Shady Oak Nursing and Rehabilitation

Name: Shady Oak Nursing and Rehabilitation
Address: 101 S LANCASTER, Moulton, TX, 77975, US
Telephone: 3615967373

101 S Lancaster, Moulton, TX 77975 · Lavaca County · 61 certified beds · avg 33 residents/day · certified since Dec 10, 1980

Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.57

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 5, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 5, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Sep 5, 2025	D · Potential for harm, one-off	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Sep 5, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 8, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 8, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 14, 2023	F · Potential for harm, facility-wide	The facility did not properly protect the personal money residents deposited with it for safekeeping.
Jul 14, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jul 14, 2023	E · Potential for harm, repeated	The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better.
Jul 14, 2023	E · Potential for harm, repeated	The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated.
Jul 14, 2023	E · Potential for harm, repeated	The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 4).

Year	Citations	Worst severity that year
2023	8	F
2024	2	E
2025	4	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.57	3.46	3.95	top 32% in Texas; bottom 40% in the U.S.
Registered Nurse hours	0.44	0.44	0.69	top 36% in Texas; bottom 29% in the U.S.
Weekend total nurse staffing	3.03	3.04	3.50	top 40% in Texas; bottom 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.34	0.48	top 27% in Texas; top 49% in the U.S.
Total nursing staff turnover (%)	100.0	55.3	45.8	bottom 1% in Texas; bottom 1% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.85, RN 0.35, weekend 2.42. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Blake, Gary	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Blake, Gary	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2022
Blake, Malisa	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Bowers, Sean	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2024
Cisneros, Alfred	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/18/2008
Cobb, Travis	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/05/2022
Cooper, Stephen	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/11/2022
Hardin, Sherrie	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/04/2024
Houser, Herbert	Individual	ADP of the SNF	NOT APPLICABLE	05/20/2025
Huggins, Linda	Individual	Corporate Director	NOT APPLICABLE	09/01/2022
Kerzee, Richard	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/24/2007
Korenek, Patricia	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/05/2018
Moulton I Enterprises LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Moulton I Enterprises LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/20/2025
Soechting, Paul	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/22/2024
Strack, Joe	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/11/2022
Thomas, John	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Thompson, Johnny	Individual	Corporate Officer	NOT APPLICABLE	01/01/2025
Willig, Zachary	Individual	Corporate Director	NOT APPLICABLE	01/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How is residents' personal money protected and tracked, and how can families review the account statements?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How do frontline staff report care problems, and how does your quality improvement program act on them?"
"What compliance and ethics training do employees receive, and how often is it repeated?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Flatonia Healthcare Center	8.7 mi	Flatonia, TX	★☆☆☆☆	2/5	abuse
Shiner Nursing and Rehabilitation Center	9.7 mi	Shiner, TX	★★★☆☆	3/5
Hallettsville Nursing and Rehabilitation Center	14.9 mi	Hallettsville, TX	★★☆☆☆	3/5
Stevens Nursing and Rehabilitation Center of Halle	14.9 mi	Hallettsville, TX	★★★★★	4/5
Paradigm at the Oak	16.2 mi	Schulenburg, TX	★☆☆☆☆	1/5	abuse
Schulenburg Regency Nursing Center	16.8 mi	Schulenburg, TX	★★★★☆	4/5
Yoakum Nursing and Rehabilitation Center	18.5 mi	Yoakum, TX	★★☆☆☆	3/5
Avir at Gonzales	18.7 mi	Gonzales, TX	★★☆☆☆	3/5
The Heights of Gonzales	18.9 mi	Gonzales, TX	★★★★☆	4/5
Paradigm at Stevens	19.4 mi	Yoakum, TX	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Moulton →

Facility data as of CMS processing date 2026-08-01. CCN 676030.

The Care File

Visit checklist — Shady Oak Nursing and Rehabilitation

101 S Lancaster, Moulton, TX 77975 · 3615967373

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How is residents' personal money protected and tracked, and how can families review the account statements?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How do frontline staff report care problems, and how does your quality improvement program act on them?"
☐ "What compliance and ethics training do employees receive, and how often is it repeated?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676030 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)