newton
92.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Newton
2.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
4penalties
Near state avg (9.1)
13 complaint-triggered
$167,925 in fines

This facility has concerning patterns of abuse protection failures and care planning deficiencies that families have repeatedly reported to authorities, triggering 13 complaint-based investigations. The most recurring problems involve protecting residents from abuse and neglect, developing proper care plans, and maintaining fire safety systems. While the facility has corrected most violations, the repeated nature of abuse protection issues and care planning problems across multiple surveys suggests ongoing systemic challenges that warrant careful consideration.

Dec 11, 2025Complaint
2
0600Severe

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Oct 23, 2025Complaint
3
0600SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656SevereCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Feb 12, 2025Routine
9
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0695ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Dec 20, 2024Complaint
4
0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0600Minor

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Jul 26, 2024Complaint
3
0689SevereCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0926SevereCorrected

Environmental Deficiencies

Have policies on smoking.

0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Dec 20, 2023Routine
13
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0223ModerateCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0690MinorCorrected

Quality of Life and Care Deficiencies

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

0694MinorCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0341MinorCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0355MinorCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0511MinorCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712MinorCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal Penalties

Fine

Dec 11, 2025

$26,685

Fine

Oct 23, 2025

$40,650

Fine

Dec 20, 2024

$17,692

Fine

Jul 26, 2024

$82,898

Ownership & Operations

Who Operates This Facility

Owner / Operator

Clint L Hines, INC

Organization Type

for profit

Administrator

DAVID HINES

Ownership & Management

Owners

Hines, Ross

Owner

22%

Nathan Hines Estate

Owner (parent company) · Organization

78%

Key personnel

Hines, RossW-2 Managing EmployeeHines, RossOfficer / DirectorHines, RossOfficer / DirectorHines, RossManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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