Shawnee Post Acute Rehabilitation Center
7600 Antioch Road, Overland Park, KS 66204 · Johnson County · (913) 383-2001
101 certified beds, about 86 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2015
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175550 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 18, 2026, inspectors cited 9 health deficiencies (the Kansas average is 9.5, the national average 9.2).
Of 44 health citations since October 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $28,558 in the last three years; the largest was $28,558, and the latest is dated March 27, 2024.
Nurses and nurse aides worked 4.11 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
CMS links it to The Ensign Group, an affiliated group of 344 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.
1010/22
111/23
2403/24
902/26
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 44 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
33D
4E
5F
Potential for minimal harm
0A
0B
0C
February 18, 2026Standard inspection · 9 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents. Based on observation, interview, and record review, the facility failed to ensure staff performed appropriate glove changing and hand hygiene for two residents, Resident (R) 18 and R52, when they did not remove their soiled gloves after incontinence care and continued to touch other surfaces and resident belongings.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteThe facility had a census of 79. The sample included 18 residents. Based on record review, interview, and observation, the facility failed to treat residents with respect, dignity, and privacy related to nasal spray administration, and having an uncovered urinary collection bag visible to guests and other residents.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteThe facility identified a census of 79 residents. The sample included 19 residents with five residents reviewed for unnecessary medications. Based on interviews, observation, and record review the facility failed to follow physician orders for an antipsychotic (class of medications used to treat mental disorder characterized by a gross impairment in reality testing) medication for Resident (R) 2. The facility also failed to ensure an appropriate indication, or a documented physician rationale, which included multiple unsuccessful attempts for nonpharmacological symptom management and risk versus benefit reviews for the continued use of antipsychotic medication for R 78, who had a diagnosis of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure).
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteThe facility had a census of 79 residents. The sample included 18 residents, with 2 reviewed for hospitalization. Based on interviews and record review the facility failed to notify the Office of the Long-Term Care Ombudsman (LTCO- a public official who works to resolve resident issues in nursing facilities) and failed to provide the residents with written information regarding the facility's bed hold policy when they were transferred to the hospital for two residents, (R) 51 and R1.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents, with one reviewed for communication. Based on observation, interview, and record review, the facility failed to ensure staff used alternative communication methods for one sampled resident, Resident (R) 18, who had a language barrier and spoke in Farsi (Persian).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteThe facility identified a census of 79 residents. The sample included 19 residents with one resident reviewed for positioning and mobility. Based on observation, record review and interview, the facility failed to ensure staff provided the physician ordered foam dressings to protect the skin integrity of Resident (R) 3's bilateral hand contractures (abnormal permanent fixation of a joint or muscle).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents, with four reviewed for accidents. Based on observation, interview, and record review, the facility failed to provide a safe environment for one resident, Resident (R) 52, who sustained a skin tear after staff lowered her to the ground and was not using a gait belt during ambulation.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents, with five reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to ensure that the physician responded to the recommendation made by the Consultant Pharmacist (CP) to ensure that Resident (R)78's antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality) medication Seroquel had an appropriate Centers for Medicare and Medicaid Services (MS) indication for use.
- 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.
Inspectors wroteThe facility identified a census of 79 residents. The facility had five medication carts and four medication rooms. Based on observation, record review and interview, the facility failed to ensure an opened vial of tuberculin (a purified protein derivative used in skin tests to help diagnose tuberculosis [a contagious infection primarily attacking the lungs, though it can affect other organs]) in the medication room, was dated upon being opened. The facility also failed to ensure stock medication/supplements on a medication cart were not expired.
March 27, 2024Standard inspection, Complaint inspection · 24 citations
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteTThe facility identified a census of 80 residents. The sample included 18 residents with one reviewed for nutrition. Based on observation, record review, and interviews, the facility failed to obtain accurate weights and verify weight changes related to Resident (R)28's physician-ordered weekly weights to effectively monitor weight trends and identify concerns before a significant weight loss occurred. The facility further failed to ensure staff served R28 a diet he could safely consume. As a result of the deficient practices, R28 had a significant unplanned weight loss of 28.38 percent (%) within one month. Findings Included: [...]
