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Shawnee Care Center

1202 West Gilmore, Shawnee, OK 74804 · Pottawatomie County · (405) 273-8043

114 certified beds, about 43 residents a day · For profit - Corporation · Medicare and Medicaid since 1995

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375246 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 18, 2026, inspectors cited 5 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

Of 54 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $22,393 in the last three years; the largest was $22,393, and the latest is dated May 15, 2025.

Nurses and nurse aides worked 3.58 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.

57.7% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

CMS links it to Bgm Estate, an affiliated group of 15 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 54 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
16D
32E
4F
Potential for minimal harm
0A
0B
0C
May 18, 2026Standard inspection · 5 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the care plan was revised to include catheter care for 1 (#2) of 13 sampled residents reviewed for care plans. The administrator identified 39 residents resided in the facility and three residents had catheters. On 05/13/26 at 10:35 a.m., Resident #2 was observed sitting in their wheelchair at a table waiting for activities to start. Resident #2 was observed to have a catheter bag hanging from the bottom of their wheelchair. An undated face sheet showed Resident #2 admitted to the facility on [DATE] with diagnoses which included urinary tract infection and neuromuscular dysfunction of the bladder. A physician order, dated 03/03/26, showed to place an indwelling catheter due to recurrent urinary tract infections related to poor bladder emptying. The order showed to change the catheter monthly and as needed. [...]
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure physician orders were followed for 1 (#2) of 13 sampled residents reviewed for quality of care. The administrator identified 39 residents resided in the facility. An undated face sheet showed Resident #2 admitted to the facility on [DATE] with diagnoses which included acute kidney failure and congestive heart failure. A physician order, dated 10/21/24, showed to document fluid intake three times a day. An ADL (activities of daily living) administration history, dated 3/15/26 through 4/13/26, showed fluids consumed with meals were not documented for:a. 03/15/26 (Sunday) lunch,b. 03/16/26 (Monday) dinner,c. 03/17/26 (Tuesday) breakfast and lunch,d. 03/18/26 (Wednesday) lunch and dinner,e. 03/19/26 (Thursday) lunch,f. 03/20/26 (Friday) lunch,g. 03/21/26 (Saturday) lunch,h. 03/22/26 (Sunday) lunch and dinner,i. [...]
  3. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medication carts were secured for 2 (#1 and #2) of 4 medication carts observed for medication storage. The DON identified four medication carts. On 05/12/26 at 5:45 a.m., LPN #2 was observed sitting at the nurse's station where the medication carts were in direct sight. The medication carts were observed to be unlocked. LPN #2 was observed to have walked down the hallway, leaving the medication carts unsecured while out of direct line of vision. The Medication and Treatment Cart Policy, undated, read in part, medication and treatment carts shall remain locked at all times when not under direct supervision of authorized staff . Staff must maintain visual control of unlocked carts during medication and treatment pass. Carts shall not be left unattended in hallways or resident rooms. [...]
  4. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. sanitizer solution was dispensed and tested in the dishwasher during 1 of 2 observations made in the kitchen, b. a clean and sanitary kitchen during 1 of 2 observations made in the kitchen, and c. all items were labeled and dated in 2 of 2 refrigerators sampled for labeling and dating of food items. The administrator identified 38 residents received nutrition from the kitchen.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure proper infection control for 1 (#1) of 2 sampled residents reviewed for appropriate use of enhanced barrier precautions. The administrator identified 10 residents required enhanced barrier precautions. On 05/13/26 at 2:14 p.m., LPN #1 and the DON were observed to don PPE which included gown and gloves prior to providing wound care to Resident #1. LPN #1 removed the dressing from Resident #1's right hip and cleansed with normal saline soaked gauze. LPN #1 applied medication on Resident #1's right hip and secured with a new dressing. The DON and LPN #1 were observed to have repositioned Resident #1 for wound care on Resident #1's left above the knee amputation. On 05/13/26 at 2:19 p.m., LPN #1 was observed to have removed the old dressing from the left above knee wound. [...]
August 13, 2025Complaint inspection · 1 citation
  1. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a gradual dose reduction for a psychotropic medication was initiated when ordered by the physician for 1 (#1) of 3 sampled residents whose medications were reviewed. The MDS coordinator identified 39 residents who received psychotropic medications.
May 15, 2025Complaint inspection · 4 citations
