Deficiency timeline

SHAWNEE GARDENS HEALTHCARE & REHAB CENTER

Dated inspection findings, penalties, and correction notes for this nursing home in Shawnee, KS. Newest events first.

61 eventsTimeline fines $80,905Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 4, 2026

  2. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0602: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected Aug 20, 2025

  3. Class IIActual harm (G)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Jul 9, 2025

  4. Fine $26,117cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  5. Class IIActual harm (G)Complaint-relatedcms

    F0563: Resident Rights

    Resident rights

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    Corrected Jul 9, 2025

  6. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0740: Quality of Life and Care

    Quality of life & care

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected Mar 18, 2025

  7. Class IIActual harm (G)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Mar 18, 2025

  8. Fine $16,452cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  9. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Mar 18, 2025

  10. Fine $12,561cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  11. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Oct 21, 2024

  12. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Oct 21, 2024

  13. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0676: Quality of Life and Care

    Quality of life & care

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected Oct 21, 2024

  14. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Oct 21, 2024

  15. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Oct 21, 2024

  16. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Oct 21, 2024

  17. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0744: Quality of Life and Care

    Quality of life & care

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected Oct 21, 2024

  18. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Oct 21, 2024

  19. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Oct 21, 2024

  20. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0757: Pharmacy Service

    Pharmacy services

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected Oct 21, 2024

  21. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0849: Administration

    Administration

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected Oct 21, 2024

  22. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0883: Infection Control

    Infection control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected Oct 21, 2024

  23. Class IVMinimal harm / potential for minimal harm (C)Complaint-relatedcms

    F0732: Nursing and Physician Services

    Nursing & physician services

    Post nurse staffing information every day.

    Corrected Oct 21, 2024

  24. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Oct 21, 2024

  25. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0806: Nutrition and Dietary

    Nutrition & dietary

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected Oct 21, 2024

  26. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Oct 21, 2024

  27. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0945: Infection Control

    Infection control

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Corrected Oct 21, 2024

  28. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0942: Resident Rights

    Resident rights

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Corrected Oct 21, 2024

  29. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0941: Administration

    Administration

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Corrected Oct 21, 2024

  30. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0838: Administration

    Administration

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected Oct 21, 2024

  31. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Oct 21, 2024

  32. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 24, 2024

  33. Fine $25,775cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  34. Class IIActual harm (G)Complaint-relatedcms

    F0726: Nursing and Physician Services

    Nursing & physician services

    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.

    Corrected Dec 20, 2023

  35. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0559: Resident Rights

    Resident rights

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected Oct 27, 2023

  36. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Mar 23, 2023

  37. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Mar 23, 2023

  38. Class IIIPotential for more than minimal harm (D)cms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Mar 23, 2023

  39. Class IIIPotential for more than minimal harm (D)cms

    F0688: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected Mar 23, 2023

  40. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Mar 23, 2023

  41. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Mar 23, 2023

  42. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Mar 23, 2023

  43. Class IIIPotential for more than minimal harm (D)cms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Mar 23, 2023

  44. Class IIIPotential for more than minimal harm (D)cms

    F0726: Nursing and Physician Services

    Nursing & physician services

    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.

    Corrected Mar 23, 2023

  45. Class IIIPotential for more than minimal harm (D)cms

    F0744: Quality of Life and Care

    Quality of life & care

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected Mar 23, 2023

  46. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    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 limited.

    Corrected Mar 23, 2023

  47. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Mar 23, 2023

  48. Class IIIPotential for more than minimal harm (D)cms

    F0582: Resident Rights

    Resident rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected Mar 23, 2023

  49. Class IIIPotential for more than minimal harm (D)cms

    F0625: Resident Rights

    Resident rights

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected Mar 23, 2023

  50. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Mar 23, 2023

  51. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Mar 23, 2023

  52. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Mar 23, 2023

  53. Class IIIPotential for more than minimal harm (D)cms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Mar 23, 2023

  54. Class IIIPotential for more than minimal harm (D)cms

    F0636: Resident Assessment and Care Planning

    Assessment & care planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected Jul 13, 2021

  55. Class IIIPotential for more than minimal harm (D)cms

    F0638: Resident Assessment and Care Planning

    Assessment & care planning

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected Jul 13, 2021

  56. Class IIIPotential for more than minimal harm (D)cms

    F0676: Quality of Life and Care

    Quality of life & care

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected Jul 13, 2021

  57. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Jul 13, 2021

  58. Class IIIPotential for more than minimal harm (F)cms

    F0576: Resident Rights

    Resident rights

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected Jul 13, 2021

  59. Class IIIPotential for more than minimal harm (F)cms

    F0801: Nutrition and Dietary

    Nutrition & dietary

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected Jul 13, 2021

  60. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jul 13, 2021

  61. Class IIIPotential for more than minimal harm (D)cms

    F0608: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

    Corrected Jul 13, 2021

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile