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Public Record

Shady Oak Nursing and Rehabilitation

Nursing HomeMoulton, TXCMS 676030
14 citations on record

Operated by Creative Solutions In Healthcare

From CMS

Facility profile

CMS overall rating
5 / 5

*CMS Five-Star

Certified beds
61

*CMS

Avg. residents per day
36.4

*CMS

Inspection record

On record from CMS

Health citations
14

*CMS

Fire safety findings
12

*CMS

Inspections on file
6

*CMS

Last inspection
2025-09-05

*CMS

Citations

14 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0921Generalpotential for harm

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

  • 0801Generalpotential for harm

    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.

  • 0690Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0921Generalpotential for harm

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

  • 0657Generalpotential for harm

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

  • 0570Generalpotential for harm

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

  • 0849Generalpotential for harm

    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.

  • 0637Generalpotential for harm

    Assess the resident when there is a significant change in condition

  • 0607Generalpotential for harm

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

  • 0944Generalpotential for harm

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

  • 0946Generalpotential for harm

    Provide training in compliance and ethics.

  • 0949Generalpotential for harm

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

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • InspectionFire Safety3 deficiencies
    View inspection report
  • Inspection4 deficiencies

    F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE…

    Read full statement of deficiencies
  • InspectionFire Safety4 deficiencies
    View inspection report
  • Inspection2 deficiencies

    F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a…

    Read full statement of deficiencies
  • InspectionFire Safety5 deficiencies
    View inspection report
  • Inspection8 deficiencies

    F 0570 Assure the security of all personal funds of residents deposited with the facility. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to purchase a surety bond, or otherwise provide assurance satisfactory to the Secretary, to…

    Read full statement of deficiencies

Ownership

Creative Solutions In Healthcare

149nursing homes nationwide, in CMS records

FAQ

Questions and answers

What is Shady Oak Nursing and Rehabilitation?
Shady Oak Nursing and Rehabilitation is a Medicare- and Medicaid-certified nursing home in Moulton, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 676030.
What is the CMS rating for Shady Oak Nursing and Rehabilitation?
Shady Oak Nursing and Rehabilitation has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Shady Oak Nursing and Rehabilitation have?
Shady Oak Nursing and Rehabilitation is certified for 61 beds. It serves an average of 36.4 residents per day.
How many citations does Shady Oak Nursing and Rehabilitation have?
Shady Oak Nursing and Rehabilitation has 14 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Shady Oak Nursing and Rehabilitation last inspected?
Shady Oak Nursing and Rehabilitation was last inspected on September 5, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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