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 23, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents narcotic pain medications were able to be refilled and arrange for a pain specialist for 1 (#1) of 3 sampled residents reviewed for pain management. Resident #1 ran out of morphine and went six days without the medication which caused increased pain levels.
  2. G
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    F710 · Nursing and Physician Services · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 23, 2025
    Inspectors wroteBased on record review and interview, the facilty failed to have a supervising physician for 6 (#1, 2, 4, 5, 6, and #7) of 6 sampled residents reviewed for physician services. Physician #1 no longer provided services to the residents after 04/30/25. The corporate nurse consultant identifed 39 residents who resided in the facility and had physician services from physician #1 and was without the supervision of a physician.
  3. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 23, 2025
    Inspectors wroteBased on observation, record review, and interview, the facilty failed to have a registered nurse as the director of nursing. The corporate nurse consultant identified 49 residents who resided in the facility.
  4. F
    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
    F841 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 23, 2025
    Inspectors wroteBased on record review, and interview, the facility failed to have a medical director after 04/30/25. The corporate nurse consultant identifed 49 residents who resided in the facility.
July 10, 2024Standard inspection, Complaint inspection · 18 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide meals in the assisted dining room in a dignified manner for two (#28 and #47 ) of three sampled residents reviewed for assisted dining. The Administrator identified ten residents who required asssistance with their meals and had their meals in the assisted dining room.
  2. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents had access to their trust account money on nights and weekends for three (#1, #12 and #50 ) of three residents reviewed for access to their trust account money. The Business office manger identified 24 residents that have money in the trust account and were current residents.
  3. E
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on record review and interview the facility failed to provide notices to Medicaid recipients trust account holder when balances was within $200 of the resource limit for a medicaid recipient resident for one (#1) of three sampled residents reviewed for active trust account balances. The Business office manger identified 24 residents that have money in the trust account, were current residents and had Medicaid as their payer source.
  4. E
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on record review and interview the facility failed to ensure resident trust accounts were closed out with funds conveyed within 30 days for three (#106. #107 and #108 ) of three residents who expired and were no longer in the facility over 30 days. The business office manager identified five residents who have been gone from the facility over 30 days and had open trust accounts.
  5. E
    Assure the security of all personal funds of residents deposited with the facility.
    F570 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on record review and interview the facility failed to secure a surety bond with sufficient coverage for the account balance. The Business office manger identified 24 residents that have money in the trust account and were current residents.
  6. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on record review and interview the facility failed to ensure residents: a. were offered the choice to formulate an advanced directive for one (#21) of two sampled resident for advanced directives, b. DNR (Do Not Resuscitate) forms were filled out correctly. The corporate nurse reported 49 residents resided in the facility.
  7. E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on record review and interview it was determined the facility failed to notify a family of falls for one (#29) of three sampled residents reviewed for notification of a change in condition. The corporate nurse reported 49 residents resided in the facility.
  8. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure comprehensive care plans were developed and/or implemented to address the residents' needs related to a urinary catheter for one (#32) and activities of daily living, and anticoagluant therapy for one (#35) of residents whose care plans were reviewed. The corporate RN identified 49 residents who resided in the facility. The corporate RN identified five residents with a urinary catheter.
  9. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview the facility failed to update the care plan related to pressure ulcers for one (#32) of one resident reviewed for pressure ulcers. The infection preventionist identified two residents with pressure ulcers.
  10. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents were bathed according to standards of care for two (#31 and #35) of three sampled residents reviewed for bathing. The corporate nurse reported 49 residents resided in the facility.