- F 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.
Inspectors wroteThe facility identified a census of 80 residents. The facility had one main kitchen and four dining areas. Based on observation, record review and interview the facility failed to ensure the director of food and nutrition services had the required qualifications of a certified dietary manager (CDM). This placed residents at risk for unmet dietary and nutritional needs.
- F Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Inspectors wroteThe facility identified a census of 80 residents. Based on record review and interviews, the facility failed to ensure direct care staff received the required communication training. This placed the residents at risk for impaired care and decreased quality of life. Findings Included: - On 03/27/24 at 11:40 AM a review of the facility's training for Certified Nurses Aid (CNA) PP, CNA QQ, Licensed Nurse (LN) L, LN NN, and LN OO revealed the following: CNA PP's facility-provided credentialling file lacked documented and completed training completed for communication. The file noted she passed abuse, neglect, and exploitation (ANE) and a mental health course. CNA QQ's facility-provided credentialling file lacked documented and completed training completed for communication. The file noted she had ANE and mental health courses. [...]
- F Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Inspectors wroteThe facility identified a census of 80 residents. Based on record review and interviews, the facility failed to ensure all staff were educated on the rights of the residents and the facility's responsibility to provide proper care. This placed the residents at risk for impaired care and decreased quality of life. Findings Included: -On 03/27/24 at 11:40 AM a review of the facility's training for Certified Nurses Aid (CNA) PP, CNA QQ, Licensed Nurse (LN) L, LN NN, and LN OO revealed the following: CNA PP's facility-provided credentialling file lacked documented and completed training completed for resident rights. The file noted she passed abuse, neglect, and exploitation (ANE) and a mental health course. CNA QQ's facility-provided credentialling file lacked documented and completed training completed for resident rights. The file noted she had ANE and mental health courses. [...]
- F Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteThe facility had a census of 80 residents. The sample included 18 residents and five Certified Nurse Aides (CNA) reviewed for required in-service training. Based on record review and interview, the facility failed to ensure one of the five CNA staff reviewed had the required 12 hours of in-service education. This placed the residents at risk for inadequate care.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteThe facility had a census of 80 residents. The sample included 18 residents and two medication carts. Based on observation, record review, and interview the facility failed to provide a consistent reconciliation of controlled drugs at the end of each work shift. This placed the 14 residents with controlled substances on the cart at risk for misappropriation of medications. The facility also failed to ensure Resident (R) 42's physician-prescribed medication was available from the pharmacy for administration. This placed R42 at risk for ineffective medication regimen and related complications.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility identified a census of 80 residents. The facility had one main kitchen and four kitchenettes with dining areas. Based on observation and interview, the facility failed to ensure staff stored, prepared and served food items and maintained the freezer unit in accordance with the professional standards for food service safety. This placed residents at risk of foodborne illness, and cross-contamination (the transfer of harmful substances to food).
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with three residents reviewed for dignity. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 21 was treated with respect, and dignity related to personal hygiene, and the facility also failed to ensure a dignified dining experience when staff stood over R25 and R57 instead of sitting beside him while assisting them with meals. These deficient practices placed the residents at risk for negative psychosocial outcomes and decreased dignity.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteThe facility identified a census of 80 residents with 18 residents included in the sample. The facility identified 54 residents who were discharged from Medicare Part A services. Based on interview and record review the facility failed to issue CMS (Center for Medicare/Medicaid Services) Skilled Nursing Facility Advance Beneficiary Notification (SNF ABN) form 10055 (the form used to notify Medicare A participants of potential financial liability when a Medicare Part A episode ends) with the required information for Resident (R) 49 and R 336. This failure placed the residents at risk for decreased autonomy and impaired decision-making.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with two residents sampled for hospitalization and one resident sampled for discharge. Based on observation, record review, and interview, the facility failed to provide written notice of transfer as soon as practicable to Resident (R) 27 and R43 or their representative for their facility-initiated transfers and/or discharge. This deficient practice had the risk of miscommunication between the facility and resident/family and possible missed opportunities for healthcare service for R27 and R43.
