Shady Grove Nursing And Rehabilitation Center

Inspection history (85)

• January 15, 2021 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2021-01-15 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2021-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-01-15.GOV

• January 15, 2021 · D

  Citation F0655

  Federal surveyors cited this nursing home on 2021-01-15 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2021-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-01-15.GOV

• January 15, 2021 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2021-01-15 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2021-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-01-15.GOV

• January 15, 2021 · E

  Citation F0684

  Federal surveyors cited this nursing home on 2021-01-15 under CMS tag F0684 (CMS scope/severity E: pattern, 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 2021-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-01-15.GOV

• January 15, 2021 · E

  Citation F0693

  Federal surveyors cited this nursing home on 2021-01-15 under CMS tag F0693 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. The deficiency was recorded as corrected on 2021-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-01-15.GOV

• January 15, 2021 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2021-01-15 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2021-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-01-15.GOV

• January 15, 2021 · F

  Citation F0726

  Federal surveyors cited this nursing home on 2021-01-15 under CMS tag F0726 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The deficiency was recorded as corrected on 2021-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-01-15.GOV

• January 15, 2021 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2021-01-15 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2021-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-01-15.GOV

• April 12, 2019 · D

  Citation F0607

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · B

  Citation F0842

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0842 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · D

  Citation F0840

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0840 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · E

  Citation F0657

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2019-04-12 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 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · B

  Citation F0623

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0623 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.GOV

• April 12, 2019 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2019-04-12 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2019-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-04-12.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