  11. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to perform weekly skin assessments and wound care per physician order for one (#32) of one resident reviewed for pressure ulcers and failed to obtain weekly weights for one (#35) of one sampled residents. The corporate RN identified 49 residents who resided in the facility. The infection preventionist identified two residents with pressure ulcers.
  12. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a physician order for an indwelling urinary catheter and failed to ensure a resident with an indwelling urinary catheter received services to help prevent urinary tract infections for one (#32) of three residents reviewed for catheters. The corporate RN identified five residents with a urinary catheter.
  13. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure snacks were offered between meals and at bedtime as ordered and weights were documented weekly on a resident who experienced a significant weight loss for one (#21) of two sampled residents reviewed for nutrition. The corporate nurse reported 49 residents resided in the facility.
  14. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to change oxygen tubing per physician order and best standard practice for one (#10) of one resident reviewed for oxygen therapy. The corporate RN identified four residents who received oxygen therapy.
  15. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure meals were served as scheduled for three (#28, #47 and #40) of three sampled residents reviewed for meal service in the assisted dining room. The Administrator identified 49 residents received services from the kitchen and ten required asssistance with their meals.
  16. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain an infection control program for enhanced barrier precautions for three (#5, 32, and #43) of three residents reviewed for infection control. The corporate RN identified two residents with pressure ulcers and five residents with urinary catheters.
  17. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure call devices were within reach for one (#34) of one sampled resident reviewed for call lights. The corporate nurse reported 49 residents resided in the facility.
  18. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on record review and interview, the facility failed to refer a resident with a new mental health diagnosis to OHCA for a PASRR level II evaluation for one (#34) of one sampled residents reviewed for PASRR. The corporate nurse reported 49 residents resided in the facility.
June 26, 2024Complaint inspection · 1 citation
  1. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure allegations of abuse were thoroughly investigated for three (#1, #2, and #3) of three residents reviewed for abuse investigations. The Administrator identified 52 residents who currently resided in the facility.
March 7, 2024Complaint inspection · 3 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident centered fall prevention plan was completed for one (#3) of three sampled residents reviewed for falls. The ADON reported 55 residents resided in the facility.
  2. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medication was no set up and left sitting on top of the medication cart. The ADON reported 55 residents resided in the facility.
  3. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation and interview, the facility failed to post nurse staffing information, which included all the required components, in an area where it could be reviewed by all the residents and visitors. The ADON reported 55 residents resided in the facility.
November 13, 2023Complaint inspection · 4 citations
  1. F
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure sufficient dietary staff were on duty to meet the residents' needs. The ADON identified 54 residents resided in the facility.
  2. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2024
    Inspectors wroteBased on record review and interview, the facility failed to submit PBJ data to CMS for the third quarter of the fiscal year for 2023. The ADON identified 54 residents resided in the facility. Findings The PBJ Staffing Data Report documented the facility failed to submit data for the third quarter of 2023 (April 1 - June 30). On 11/13/23 at 10:30 a.m., Corporate Nurse #1 stated the prior administrator was responsible for completion of the third quarter PBJ staffing report. They stated the prior administrator must not have completed the report.
  3. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to conduct a thorough investigation into allegations of abuse for Res #2 and take corrective action following an investigation of a verified allegation for Res #5 of two sampled residents reviewed for abuse allegations. The ADON identified 54 residents resided in the facility.
  4. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were free from physical restraints which were not required to treat the resident's medical symptoms for one (#1) of three residents reviewed for restraints. The ADON identified 54 residents resided in the facility.
June 28, 2023Standard inspection · 18 citations
