Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Brookdale Rosehill during CMS and state inspections, most recent first.
The facility failed to maintain infection control practices when clean linens were left on a portable toilet, PPE cart, handrails, and a counter, while soiled linen and gowns were placed directly on the floor. A resident’s BIPAP, nebulizer, and oxygen cannula were found unbagged in a bedside cabinet, and an LPN obtained another resident’s BP, temp, and pulse without sanitizing the cuff or monitors before or after use.
Failure to Apply Ordered Plate Guard at Meal: A resident with TIA, cerebral infarction, cognitive communication deficit, moderately impaired cognition, upper-body impairment, and dysphagia was observed eating breakfast without the plate guard identified in the care plan. The resident was seated in the dining room cutting up a fried egg that was sliding on the plate, while staff interviews confirmed the plate guard should have been indicated on the meal ticket and in place at the meal.
A resident with HTN, falls, Alzheimer’s disease, and dementia, and a BIMS score of zero, was dependent on staff for nearly all ADLs and had no order or assessment allowing self-administration. Surveyors observed medication in a cup left on the resident’s overhead table in the doorway with no nurse nearby, and staff stated the resident could not self-administer and that medication should not be out of the nurse’s view.
A resident with myasthenia gravis, muscle weakness, COPD, and intact cognition had enteral feeding bags observed hanging without the date, time, contents, or staff initials. The resident’s care plan and MD orders included tube feeding, bag and tubing changes, and tube placement checks, but the bags were found unlabeled and one bag contained water while the feeding line had a brown-colored substance.
A resident with osteoarthrosis, atrial fibrillation, and DM had a Voltaren 1% topical gel order for pain that lacked a dose. Surveyors observed the resident in a wheelchair, and staff stated that every medication order required a dosage and that the order should be clarified with the physician. The facility could not provide a requested policy.
Infection Control Lapses in Linen Storage, Respiratory Equipment Handling, and Device Sanitization
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program when clean linens and resident care items were not stored in a sanitary manner and respiratory and monitoring equipment were not handled as required. During observations, clean towels were found on a portable toilet outside an empty room, on a PPE cart outside one resident’s room, on handrails next to two residents’ room entry doors, and on a counter outside another resident’s room. In another room, three bags of soiled linen were observed directly on the floor, with two soiled hospital gowns lying on the floor beside the bags. The facility also failed to ensure respiratory equipment and monitoring devices were sanitized or stored appropriately. One resident’s BIPAP, nebulizer, and oxygen cannula were observed unbagged and directly on the bottom of the bedside cabinet with no storage device noted. In the main dining room, a nurse obtained another resident’s blood pressure, temporal temperature, and pulse without sanitizing the pulse monitor, temporal temperature monitor, or blood pressure cuff before or after use. An administrative nurse stated respiratory equipment not in use should be placed in a sanitary bag, was unsure whether the blood pressure cuff, pulse monitor, and temporal temperature monitor should be sanitized between each resident’s use, and stated clean linen should not be placed on a PPE cart or on resident hall rails.
Failure to Apply Ordered Plate Guard at Meal
Penalty
Summary
The facility failed to ensure Resident 2’s plate guard was applied to his breakfast plate. Resident 2 had diagnoses including TIA, cerebral infarction, and cognitive communication deficit, and his Quarterly MDS documented a BIMS score of 10, indicating moderately impaired cognition. The MDS also documented an impairment on one side of his upper body and that he needed supervision or touching assistance with eating. His care assessment noted a decline in ADLs related to falls with injury and that he was receiving speech therapy for oropharyngeal dysphagia. Resident 2’s care plan included interventions to encourage swallow strategies, small bites, small sips, a slow rate of oral intake, and to use and set up the plate guard at meals. During observation, he was seated in the dining room with a breakfast tray containing a fried egg, and he was cutting up the egg while it slid on the plate. He did not have a plate guard in place. During interviews, an LN stated the plate guard was new for Resident 2 and described a process in which the dietary ticket should indicate the plate guard, the tray staff should do a second check, and nursing staff should monitor that the plate guard was in place. An Administrative Nurse stated the plate guard should be on the meal ticket and that nursing staff would ensure it was in place. The facility did not provide a policy for adaptive equipment.
