Shawnee Gardens Healthcare & Rehab Center
SHAWNEE GARDENS HEALTHCARE & REHAB CENTER in SHAWNEE, KS — inspection on August 27, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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 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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.