  1. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure accurate coding of MDS assessments: a. for anticoagulant use for three (#28, 31, and #35) of 18 sampled residents and b. for antipsychotic use for one (#38) of 18 sampled residents whose MDS assessments were reviewed. The Resident Census and Conditions of Residents form documented 54 residents resided in the facility.
  2. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to revise the care plan with fall interventions for one (#38) of four residents sampled for falls. The Resident Census and Conditions of Residents form, dated 06/25/23, documented 54 residents resided in the facility.
  3. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to develop interventions for preventions of falls for three (#16, 45, and #101) of four residents sampled for falls. The Resident Census and Conditions of Residents form, dated 06/25/23, documented 54 residents resided in the facility.
  4. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. O2 tubing was labeled for two (#12 and #31, and b. a resident's O2 concentrator was set according to the physician's order for one (#27) of three sample residents reviewed respiratory. The Resident Census and Conditions of Residents report, dated 06/25/23, documented 54 residents resided in the facility.
  5. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to perform annual nurse aide performance reviews. The Resident Census and Conditions of Residents form, dated 06/25/23, documented 54 residents resided in the facility.
  6. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered as ordered for two (#16 and #18) of six sampled residents reviewed for medications. The Resident Census and Conditions of Residents report, dated 06/25/23, documented 54 residents resided in the facility.
  7. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure the pharmacist MRRs were reviewed by the physician and acted upon for three (#42, 45, and #47) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents report, dated 06/25/23, documented 54 residents resided in the facility. 1. Resident #42 had diagnoses which included schizoaffective disorder and anxiety. A MRR, dated 01/04/23, documented the pharmacist made a recommendation to reduce olazaopine (antipsychotic medication) 2.5 mg HS for schizoaffective disorder. There was no documentation the physician responded to the recommendation. A MRR, dated 03/06/23, documented the pharmacist made a recommendation to reduce lorazepam (benzodiazepine medication) 0.5 mg TID. There was no documentation the physician responded to the recommendation. [...]
  8. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure diet orders were followed for one (#5) of three sampled residents reviewed for diet orders and food alternatives. The Resident Census and Conditions of Residents report, dated 06/25/23, documented 54 residents resided in the facility.
  9. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on observation and interview, the facility failed to offer bedtime snacks to all residents. The Resident Census and Conditions of Residents form, dated 06/25/23, documented 54 residents resided in the facility.
  10. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen was kept clean, maintained in good repair and in use cleaning cloths were properly stored. The Resident Census and Conditions of Residents report, dated 06/25/23, documented 54 residents resided in the facility.
  11. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to implement an antibiotic stewardship program. The Resident Census and Conditions of Residents form, dated 06/25/23, documented 54 residents resided in the facility.
  12. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure a sanitary environment in the laundry room. The Resident Census and Conditions of Residents form, dated 06/25/23, documented 54 residents resided in the facility.
  13. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to conduct a significant change assessment after a resident elected hospice services for one (#16) of one residents sampled for hospice services. The Resident Census and Conditions of Residents form, dated 06/25/23, documented 54 residents resided in the facility.
  14. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive care plan was developed for one (#49) of 18 sampled residents whose care plans were reviewed. The Resident Census and Conditions of Residents form documented 54 residents resided in the facility.
  15. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a discharge summary was completed for one (#50) of three sampled residents reviewed for discharge summaries. The Resident Census and Conditions of Residents form documented 54 residents resided in the facility.
  16. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure monitoring of Depakote for one (#45) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form, dated 06/25/23, documented 39 residents received psychotropic medications.
  17. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure medication rooms were locked and secured. The Resident Census and Conditions of Residents form, dated 06/25/23, documented 54 residents resided in the facility.
  18. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure labs were collected as ordered by the physician for one (#42) of five sampled residents reviewed for labs. The Resident Census and Conditions of Residents report, dated 06/25/23, documented 54 residents resided in the facility.

