Shady Oak Nursing And Rehabilitation
101 SOUTH LANCASTER, Moulton, TX, 77975
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 61 · avg 32 residents/day
- Total nursing staff turnover
- 56.3% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308730
- Service type
- Medicare/medicaid
- Licensed capacity
- 61 beds
- Bed type breakdown
- 8 Medicare-only · 53 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Moulton I Enterprises, Llc
- Administrator
- Elizabeth Marrs
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (18 on record)
- Herbert Clayborn Houser
Adp of The Snf · since 2025
- Moulton i Enterprises Llc
Adp of The Snf · since 2025
- John w Thomas
Adp of The Snf · since 2025
- Johnny Thompson
Corporate Officer · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
September 2022 (3 years ago) · acquired from Shady Oak Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 14)
- D0921·Sep 5, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0880·Sep 5, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0801·Sep 5, 2025
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.
- D0690·Sep 5, 2025
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.
- E0921·Aug 8, 2024
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0880·Aug 8, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0949·Jul 14, 2023
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- E0946·Jul 14, 2023
Administration Deficiencies
Provide training in compliance and ethics.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Sep 5, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Shady Oak Nursing And Rehabilitation is a 61-bed nursing home in Moulton, Texas, licensed since 1971 and managed by Moulton I Enterprises under the West Wharton County Hospital District. CMS rates it 5 stars overall, with 5-star health inspection and quality-of-care ratings. The 2-star staffing rating is the main counterweight. The facility is operating at roughly 52% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 194 minutes of nursing care per day — roughly 47 minutes less than at a 4-star-staffing facility in Texas. That gap translates to noticeably fewer hands available per resident across a typical day. About 32% of Texas nursing homes share this staffing rating.
One administrator left in the past year. A single transition is less disruptive than repeated turnover, but leadership changes affect scheduling, staff morale, and how consistently care policies are carried out.
The facility is running at about 52% of its 61 licensed beds — roughly 32 residents on an average day. Low occupancy at a facility with strong inspection and quality ratings can reflect geography or referral patterns rather than facility performance, but it is a concrete operational fact.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours average 2.6 hours per resident per day — below the weekday figure; ask how many nurses and aides are on duty overnight and on weekends.
New administrator's tenure and plans
An administrator left within the past year; ask who currently holds that role, how long they have been in place, and whether any staffing or care-policy changes are underway.
Why beds are running half-full
The facility averages about 32 residents against 61 licensed beds; ask what is driving the low census and whether it affects department staffing or available services.
RN coverage during each shift
Reported RN hours work out to about 22 minutes per resident per day; ask which shifts have a registered nurse physically present in the building.
Resident Council frequency and access
The facility has a Resident Council but no Family Council; ask how often the council meets and how families receive updates on concerns raised.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.