Medication Left Unattended for Resident Unable to Self-Administer
Penalty
Summary
The facility failed to meet professional standards of quality when staff did not administer a resident’s medication appropriately. The resident had diagnoses of HTN, falls, Alzheimer’s disease, and dementia, and the MDS documented a BIMS score of zero with dependence on staff for all ADLs except eating. The resident’s CAA noted therapy services and hospice services due to comorbidities, dementia, and other debilities, along with a history of falls. The care plan directed nursing staff to give medications as ordered and monitor for side effects and effectiveness, and to observe closely for pain and administer pain medications as ordered. The EMR did not contain an order allowing self-administration of medication. During observation, medication in a clear cup was seen sitting on the resident’s overhead table in the doorway, and no nursing staff were in the area to monitor the medication. A nurse stated she had stepped away to look at another resident’s skin and that medications were supposed to be ensured to be given to the resident and not left out of view. Another nurse stated the resident did not have a self-administration assessment and was unable to give himself medications, and that medication not in the nurse’s view should be wasted. An administrative nurse stated medication should never be out of the nurse’s view. The facility’s self-administration policy stated residents could self-administer only if a review determined they were capable.
Unlabeled enteral feeding bags
Penalty
Summary
The facility failed to ensure a resident’s tube feeding bags were labeled with the date, time, contents, and staff initials. The resident had diagnoses including myasthenia gravis, muscle weakness, COPD, and need for assistance with personal care. The admission MDS documented a BIMS score of 13, indicating intact cognition, and the MDS also noted supervision or touching assistance for eating. The feeding tube CAA documented that the resident received tube feeding three times a day after meals because the resident consumed less than 25 percent of meals. The resident’s care plan included enteral tube feeding interventions, site care, and checking tube placement before feeding and medication administration. The physician’s orders included nightly tube feeding and changing the enteral feeding bag and tubing, as well as a continuous enteral feed order. During observation, the resident’s enteral feeding bags were hanging next to the resident, with water in one bag and a brown-colored substance in the feeding line, and the bags were not dated with the content, date, time, or staff initials. A nurse stated the feeding bags should be labeled when hung, and an administrative nurse stated the bags should be labeled with the date, time, contents, and nurse’s initials.
Incomplete Medication Order for Topical Pain Gel
Penalty
Summary
The facility failed to ensure that Resident 10’s drug regimen was free from unnecessary drugs when the physician order for Voltaren external gel lacked a dose for administration. Resident 10 had diagnoses of osteoarthrosis, atrial fibrillation, and diabetes mellitus, and the Quarterly MDS documented a BIMS score of 15 with intact cognition and occasional pain during the observation period. The EMR order for Voltaren 1% diclofenac sodium topical gel directed staff to apply it to the lower to mid buttocks twice daily for pain, but no dose was included in the order. During the survey, Resident 10 was observed sitting in a wheelchair with a urinary leg strapped to the left leg and propelling the wheelchair from the room into the hallway. On interview, a LN stated that every medication required a dosage for administration and that Voltaren gel needed a dose, and she said she would notify the physician to clarify the order. An Administrative Nurse stated she would expect all medication orders to have a dose as ordered by the physician and that the nurse should clarify the medication order with the physician. The facility was unable to provide a requested policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Shawnee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sharon Lane Health And Rehabilitation | 1.6 mi | ★★★★★ | 17 | 0 |
| Merriam Gardens Healthcare & Rehabilitation Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Shawnee Gardens Healthcare & Rehab Center | 2 mi | ★★★★★ | 2 | 0 |
| Garden Terrace At Overland Park | 3 mi | ★★★★★ | 4 | 2 |
| Westchester Village Of Lenexa | 3.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.