Above average — CMS composite of the measures below.
The next survey window likely opens around October 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 Sharon Lane Health And Rehabilitation during CMS and state inspections, most recent first.
The facility did not keep rooms containing hazardous materials locked and failed to ensure accident prevention measures for residents with cognitive impairment and mobility issues. Two residents were found with unsecured access to hazards, including an unlocked telephone room and an uncontained oxygen cylinder. Additionally, a resident with a history of falls and severe cognitive impairment was repeatedly found with her call light out of reach, contrary to care plan requirements and staff expectations.
A multidose vial of tuberculin was found open and undated in a medication refrigerator, contrary to facility policy requiring opened vials to be labeled with the date of opening and a beyond-use date. Nursing staff confirmed the vial should have been dated when first used.
Multiple infection control lapses were observed, including a resident's urinary catheter bag resting on the floor without a dignity bag, a CPAP mask not stored properly, and a syringe for gastrostomy tube medication not kept in a sanitary manner. Staff failed to perform hand hygiene between glove changes and between residents during medication administration, and a medication aide touched the rims of cups when handing them to a resident. Staff interviews confirmed inconsistent adherence to infection control protocols and facility policies.
A resident with a suprapubic catheter for urinary retention was observed with their catheter bag resting on the floor and not covered by a dignity bag, leaving urine visible. Staff interviews confirmed that the catheter bag should be kept off the floor and concealed, in line with facility policy to maintain resident dignity and privacy.
A resident with multiple diagnoses, including dementia and seizure disorder, was found with a cup of unidentified pills left unattended at the bedside without an assessment for self-administration of medication. Staff confirmed that no assessment had been completed and that facility policy prohibits leaving medications unattended, resulting in a failure to ensure safe and appropriate medication administration.
A resident with severe cognitive impairment and dependent on staff for all care received tube feeding and hydration through a PEG tube. Surveyors observed that the water bag and syringe used for the resident's enteral feeding were not labeled with the date or time as required. Staff interviews revealed inconsistent practices and understanding regarding the labeling and changing of these supplies, and the resident's medical record lacked clear instructions for staff on when to change the syringe.
A resident with complex medical needs was found to have their CPAP mask left on a bedside table instead of being stored in a sanitary manner as required by facility policy. Staff interviews revealed inconsistent understanding of proper respiratory equipment storage, and the resident's care plan lacked direction for CPAP care. The facility's policy on minimizing contamination risk for respiratory equipment was not followed.
A resident with chronic pain and multiple sclerosis was prescribed Voltaren gel for pain management, but the physician's order lacked a specified dosage. Staff and administrative interviews confirmed that all medications should include a dose, and facility policy requires adequate indications for use. This omission resulted in a deficiency related to unnecessary drugs.
Failure to Secure Hazardous Areas and Ensure Resident Safety Measures
Penalty
Summary
The facility failed to ensure that areas containing hazardous materials were secured and that accident hazards were minimized for residents, particularly those with cognitive impairments and independent mobility. During an inspection, an unsecured telephone room containing empty boxes and an unlocked wire panel was found accessible on the 200 Hall. Additionally, an uncontained oxygen cylinder was observed sitting directly on the floor in a resident's room. Staff interviews confirmed that the telephone room should have been locked and that oxygen cylinders should not be left unsecured or on the floor in resident rooms. The facility's own policy required that hazardous areas be kept locked and that the environment remain as free of accident hazards as possible. A resident with a history of falls, severe cognitive impairment, and physical limitations was found on two occasions with her call light out of reach, despite care plans specifying that the call light should always be accessible and that staff should orient the resident to its location. Staff interviews confirmed that call lights should be within reach and that all nursing staff are responsible for ensuring this. The facility's policy also required adequate supervision and assistive devices to prevent accidents, but these measures were not consistently implemented, as evidenced by the observations and staff statements.
Failure to Properly Label Opened Multidose Tuberculin Vial
Penalty
Summary
A vial of tuberculin used for skin testing was found open and undated in the medication refrigerator of the rehabilitation unit medication room during an inspection. The vial's cap was removed, and the prescription tag indicated an order date, but there was no documentation of when the vial was opened. Facility policy requires that each multidose medication be labeled with the date it is opened and a beyond-use date, not to exceed 28 days unless otherwise specified. Interviews with nursing staff confirmed that the vial should have been dated upon opening, in accordance with both facility policy and manufacturer instructions.
Infection Control Failures in Equipment Storage and Hand Hygiene
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices for multiple residents. One resident's urinary catheter bag was observed resting on the floor without a dignity bag, with visible urine in the collection bag. Another resident's CPAP mask was left on the bedside table and not stored in a sanitary manner. Additionally, a syringe used for gastrostomy tube medication administration was not stored in a sanitary, dated, or covered manner, and was placed directly onto the bottom of a medication tray. Staff were observed failing to perform adequate hand hygiene during medication administration and resident care. A certified medication aide touched the rims of disposable cups while handing them to a resident. A licensed nurse prepared and administered topical medications to three residents in succession, repeatedly failing to perform hand hygiene between glove changes and between residents. The same nurse also failed to perform hand hygiene before and after handling a syringe for gastrostomy tube medication administration, and placed the used syringe in a manner that could lead to contamination. Interviews with staff confirmed a lack of adherence to infection control protocols, including proper storage of respiratory equipment, hand hygiene practices, and handling of medical devices. Facility policies required sanitary storage of equipment, proper hand hygiene, and safe medication administration practices, but these were not consistently followed, resulting in multiple observed deficiencies.
