Shady Oak Nursing and Rehabilitation
Strong Medicare quality ratings; families often praise kind and attentive nursing staff. Still worth an in-person visit.
based on 30 Google reviews
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What this means for your family
This facility is widely recognized for its wonderful food and a caring, community-focused staff. However, families should be extremely vigilant regarding clinical standards, as recent reviews have raised serious alarms about cleaning staff performing nursing duties and unprofessionalism during visits.
Google Reviews
Google Reviews
30 reviews analyzed“Families can expect a warm, community-oriented environment with a staff that is frequently praised for being kind, professional, and resident-focused. While many reviewers highlight excellent food and a clean facility, there are serious recent concerns regarding unprofessionalism and improper delegation of nursing duties to cleaning staff.”
Quality Themes
Tap a score for detailsStrengths
- Kind and attentive nursing staff
- High-quality food and dining
- Clean and well-maintained facility
- Engaging resident activities and community atmosphere
Concerns
- Improper delegation of clinical tasks to cleaning staff
- Unprofessional staff behavior during visits
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly templated, repetitive language across all reviews regardless of sentiment. While they acknowledge the reviewer by name, the core message remains a standardized script directing users to a Customer Care Line.
Questions for Your Tour
- 1We've heard great things about the dining experience here; could you tell us more about the menu and how meals are served to residents?
- 2It's wonderful to see such a high CMS health inspection rating; how does your team maintain such high standards of cleanliness and care?
- 3What kind of daily activities or community events are available to help residents stay engaged and social?
- 4How do you ensure that clinical tasks and medical care are handled exclusively by trained nursing staff?
- 5In the event of a medical emergency during the night, what is the protocol for getting immediate assistance for a resident?
- 6We noticed you respond to feedback from families; how does the administration use resident and family input to improve the facility?
Personalized based on this facility's data
Key Review Excerpts
“The facility is well kept and very clean. The Residents seem to enjoy all of the parties and fun times they plan. My grandma is always happy and really enjoys her time there, it's even hard to get her to come home with us.”
“Everyone is extremely helpful and goes out of their way to make sure that my father receives the best possible care. The administration, financial services, nursing, staff, drivers, and volunteers are all friendly and welcoming.”
“I had a loved one come in for respite care. I was very pleased with the care and he bragged about the food. He was amazed at how good the food was with it being a nursing home.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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 · 16 measures
13
measures
1
measures
2
measures
Residents with depression symptoms
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Shady Oak Nursing and Rehabilitation has 26 deficiencies across three surveys, with no complaint-triggered violations. The facility shows recurring issues with fire safety systems, infection control, and facility maintenance that have persisted across multiple inspections from 2023 to 2025. While all deficiencies show correction dates, the pattern of repeated violations in critical safety areas warrants careful consideration during your visit.
Sep 5, 2025Routine7
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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.
Nutrition and Dietary Deficiencies
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.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Aug 8, 2024Routine6
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 14, 2023Routine13
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Miscellaneous Deficiencies
Meet Health Care Facilities Code mechanical requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies
Provide training in compliance and ethics.
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration Deficiencies
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.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
MOULTON I ENTERPRISES, LLC
ELIZABETH MARRS
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 10 of 148 (Best)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
30 reviews from families & visitors
Official Website
Visit shadyoaknursing.com
Medicare data downloads
Original nursing home datasets
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