Whether you need support for special dietary situations or simply want a healthier lifestyle, you can benefit from professional guidance from our Registered Dietitians. Take advantage of nutrition guidance that can include:

Inpatient & Outpatient MNT

Personalized Dietary Instruction

Meal Planning

Educational Materials

Nutrition Status Monitoring

Specific Dietary Programs

Chronic and new-onset conditions can qualify you for nutrition counseling such as, but not limited to:

Weight Management

High blood pressure

Food allergies/intolerance


Heart disease

Decreased appetite

High Cholesterol


Overall wellness

Tube feedings

Wondering how to set up an appointment with our Dietitians?
  • Doctor referral & self-pay options are available. Ask your Doctor at your next appointment about Dietitian referral options or contact our Dietitians about self-pay appointments.
  • All outpatient visits start with an initial appointment to review labs, intakes, medical history, & more. Follow-up appointments are then set up on a weekly, monthly, or bi-monthly basis.
  • All inpatients are seen once admitted to SMC if found at nutritional risk. Care is coordinated with the health care team and all patients are regularly followed up on to monitor progress.

Meet our Registered Dietitians

Registered Dietitian

Shala Augustine, MS, RD, LD


Shala joined Shenandoah Medical Center in May of 2015. She graduated from Northwest Missouri State University with a Bachelor of Science: Foods and Nutrition Degree. Shala completed her Dietetic Internship through the University of Oklahoma Health Sciences Center. In 2018 Shala went back to school and completed her Master of Science in Nutrition and Human Performance. She enjoys working with inpatients and outpatients within the hospital, but also loves promoting nutrition education and awareness within the community. She hopes to grow SMC’s dietetic programs to be able to offer more opportunities for patients and community members to promote overall wellbeing. Shala is a native of Southwest Iowa, growing up in Clarinda, IA. She currently lives here in Shenandoah, IA, with her husband and their two dogs. In her free time, she loves to travel and visit friends and family.
Looking for Alternative Meal Options?

Meals on Wheels is provided by SMC & available for those living within Shenandoah city limits. It provides lunch meals Monday-Friday to your doorstep at $5/day. For an additional $2/day a sandwich and snack are provided for supper meals. Contact our dietary department for more information at 712-246-7129.


Additional information about healthy nutrition is available from these partner resources:

Eat Right - Eatright.org - Academy of Nutrition and Dietetics

Choose My Plate – MyPlate | U.S. Department of Agriculture

American Heart Association – American Heart Association | To be a relentless force for a world of longer, healthier lives

American Diabetes Association - American Diabetes Association | Research, Education, Advocacy

1 Jack Foster Drive

Shenandoah, IA 51601


Call us today!

Clinic Hours

Monday-Friday: 7-5:00pm

Walk-In Clinic Hours

Monday-Friday: 7-6:30pm Saturday-Sunday: 9-12:30pm