Shady Acres Health And Rehabilitation Center
Shady Acres Health and Rehabilitation Center in Newton, TX — inspection on October 23, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an observation on 10/20/2025 at 11:00 a.m., Resident #7 was well groomed, and appropriately dressed. Resident #7 was lying in her bed resting.
She was easily aroused but did not respond appropriately to interview questions. Resident #7 with no signs of abuse or fear of staff identified. An attempted telephone interview on 10/20/2025 at 5:10 p.m. and 10/21/2025 at 12:27 p.m. with LVN K, was unsuccessful. 6.
Record review of Resident #3's progress note/behavior note dated 05/27/2025 authored by LVN H indicated Resident #3 punched an unidentified resident in her chest.
When asked why and what the other resident done to her, she stated, I don't remember, I just have so much anger inside.
Resident #5
Record review of Resident #5's face sheet, dated 10/20/2025, indicated an [AGE] year-old female who was initially admitted to the facility on [DATE] and readmitted on [DATE]. Resident #5 had diagnoses which included Alzheimer's Disease (progressive disease that destroys memory and other important mental functions), and major depressive disorder (mental health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant i
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Shady Acres Health and Rehabilitation Center
405 Shady Acres Lane Newton, TX 75966
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 10/20/2025 at 3:00 p.m., LVN E interview said she did not routinely work in the secure unit, she was covering a shift, but she was familiar with the residents on the secure unit.
She said she is made aware during shift reports of any resident incidents, behaviors, monitoring required and task due.
She said she was not aware of any specific residents on the secure unit currently requiring 1:1 monitoring but due to the cognitive impairment of most of the secure unit residents they must be monitored closely.
She said the secure unit has a designated nurse, three CNAs and assistance from restorative aide and activity aide routinely during day shift, so plenty of staff for monitoring.
She said as a CN if an abuse allegation is reported to her, she responded immediately, separating involved individuals, and completed head to toe assessment, notified RP, MD, DON, Administrator/AC, hospice (if applicable) and followed orders as received. LVN E said she is aware of Resident #1's sexual behaviors but has not witnessed these behaviors during her assigned shifts.
She said Resident #3 did have a history of aggressive behaviors with Resident #4 & #5; Resident #4 has been moved off the secure unit so the two no longer have contact.
She said Resident #3 and #5 both still reside on the secure unit and staff attempt to prevent any altercations or interactions between the two.
She said they are both up in their wheelchairs in the hallways and that is when the incidents occur due to one b
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Shady Acres Health and Rehabilitation Center
405 Shady Acres Lane Newton, TX 75966
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 10/22/2025 at 2:30 p.m., LVN E said she was verbally and electronically notified of updated care plans on Resident #1, #3, #2, #4, #5, and #7.
She said Resident #1's care plan had changed, and he is being monitored q 15 minutes to identify any changes in his behaviors and Resident #3's care plan was updated to intervene immediately if agitation identified and the other care plan updates were to ensure residents safety.
During interviews conducted on 10/22/2025 at 9:10 a.m. through 10/23/2025 at 10:00 a.m. included LVN E, LVN H, LVN K, LVN L, LVN V, LVN BB, RN MM, and LVN NN.
All staff interviewed were able to identify care plans are person centered measures to maintain the resident's highest practicable physical well-being for skin integrity, meeting emotional, intellectual, physical, and social needs, ADL self-care, fall risk and diagnosis MDS.
All staff interviewed said resident's care plan should be reviewed and updated when residents have a change in condition, like falls with injuries, unmanaged or repetitive aggressive behaviors.
All staff interviewed said the MDS or DON would be notifying charge nurses via email or in person of any care plan updates and/or revision and if charge nurse identifies care plans that need to be revised or updated, they are to notify
Facility ID: