Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Shady Oak Nursing And Rehabilitation during CMS and state inspections, most recent first.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified by surveyors.
A CNA was observed cleaning a resident who is always incontinent of bowel and bladder using a back to front motion, contrary to facility policy and standard infection control practices. The resident, who has dementia and other chronic conditions, was supposed to receive care that would prevent UTIs and maintain cleanliness. Despite annual training and competency checks, the CNA did not use the correct front to back technique during perineal care.
Surveyors found that the Dietary Supervisor did not have the required certification or qualifications to serve as Director of Food and Nutrition Services. The supervisor was not certified as a Dietary Manager and had not yet started a certification course. The Administrator confirmed the lack of certification and absence of a specific policy regarding required credentials, while the facility's job description and relevant food code regulations were reviewed.
A toilet in the South Wing shower room was found to be loosely affixed to the floor and could be moved several inches from its center position. This issue was confirmed by an RN and the administrator, who acknowledged the potential for resident falls. The facility lacked a specific policy for this situation.
The facility failed to maintain a sanitary environment in the South Hall shower room, which had a strong foul odor confirmed by staff. Additionally, the kitchen had excessively high temperatures due to a malfunctioning air conditioning unit, affecting food storage conditions. These issues indicate non-compliance with facility policies on sanitation and temperature control.
A CNA failed to follow proper infection control procedures while providing care to a resident with dementia and neutropenia. The CNA did not change gloves or sanitize hands after touching a bed remote before starting incontinent care, and allowed soiled briefs to contact the resident's cleaned genitals. Both the CNA and DON acknowledged the breach, despite the CNA having passed a recent competency check.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report notes the absence or inadequacy of a comprehensive infection prevention and control program, but does not provide specific details about individual residents, staff actions, or particular events leading to the deficiency.
Improper Perineal Care Technique During Incontinent Care
Penalty
Summary
A certified nursing assistant (CNA) was observed providing incontinent care to a resident with dementia, mood disorder, anxiety disorder, hypothyroidism, and hyperlipidemia, who was always incontinent of bowel and bladder and required extensive assistance. During the care, the CNA wiped the resident's buttocks in a back to front motion, contrary to proper perineal care technique. The CNA acknowledged using the incorrect motion and stated she was unaware of her mistake, despite having received training on incontinent care from the facility. The resident's care plan specified the need to keep the resident clean, dry, odor-free, and free from signs and symptoms of urinary tract infection (UTI). The facility's policy and the Director of Nursing (DON) both confirmed that the correct technique is to clean from front to back to prevent infection. The DON stated that staff receive annual training and skills checks, and spot checks are conducted for infection control and quality of care. Despite these measures, the CNA had passed her competency assessment earlier in the year but did not follow the correct procedure during the observed care.
Unqualified Dietary Supervisor Found Lacking Required Certification
Penalty
Summary
The facility failed to employ staff with the appropriate competencies and skill sets to carry out the functions of the food and nutrition service, as required by regulations. Specifically, the Dietary Supervisor did not possess the necessary certification, education, or qualifications to serve as the Director of Food and Nutrition Services. During an interview, the Dietary Supervisor confirmed he was not certified as a Dietary Manager and was only scheduled to begin a certification course at a later date. The Administrator also confirmed the lack of certification and acknowledged the expectation of a citation for this deficiency. The facility did not have a specific policy regarding the credentials required for the Dietary Supervisor, though a job description was provided. Record review referenced the U.S. Public Health Service Food Code, which requires that the person in charge be a certified food protection manager who has demonstrated proficiency through an accredited program. The facility's failure to ensure the Dietary Supervisor met these requirements was identified during the survey, and it was noted that this practice could place residents at risk, as food prepared in the kitchen may not meet safety and nutritional standards.
Loose Toilet in Shower Room Creates Unsafe Environment
Penalty
Summary
The facility failed to provide a safe, clean, and comfortable environment in the South Wing shower room, as the toilet in this area was observed to be loosely affixed to the floor and could be moved approximately three inches from its center position. This condition was confirmed by both a registered nurse and the facility administrator during interviews, who acknowledged that the loose toilet could potentially cause residents using it to fall. The deficiency was identified through observation, interview, and record review, and it was noted that the facility did not have a specific policy addressing this circumstance.
Environmental Deficiencies in Shower Room and Kitchen
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment in one of the two shower rooms reviewed. Specifically, the South Hall shower room was found to have a strong foul odor. This was confirmed through observations and interviews with a CNA and an LVN, both of whom acknowledged the presence of the odor. A review of the facility's policy on the deep cleaning process for bathrooms and showers indicated that appropriate cleaning products should be used to maintain sanitation, suggesting a lapse in adherence to this policy. Additionally, the facility's kitchen was observed to have excessively high temperatures, with readings of 95.1 degrees Fahrenheit near the sink, 90.3 degrees Fahrenheit near the stove, and 83.8 degrees Fahrenheit near the dishwasher. These conditions were confirmed by the Maintenance Director, who also noted that the air conditioning unit in the kitchen had been in disrepair for approximately three months. The facility's policy on food storage and supplies emphasized the need for temperature-controlled storage areas, indicating a failure to comply with this requirement. The Administrator confirmed the facility's commitment to providing a safe and comfortable environment, yet these observations highlight deficiencies in maintaining such standards.
Infection Control Breach During Resident Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of CNA B during the care of a resident. CNA B did not wash or sanitize her hands or change her gloves after touching the remote control of the resident's bed before starting incontinent care. This lapse in protocol occurred despite the resident's vulnerability due to conditions such as dementia, neutropenia, and incontinence, which require meticulous infection control practices. During the care process, CNA B allowed the soiled briefs to come into contact with the resident's genitals after cleaning them, further compromising infection control standards. Both CNA B and the DON acknowledged the breach in protocol, confirming that the environment around the resident was considered dirty and that proper hand hygiene and glove changes were necessary. Despite having passed a competency check for infection control, CNA B's actions did not align with the facility's infection control policy, which mandates hand hygiene after handling soiled equipment.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Moulton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Flatonia Healthcare Center | 8.7 mi | — | 9 | 0 |
| Shiner Nursing And Rehabilitation Center Inc | 9.7 mi | — | 13 | 0 |
| Hallettsville Nursing And Rehabilitation | 14.9 mi | — | 10 | 0 |
| Stevens Nursing And Rehabilitation Center Of Halle | 15 mi | — | 0 | 0 |
| Paradigm At The Oak | 16.2 mi | — | 12 | 3 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.