Shady Grove Nursing And Rehabilitation Center

Inspection history (85)

• March 13, 2025 · D

  Citation F0710

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0710 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0610

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0677

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0692

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0645

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0700

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0909

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0909 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0660

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0660 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Plan the resident's discharge to meet the resident's goals and needs. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0578

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0582

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0625

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0908

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0908 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0711

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0711 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0641

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

• March 13, 2025 · D

  Citation F0790

  Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0790 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide routine and 24-hour emergency dental care for each resident. The deficiency was recorded as corrected on 2025-05-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-13.GOV

Penalties

Total fines on file: $8,278

Staffing

Latest: 3.66 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Thunder Health Holdco LLC

   parent · PAC 9133478456