01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-05 | 4 | 2025-09-05 | 3 |
| Cycle 2 | 2024-08-08 | 2 | 2024-08-08 | 4 |
| Cycle 3 | 2023-07-14 | 8 | 2023-07-14 | 5 |
CMS CCN 6760302026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Shady Oak Nursing And Rehabilitation
101 S Lancaster · Moulton, TX 77975 · Lavaca County
Certified beds61CMS provider file
Recent citation rows26current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
26 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-05 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-09-262025-09-05 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-09-05 · HEALTHF0801Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-09-05 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-09-05 · HEALTHF0921Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-09-05 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-10-192025-09-05 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-10-102024-08-08 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-08-092024-08-08 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2024-08-092024-08-08 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-08-092024-08-08 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-08-092024-08-08 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-08-092024-08-08 · FIREK0521Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Waiver has been granted · 2024-08-092023-07-14 · HEALTHF0570Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Correction field: Deficient, Provider has date of correction · 2023-08-092023-07-14 · HEALTHF0607Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2023-08-092023-07-14 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2023-08-092023-07-14 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-08-092023-07-14 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction field: Deficient, Provider has date of correction · 2023-08-092023-07-14 · HEALTHF0944Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Correction field: Deficient, Provider has date of correction · 2023-08-092023-07-14 · HEALTHF0946Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Provide training in compliance and ethics.
Correction field: Deficient, Provider has date of correction · 2023-08-092023-07-14 · HEALTHF0949Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Correction field: Deficient, Provider has date of correction · 2023-08-092023-07-14 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2023-07-192023-07-14 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2023-07-192023-07-14 · FIREK0900Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Meet Health Care Facilities Code mechanical requirements.
Correction field: Deficient, Provider has date of correction · 2023-08-1103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BOWERS, SEANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- CISNEROS, ALFREDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/18/2008
- COBB, TRAVISIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/05/2022
- COOPER, STEPHENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/11/2022
- HARDIN, SHERRIEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/04/2024
- KERZEE, RICHARDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/24/2007
- KORENEK, PATRICIAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/05/2018
- SOECHTING, PAULIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/22/2024
- STRACK, JOEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/11/2022
- HUGGINS, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2022
- WILLIG, ZACHARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- THOMPSON, JOHNNYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2025
- MOULTON I ENTERPRISES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2022
- BLAKE, GARYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2022
- BLAKE, MALISAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2022
- MOULTON I ENTERPRISES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/20/2025
- BLAKE, GARYIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/01/2022
- HOUSER, HERBERTIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/20/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.85per resident day
RN hours0.35per resident day
Weekend nurse hours2.42per resident day
Staff turnover100.0%CMS reported field
06 / LOCAL RECORDS
Open the Texas ledger →Other published facilities nearby
No second facility in the same city met the directory rule.