Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Shawnee Colonial Estates Nursing Home during CMS and state inspections, most recent first.
The facility failed to prevent elopement for residents at risk, including a resident with dementia who exited to the parking lot and another with anxiety disorder who left through a door. A third resident with cognitive deficits frequently attempted to exit. Care plans lacked specific interventions, contributing to the deficiency.
A facility failed to provide a NOMNC to a resident discharging from skilled services, despite having benefit days remaining. The resident was discharged home with home health services, and the discharge was initiated voluntarily by both the facility and the resident. The MDS coordinator mistakenly had the resident sign an advance beneficiary notice of non-coverage instead of the NOMNC due to confusion about the correct form.
A resident with chronic kidney disease and a coagulation defect experienced significant changes in mood and physical dependency, but the facility failed to conduct a required significant change assessment. The MDS coordinator noted that such assessments are necessary when there are multiple changes, but the assessment was not completed due to the resident's ongoing skilled therapy.
A resident with severe cognitive impairment exhibited wandering behaviors, which were documented in behavior and nurse's notes. However, these behaviors were not accurately coded in the resident's admission assessment. The MDS coordinator confirmed the oversight after reviewing the records, noting that the responsible staff member was no longer employed at the facility.
The facility failed to update care plans for two residents, one requiring a mechanical lift for transfers and another identified as an elopement risk. The care plans did not reflect current needs or risks, as acknowledged by the MDS coordinator and administrator.
The facility did not post complete and current nurse staffing information in a location accessible to residents and visitors. The white board behind the nurse's station lacked details such as the date, shift, and hours worked, and the census was missing. The required information was instead posted in a hallway with offices, not easily accessible to visitors.
The facility did not maintain a temperature log for the medication refrigerator, as required by its policy. During a tour, the refrigerator was found to be at 42°F, within the acceptable range, but the absence of a log indicated non-compliance. The administrator confirmed that the day shift CMA was responsible for daily monitoring and logging of the temperature.
A resident admitted with severe protein-calorie malnutrition, repeated falls, and depression did not have a baseline care plan completed within 48 hours as required. The MDS coordinator stated the care plan was not done on time due to being behind on them.
Failure to Prevent Resident Elopement and Ensure Safety
Penalty
Summary
The facility failed to provide adequate supervision and interventions to prevent elopement for several residents identified as at risk. Resident #22, diagnosed with dementia, was able to exit the facility through the North hall entrance and was found in the parking lot. The resident had previously pulled a fire alarm and attempted to exit the facility, indicating a pattern of exit-seeking behavior. Despite being placed on a code white list and subjected to 15-minute checks, the care plan did not include additional interventions after the initial incident. Resident #95, with a diagnosis of general anxiety disorder, was also able to exit the facility by pressing the door bar for 15 seconds, despite being newly identified as at risk for elopement. The resident was found outside looking for a family member. There was no documented care plan addressing elopement for this resident, indicating a lack of formalized interventions to prevent such incidents. Additionally, Resident #20, who had a cognitive communication deficit, exhibited exit-seeking behaviors by frequently approaching exit doors and attempting to leave the facility. Despite being identified as at risk for elopement, the resident's care plan lacked specific interventions to address these behaviors. The facility's failure to consistently implement and document effective interventions for residents at risk for elopement contributed to the deficiency.
Failure to Provide NOMNC to Resident Discharging from Skilled Services
Penalty
Summary
The facility failed to provide a Notice of Medicare Non-Coverage (NOMNC) to a resident who was discharging from skilled services, despite having benefit days remaining. Resident #94 was admitted to the facility and later discharged home with home health services. The resident's Medicare Part A skilled services episode began on 12/07/24, with the last covered day being 02/24/25. The discharge was initiated voluntarily by both the facility and the resident, who wanted to go home. However, the MDS coordinator mistakenly had the resident sign an advance beneficiary notice of non-coverage instead of the NOMNC, due to confusion about the correct form. The NOMNC should have been provided 48 hours before discharge, but it was not given because the resident did not stay in the facility.
