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Shawnee Colonial Estates Nursing Home

535 West Federal Street, Shawnee, OK 74801 · Pottawatomie County · (405) 273-7661

161 certified beds, about 60 residents a day · For profit - Corporation · Medicare and Medicaid since 2003

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375432 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 10, 2025, inspectors cited 7 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

Of 19 health citations since September 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $44,355 in the last three years; the largest was $44,355, and the latest is dated April 10, 2025.

Nurses and nurse aides worked 3.91 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.26 of those hours.

47.5% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

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 19 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
6E
0F
Potential for minimal harm
0A
1B
0C
April 10, 2025Standard inspection, Complaint inspection · 8 citations
  1. K
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteOn 04/08/25 at 3:50 p.m., the Oklahoma State Department of Health was notified and verified the existence of an Immediate Jeopardy situation related to the facility's failure to provide supervision to prevent elopement from the facility. Resident #22 was identified as being at risk for elopement. Resident #22 made it out to the parking lot through the front door within sight of the nurse's station unattended. A visitor notified staff Resident #22 was in the parking lot. On 04/08/25 at 3:55 p.m., the administrator, director of nursing, assistant director of nursing, business office manager, and corporate nurse were notified of the immediate jeopardy and provided the immediate jeopardy template. On 04/09/25 at 11:54 a.m., an amended plan of removal was approved by the Oklahoma State Department of Health. [...]
  2. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a NOMNC was provided to a resident discharging from skilled services for 1 (#94) of 3 sampled residents reviewed for beneficiary notification. MDS Coordinator #1 identified 15 residents who were discharged from a Medicare covered Part A stay with benefit days remaining in the past six months (11/18/24 through 04/03/25).
  3. 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) May 5, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a significant change resident assessment was completed for 1 (#21) of 16 sampled residents reviewed for resident assessments. LPN #1 identified 40 residents resided in the facility.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments were accurately coded for 1 (#20) of 16 sampled residents reviewed for resident assessments. LPN #1 identified 40 residents resided in the faciilty.
  5. 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) May 5, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure resident care plans were accurate and updated for 2 (#21 and #95) of 16 sampled residents reviewed for resident assessments. LPN #1 identified 40 residents resided in the facility.
  6. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on observation and interview, the facility failed to post nurse staffing in a prominent place accessible to residents and visitors for one of one staffing boards observed. LPN #1 identified 40 residents resided in the facility.
  7. 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) May 5, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the temperature log was maintained for the medication refrigerator in the medication room. LPN #1 identified 40 residents resided in the facility.
  8. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a baseline care plan was completed within 48 hours of admission for 1 (#19) of 17 sampled residents reviewed for completion of baseline care plans. LPN #1 identified 40 residents resided in the facility.
November 21, 2021Standard inspection · 10 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 · Corrected (the home has a date of correction) January 19, 2022
    Inspectors wroteBased on observation, record review, and interview, the facility failed to: a. firmly attach toilet seat risers to the toilet seats for four (#12, 34, 45, and #49) of seven sampled residents reviewed for accident hazards. b. thoroughly investigate the root cause of falls and implement interventions to prevent further falls for one (#58) of three sampled residents reviewed for falls. The Resident Census and Conditions of Residents identified 77 residents who resided in the facility.
  2. 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) January 19, 2022
    Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services for one (#128) of six sampled residents whose medications were reviewed. The Resident Census and Conditions of Residents report documented 77 residents resided in the facility.
  3. 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) January 19, 2022
    Inspectors wroteBased on interview and record review, the physician failed to respond to pharmacist MRRs timely and according to the facility's policy for three (#10, 62, and #77) of five sampled residents whose medications were reviewed. The Resident Census and Conditions of Residents report documented 77 residents resided in the facility.
  4. E
    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, pattern · Corrected (the home has a date of correction) January 19, 2022
    Inspectors wroteBased on record review and interview, the facility failed to follow a physician's order to reduce a psychotropic medication for one (#39) of five sampled residents reviewed for unnecessary medications. The DON identified 37 residents who received antidepressant medications.
  5. 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) January 19, 2022
    Inspectors wroteBased on observation, record review, and interview, the facility failed to serve pasteurized eggs and use gloves appropriately. The DON identified 76 residents who received services from the kitchen.
  6. D
    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, isolated · Corrected (the home has a date of correction) January 19, 2022
    Inspectors wroteBased on record review and interview, it was determined the facility failed to have the signed ''Oklahoma Do-Not-Resuscitate (DNR) Consent Form'' in the electronic health record for one (#11) of 24 sampled residents whose records were reviewed. The Resident Census and Conditions of Residents identified 77 residents who resided in the facility.
  7. 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) January 19, 2022
    Inspectors wroteBased on observation and interview the facility failed to provide window screens for resident windows and/or keep the screens in good repair. The Resident Census and Conditions of Residents identified 77 residents who resided in the facility.
  8. D
    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, isolated · Corrected (the home has a date of correction) January 19, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide oxygen therapy as ordered by the physician for one (#58) of two sampled residents reviewed for respiratory care. The DON identified 25 residents who received oxygen therapy.
  9. D
    Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
    F772 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 19, 2022
    Inspectors wroteBased on record review and staff interview, the facility failed to obtain lab tests as ordered for one (#10) of five sampled residents reviewed for labs. The Resident Census and Conditions of Residents documented there were 77 residents who resided in the facility.
  10. B
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) January 19, 2022
    Inspectors wroteBased on interviews, the facility failed to provide mail delivery to residents on Saturday. The Resident Census and Conditions of Residents identified 77 residents who resided in the facility.
September 12, 2019Standard inspection · 1 citation
  1. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2019
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to provide care and services related to dialysis for one (#66) of one resident reviewed for dialysis. The facility failed to assess and monitor the resident after he returned from dialysis. The facility failed to provide a renal diet as ordered by the physician. The facility reported three residents required dialysis services.

