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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.