Fire safety inspections

11 fire safety citations on file: 2 on May 18, 2026, 4 on July 10, 2024, 5 on June 28, 2023.

Every fire safety citation11 citations
  1. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 18, 2026 · Corrected (the home has a date of correction)
  2. E
    Install corridor and hallway doors that block smoke.
    K 363 · May 18, 2026 · Corrected (the home has a date of correction)
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 10, 2024 · Corrected (the home has a date of correction)
  4. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 10, 2024 · Corrected (the home has a date of correction)
  5. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 10, 2024 · Corrected (the home has a date of correction)
  6. E
    Have properly located and lighted "Exit" signs.
    K 293 · July 10, 2024 · Corrected (the home has a date of correction)
  7. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 28, 2023 · Corrected (the home has a date of correction)
  8. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 28, 2023 · Corrected (the home has a date of correction)
  9. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · June 28, 2023 · Corrected (the home has a date of correction)
  10. C
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · June 28, 2023 · Corrected (the home has a date of correction)
  11. C
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · June 28, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 15, 2025Fine $22,393
June 26, 2024Payment Denial 4 days from September 26, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOklahomaUnited States
All nursing staff (RN, LPN and aides)3.583.793.86
Registered nurses0.380.340.69
All nursing staff on weekends3.293.443.42
Nurse aides2.21
Licensed practical nurses0.98
Nursing staff turnover (share who left in a year)57.7%55.5%45.8%
Registered nurse turnover50.0%53.6%42.9%
Administrators who left2

CMS expects 2.86 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.69 on weekdays and 3.29 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.72 in April to June 2025 to 3.58 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.580.383.693.29 0.0%3 of 9043
Oct to Dec 20253.480.273.633.12 0.0%2 of 9247
Jul to Sep 20253.630.373.773.27 0.0%0 of 9249
Apr to Jun 20253.720.333.873.37 0.0%0 of 9148
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oklahoma, Jan to Mar 20263.790.323.943.422.2%1.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Oklahoma

JobMedianMiddle halfEmployed
Oklahoma, all employers
CNAs (nursing assistants)$17.27$15.82 to $18.3919,410
LPNs and LVNs$28.04$24.06 to $29.8411,540
Registered nurses$39.87$37.19 to $47.5538,270
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Shawnee Care Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOklahomaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.213.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
4.21.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
8.52.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.44.73.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.113.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
11.54.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
19.517.515.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.92.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.93.01.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Shawnee Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (58.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

58.8% this home

No different from the national rate

US median of homes 51.5% · Oklahoma: 24 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 30 eligible stays.

Potentially preventable readmissions

10.2% this home

No different from the national rate

US median of homes 10.7% · Oklahoma: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 43 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · Oklahoma: 0 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 28 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Oklahoma54.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 7 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Oklahoma0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 12 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Oklahoma2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 12 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Oklahoma100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 3 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: SHAWNEE CARE CENTER, LLC. CMS links this home to Bgm Estate, a group of 15 nursing homes averaging 1.9 stars overall.

NameRoleTypeShareSince
Bgm Estate LLC5% or greater direct ownership interestOrganization38%12/28/2020
Gilbert F. Green Trust5% or greater direct ownership interestOrganization25%12/28/2020
Philip M. Green Revocable Trust5% or greater direct ownership interestOrganization25%12/28/2020
Mitchell, Kelly5% or greater direct ownership interestIndividual13%12/28/2020
Mitchell, Kelly5% or greater indirect ownership interestIndividual9%12/28/2020
Mitchell, Marcinda5% or greater indirect ownership interestIndividual9%12/28/2020
Mitchell, Robert5% or greater indirect ownership interestIndividual9%12/28/2020
Tabor, Angela5% or greater indirect ownership interestIndividual9%12/28/2020
Taylor, SandraW-2 managing employeeIndividual12/28/2020
Morgan, MichaelCorporate officerIndividual12/28/2020

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on May 18, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on May 18, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on July 10, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on May 18, 2026: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.29 hours per resident per day, below the Oklahoma average of 3.44.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Oklahoma contacts for a concern about a nursing home

These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.

Common questions

What is Shawnee Care Center's Medicare star rating?
CMS rates Shawnee Care Center 1 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Shawnee Care Center get at its last inspection?
5 health deficiencies at the standard inspection on May 18, 2026. The Oklahoma average is 6.4.
Has Shawnee Care Center been fined?
Yes. CMS lists 1 fine totaling $22,393 in the last three years.
Does Shawnee Care Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Shawnee Care Center?
CMS lists 10 owners and managers, and links the home to Bgm Estate. Legal business name: SHAWNEE CARE CENTER, LLC.

Sources

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