Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Shady Acres Health & Rehabilitation

Newton, TX · 84 certified beds · Last Life Safety survey April 29, 2026

CMS Certification Number 676055 · first certified June 2005

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within TX

18 citations — more than 92% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 8 months from now. This facility’s last Life Safety survey was April 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 18 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0926 Have policies on smoking.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility18TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
92023-1252025-0242026-04
Citations at each Life Safety survey
Survey dateCitations
December 20, 20239
February 12, 20255
April 29, 20264

Most-cited tags

Most-cited tags at this facility
K-05213K-03723K-03742K-05112K-03532K-03411K-03551K-02231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.32026-04-29
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.32026-04-29
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22026-04-29
K-0511Have properly installed electrical wiring and gas equipment.22025-02-12
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-04-29
K-0341Install a fire alarm system that can be heard throughout the facility.12023-12-20
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-12-20
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12023-12-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Services Deficiencies 5
  • Miscellaneous Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Services Deficiencies5
Miscellaneous Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 29, 2026 — 4 citations

Citations issued on April 29, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 14, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 14, 2026)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (June 14, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has no plan of correction

February 12, 2025 — 5 citations

Citations issued on February 12, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 3, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 10, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (March 10, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 10, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Waiver has been granted

December 20, 2023 — 9 citations

Citations issued on December 20, 2023
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (February 21, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 21, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 21, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (February 21, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 21, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 21, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 21, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Waiver has been granted
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 21, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.