Failure to Maintain Resident Dignity by Not Covering Catheter Bag
Penalty
Summary
Staff failed to maintain a resident's dignity by not ensuring that the resident's urinary catheter bag was covered with a dignity bag. The resident, who had diagnoses including urinary retention, hypertension, and radiculopathy, was dependent on staff for toileting and had a suprapubic catheter due to urinary retention. The care plan directed staff to keep the drainage bag below the level of the bladder and to empty it every shift, but did not specify the use of a dignity bag. During observation, the resident was seen sitting in a recliner with the catheter bag resting on the floor and no dignity bag covering it, making the urine visible. Interviews with facility staff, including a licensed nurse, a certified nurse aide, and an administrative nurse, confirmed that the catheter bag should never be on the floor and should always be covered with a dignity bag to conceal the urine. The facility's policy on promoting and maintaining resident dignity emphasized the importance of protecting resident rights, treating each resident with respect, and maintaining privacy. Despite these policies and staff knowledge, the resident's catheter bag was left uncovered and visible, failing to preserve the resident's dignity.
Failure to Assess and Ensure Safe Self-Administration of Medication
Penalty
Summary
The facility failed to ensure safe and appropriate self-administration of medication for one resident. The resident had multiple diagnoses, including dysphagia, seizure disorder, major depressive disorder, dementia, and anxiety, and was documented as having some confusion and requiring assistance with activities of daily living. The resident's care plan indicated that staff would administer medications, and there was no documentation in the care plan or electronic medical record of an assessment for self-administration of medication. Despite this, a plastic medication cup containing unidentified pills was observed on the resident's bedside table within arm's reach while the resident was lying in bed. Interviews with nursing staff and administration confirmed that there was no assessment completed for the resident to self-administer medications, and facility policy required an interdisciplinary team assessment before allowing self-administration. Staff also stated that medications should not be left unattended at the bedside. The lack of assessment and the unattended medication at the bedside constituted a failure to follow facility policy and ensure resident safety regarding medication administration.
Failure to Label and Manage Enteral Feeding Supplies
Penalty
Summary
The facility failed to ensure proper labeling and management of enteral feeding supplies for a resident with a percutaneous endoscopic gastrostomy (PEG) tube. Specifically, the water bag used for tube feeding was not marked with the date or time, and the syringe used for water flushes was not dated. These deficiencies were observed on multiple occasions, with the water bag and syringe both lacking required labeling while the resident was receiving internal feeding and water. Interviews with nursing staff revealed inconsistent understanding and practices regarding the labeling and changing of these supplies, with one nurse stating the syringe should be dated and changed weekly, while another stated the facility did not require dating and that supplies were changed daily. The resident involved had a history of severe cognitive impairment, was dependent on staff for all activities of daily living, and received all nutrition and hydration via a PEG tube due to being NPO. The resident's care plan included specific instructions for tube feeding and hydration, but the electronic medical record lacked clear direction for staff on when to change out the syringe for water flushes. Facility policy required safe practices for medication administration via enteral tubes, but the observed lack of labeling and inconsistent staff practices indicated a failure to follow these guidelines.
Failure to Store CPAP Equipment in a Sanitary Manner
Penalty
Summary
A deficiency was identified when a resident with multiple medical conditions, including diabetes mellitus, congestive heart failure, fluid overload, pneumococcal infection, cerebral infarction, cellulitis, and hemiparesis/hemiplegia, did not have their continuous positive airway pressure (CPAP) equipment stored in a sanitary manner. The resident's CPAP mask was observed lying on the bedside table rather than being properly contained, as required by facility policy. The resident's baseline care plan lacked specific instructions for staff regarding the care and storage of respiratory equipment, including the CPAP device. Interviews with facility staff revealed inconsistent knowledge and practices regarding the proper storage of respiratory equipment. A licensed nurse stated that all respiratory equipment should be placed in a bag with the date of last change, and that all nursing staff were responsible for ensuring sanitary storage. However, a certified nurse's aide expressed uncertainty about how to store a CPAP, and an administrative nurse confirmed that all respiratory equipment should be bagged when not in use. The facility's policy required respiratory and medical equipment to be stored in a manner that minimizes contamination risk and maintains infection prevention standards, but this was not followed in the case of the resident's CPAP mask.
Failure to Specify Dosage for Topical Pain Medication
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary drugs by not including a specific dosage in the physician's order for Voltaren (diclofenac sodium) gel. The order, which directed staff to apply the gel to the resident's right hip every six hours as needed for pain, did not specify the amount to be applied. This omission was identified during a review of the resident's electronic medical record, which also documented diagnoses of chronic pain, cognitive communication deficit, contracture, and multiple sclerosis. The resident's care plan and pain assessments indicated ongoing pain management needs, and the resident was observed waiting for transportation to a doctor's appointment to have her pain medication refilled. Interviews with nursing staff and administrative personnel confirmed that all medications should have a dosage specified by the physician and an indication for administration. The facility's policy on unnecessary drugs requires that each medication have an adequate indication for use, including consistency with manufacturer recommendations and clinical guidelines. The lack of a specified dose for the Voltaren gel order was not in accordance with these requirements, leading to the identified deficiency.
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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) |
|---|---|---|---|---|
| Merriam Gardens Healthcare & Rehabilitation Center | 0.5 mi | ★★★★★ | 0 | 0 |
| Brookdale Rosehill | 1.6 mi | ★★★★★ | 15 | 0 |
| Shawnee Post Acute Rehabilitation Center | 2.4 mi | ★★★★★ | 12 | 0 |
| Shawnee Gardens Healthcare & Rehab Center | 2.4 mi | ★★★★★ | 2 | 0 |
| Garden Terrace At Overland Park | 2.6 mi | ★★★★★ | 4 | 2 |
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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.