Fire safety inspections

17 fire safety citations on file: 5 on April 10, 2025, 7 on November 21, 2021, 5 on September 12, 2019.

Every fire safety citation17 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 10, 2025 · Corrected (the home has a date of correction)
  2. E
    Meet other general requirements that are deficient.
    K 300 · April 10, 2025 · Corrected (the home has a date of correction)
  3. 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 · April 10, 2025 · Corrected (the home has a date of correction)
  4. E
    Provide properly protected cooking facilities.
    K 324 · April 10, 2025 · Corrected (the home has a date of correction)
  5. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · April 10, 2025 · Corrected (the home has a date of correction)
  6. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · November 21, 2021 · Corrected (the home has a date of correction)
  7. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 21, 2021 · Corrected (the home has a date of correction)
  8. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · November 21, 2021 · Corrected (the home has a date of correction)
  9. 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 · November 21, 2021 · Corrected (the home has a date of correction)
  10. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · November 21, 2021 · Corrected (the home has a date of correction)
  11. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 21, 2021 · Corrected (the home has a date of correction)
  12. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · November 21, 2021 · Corrected (the home has a date of correction)
  13. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 12, 2019 · Corrected (the home has a date of correction)
  14. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · September 12, 2019 · Corrected (the home has a date of correction)
  15. 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 · September 12, 2019 · Corrected (the home has a date of correction)
  16. E
    Provide properly protected cooking facilities.
    K 324 · September 12, 2019 · Corrected (the home has a date of correction)
  17. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · September 12, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 10, 2025Fine $44,355

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)3.913.793.86
Registered nurses0.260.340.69
All nursing staff on weekends3.553.443.42
Nurse aides2.59
Licensed practical nurses1.07
Nursing staff turnover (share who left in a year)47.5%55.5%45.8%
Registered nurse turnover83.3%53.6%42.9%
Administrators who left1

CMS expects 3.31 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 4.06 on weekdays and 3.55 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.04 in April to June 2025 to 3.91 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.910.264.063.55 6.1%0 of 9060
Oct to Dec 20253.850.293.983.53 2.8%0 of 9254
Jul to Sep 20253.690.363.883.23 0.4%0 of 9250
Apr to Jun 20254.040.434.233.54 6.5%1 of 9141
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.

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
33.713.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.22.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
8.54.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
38.613.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.24.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.917.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.827.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
19.416.612.0
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
1.23.01.8

Owners and operators

Legal business name: N & R SHAWNEE LLC.

NameRoleTypeShareSince
Trumbo, Jay5% or greater direct ownership interestIndividual33%08/01/2012
Vinson, John5% or greater direct ownership interestIndividual34%08/01/2012
Lopez, AprilW-2 managing employeeIndividual08/16/2021
Phelps, KarenW-2 managing employeeIndividual11/11/2019
Health Systems of Oklahoma, LLCOperational/managerial controlOrganization10/01/2003

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 4 problems in this area, most recently on April 10, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on April 10, 2025: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 10, 2025: "Assess the resident when there is a significant change in condition"
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on April 10, 2025: "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. How long has the current administrator been here?CMS counts 1 administrator 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 Colonial Estates Nursing Home's Medicare star rating?
CMS rates Shawnee Colonial Estates Nursing Home 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Shawnee Colonial Estates Nursing Home get at its last inspection?
7 health deficiencies at the standard inspection on April 10, 2025. The Oklahoma average is 6.4.
Has Shawnee Colonial Estates Nursing Home been fined?
Yes. CMS lists 1 fine totaling $44,355 in the last three years.
Does Shawnee Colonial Estates Nursing Home 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 Colonial Estates Nursing Home?
CMS lists 5 owners and managers. Legal business name: N & R SHAWNEE LLC.

Sources

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