SHADY OAK NURSING AND REHABILITATION
101 S LANCASTER, MOULTON, TX 77975 · CCN 676030
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 61
- Avg residents/day
- 31.7
- Phone
- 3615967373
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-09-05 | 4 | 9.1 | 9.5 | -5.1 better |
| 2 | 2024-08-08 | 2 | 9.4 | 9.8 | -7.4 better |
| 3 | 2023-07-14 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Nutrition and dietary | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.23 | 56.3% |
| RN staffing (reported) | 0.36 | 66.7% |
| Total nurse staffing (adjusted) | 3.96 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (14)
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-09-05 · Health · corrected 2025-09-08
Potential for more than minimal harm
- DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-09-05 · Health · corrected 2025-09-08
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-09-05 · Health · corrected 2025-09-08
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-09-05 · Health · corrected 2025-09-08
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-08 · Health · corrected 2024-08-09
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-08-08 · Health · corrected 2024-08-09
Potential for more than minimal harm
- FF0570Assure the security of all personal funds of residents deposited with the facility.2023-07-14 · Health · corrected 2023-08-09
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-07-14 · Health · corrected 2023-08-09
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2023-07-14 · Health · corrected 2023-08-09
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-14 · Health · corrected 2023-08-09
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-07-14 · Health · corrected 2023-08-09
Potential for more than minimal harm
- EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2023-07-14 · Health · corrected 2023-08-09
Potential for more than minimal harm
- EF0946Provide training in compliance and ethics.2023-07-14 · Health · corrected 2023-08-09
Potential for more than minimal harm
- EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2023-07-14 · Health · corrected 2023-08-09
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-09-01 |
| MOULTON I ENTERPRISES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2022-09-01 |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| THOMPSON, JOHNNY | Individual | CORPORATE OFFICER | — | 2025-01-01 |
Other facilities in MOULTON
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.