Failure to Complete Significant Change Assessment for Resident
Penalty
Summary
The facility failed to complete a significant change resident assessment for a resident who experienced notable changes in their condition. The resident, diagnosed with a coagulation defect and chronic kidney disease stage 5, initially had a mood score indicating mild depression and required minimal assistance with certain tasks. However, a subsequent quarterly assessment revealed that the resident's mood score improved to indicate no depression, but their physical dependency increased significantly, requiring staff assistance for multiple tasks including toileting hygiene and mobility. Despite these changes, the facility did not conduct a significant change assessment to address the resident's altered condition. The MDS coordinator acknowledged that a significant change assessment should be completed when there are two or more areas of decline or improvement. However, they indicated that the assessment was not conducted because the resident was undergoing skilled therapy, and there was a possibility of rehabilitation. This oversight resulted in a failure to adequately assess and address the resident's changing needs.
Inaccurate Resident Assessment Coding
Penalty
Summary
The facility failed to ensure accurate coding of resident assessments, specifically for a resident with a cognitive communication deficit. The resident was noted to have severe cognitive impairment and exhibited wandering behaviors, as documented in behavior and nurse's notes. However, the admission assessment did not reflect these wandering behaviors, indicating a discrepancy in the resident's assessment. The MDS coordinator acknowledged the oversight, noting that the assessment should have included the resident's wandering behaviors during the look-back period. The coordinator reviewed the resident's records and confirmed that the behaviors were present but not coded in the assessment. The individual responsible for the initial assessment was no longer employed at the facility, which may have contributed to the oversight.
Failure to Update Care Plans for Residents
Penalty
Summary
The facility failed to ensure that care plans were accurate and updated for two residents. For one resident, the care plan did not reflect the resident's current needs as it was not updated to include the use of a mechanical lift for transfers, despite physician orders indicating its necessity. The resident's care plan also inaccurately documented the level of assistance required for personal hygiene and dressing, which did not match the resident's admission assessment data. The MDS coordinator acknowledged the discrepancies and confirmed that the care plan did not align with the resident's current needs and physician orders. Another resident, who was admitted with anxiety disorder and cognitive communication deficit, was identified as an elopement risk after attempting to leave the facility. Despite this, the resident's care plan did not include elopement precautions. The MDS coordinator and the facility administrator both recognized that the care plan should have been updated to reflect the resident's elopement risk once it was identified. The lack of updates to the care plans for both residents indicates a failure in maintaining accurate and current care plans, which is essential for ensuring appropriate care and safety.
Failure to Post Accessible Nurse Staffing Information
Penalty
Summary
The facility failed to post nurse staffing information in a prominent place accessible to residents and visitors. On two separate occasions, the white board behind the nurse's station did not display complete or current staffing information, including the date, shift, or number of hours worked by each staff member. Additionally, the board did not include the facility's census. An LPN acknowledged the incomplete information and indicated that the required details were posted down the hall across from the offices. The administrator confirmed that the staffing information was located on a cork board in a hallway that primarily contained offices, which was not easily accessible to visitors, despite their assertion that visitors frequently come down that hall to speak with administrative staff.
Failure to Maintain Medication Refrigerator Temperature Log
Penalty
Summary
The facility failed to maintain a temperature log for the medication refrigerator in the medication room, as observed during a tour conducted with a CMA. The refrigerator's temperature was found to be 42 degrees Fahrenheit, which is within the acceptable range of 36 to 46 degrees Fahrenheit as per the facility's Medication Storage policy dated 2021. However, the absence of a temperature log indicates non-compliance with the policy that requires daily temperature monitoring. The administrator confirmed that it is the responsibility of the day shift CMA to monitor and log the temperature daily, and acknowledged that the CMA involved was aware of this requirement.
Failure to Complete Baseline Care Plan Within 48 Hours of Admission
Penalty
Summary
The facility failed to complete a baseline care plan within 48 hours of admission for one resident who was admitted with severe protein-calorie malnutrition, repeated falls, and depression. Record review showed there was no documentation of a baseline care plan for this resident within the required timeframe. During interviews, the administrator confirmed that the facility follows the RAI manual for care plans, and the MDS coordinator acknowledged that the baseline care plan was not completed within 48 hours because they were behind on them.
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 32 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Shawnee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Shawnee Care Center | 0.7 mi | ★★★★★ | 1 | 0 |
| The Regency Skilled Nursing And Therapy | 2.1 mi | ★★★★★ | 0 | 0 |
| The Golden Rule Home | 4.1 mi | ★★★★★ | 0 | 0 |
| Heritage Skilled Nursing And Therapy | 6.5 mi | ★★★★★ | 0 | 0 |
| Mcloud Nursing Center | 10.6 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.