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Complaint Investigation

Shawnee Gardens Healthcare & Rehab Center

Inspection Date: August 27, 2025
Total Violations 1
Facility ID 175267
Location SHAWNEE, KS
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Inspection Findings

F-Tag F0602

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

and procedures that prohibited and prevented abuse, neglect, exploitation, and misappropriation of resident property.The facility's Controlled Substance Administration and Accountability policy, dated 01/01/20, directed two licensed nurses to account for all controlled substances and access keys at the end of each shift.The facility put the following corrective actions into place prior to the onsite visit with a compliance date of 08/20/25:The facility reported the liquid morphine discrepancies to the police on 08/20/25.The facility notified the liquid morphine discrepancies to the pharmacy on 08/20/25.Consultant GG inspected the seven bottles of morphine for signs of tampering and reported her findings to the facility.Administrative Nurse D and Consultant GG destroyed the tampered morphine bottles on 08/20/25.The facility replaced Resident R1's morphine as she was the only one actively using it on 08/20/25.The pharmacy planned to bill the facility for

the diverted morphine bottles that the residents paid for on 08/20/25.The facility conducted an Ad-Hoc Quality Assurance and Performance Improvement (QAPI) meeting on 08/20/25.The facility educated Licensed Nurses and Certified Medication Aides (CMA) on Controlled Substances and The Elder Justice Act on 08/20/25.This deficient practice was cited at past noncompliance. The scope and severity remain an E.

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📋 Inspection Summary

SHAWNEE GARDENS HEALTHCARE & REHAB CENTER in SHAWNEE, KS inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SHAWNEE, KS, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SHAWNEE GARDENS HEALTHCARE & REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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