- D 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.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with three residents sampled for hospitalization and discharge. Based on observation, record review, and interview, the facility failed to provide a bed hold with the required information to Resident (R) 43 or to their family representative when R43 was transferred to the hospital. This deficient practice placed R43 at risk for impaired ability to return to the facility or his same room.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with three reviewed for activities of daily living (ADLs). Based on observation, record review, and interviews, the facility failed to provide consistent bathing opportunities for Residents (R)28 and R17. This deficient practice placed the residents at risk for infections and decreased psychosocial well-being. Findings Included: - The Medical Diagnosis section within R28's Electronic Medical Records (EMR) included diagnoses of congestive heart failure (CHF-a condition with low heart output and the body becomes congested with fluid), dysphagia (difficulty swallowing), cognitive-communication disorder, and dementia (a progressive mental disorder characterized by failing memory, confusion). [...]
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with three residents reviewed for treatment/services to prevent/heal pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear and/or friction). Based on observation, record review, and interviews, the facility failed to ensure pressure-reducing measures were placed on Resident (R) 57's and R36's bilateral lower extremities. This deficient practice placed these residents at risk of developing pressure ulcers and worsening of current wounds.
- D 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.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with three residents reviewed for position and mobility. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 57 was provided services and treatment to prevent her contractures (abnormal permanent fixation of a joint or muscle) from worsening in her left and right hands. This deficient practice left R57 at risk for further decline and decreased range of motion (ROM- the full movement potential of a joint, usually its range of flexion and extension). or mobility.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with three reviewed for falls. Based on observation, record review, and interviews, the facility failed to provide an environment free of accident hazards resulting in Resident (R)28's non-injury fall in the facility's spa room. The facility additionally failed to implement wandering interventions for R28 and failed to provide safe transferring practices for R25. These deficient practices placed both residents at risk for preventable falls and injuries. Findings Included: [...]
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with four reviewed for bowel and bladder management. Based on observations, record reviews, and interviews, the facility failed to follow standards of practice related to sanitary catheter care for Resident (R)50. This deficient practice placed R25 at risk for complication-related urinary tract infections (UTI).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with one resident reviewed for dialysis (blood purifying treatment given when kidney function is not optimum). Based on observation, record review, and interviews, the facility failed to ensure ongoing communication and collaboration with the dialysis facility regarding dialysis care and services for Resident (R) 46. This deficient practice placed R46 at risk of delayed services, potential adverse outcomes, and physical complications related to dialysis.
- 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.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with five residents reviewed for unnecessary medications. Based on observation, record review, and interview Based on observation, record review, and interview the facility failed to ensure an appropriate indication, or a documented physician rationale which included the multiple unsuccessful attempts for nonpharmacological symptom management and risk versus benefits for the continued use of an antipsychotic (class of medications used to treat a mental disorder characterized by gross impairment in reality testing) for Resident (R)28's Seroquel (antipsychotic medication). This placed the resident at risk for unnecessary psychotropic (alters perception, mood, consciousness, cognition, or behavior) medications and related complications. Findings Included: [...]
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents. Based on observation, record review, and interview, the facility failed to ensure the medication error rate did not exceed five percent (%) when staff failed to administer Resident (R)62 ' s medications as ordered. This resulted in a medication error rate of 26.67%.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 17 was free from significant medication errors when staff failed to administer insulin (a hormone that lowers the level of glucose in the blood) and antihypertensive (class of medication used to treat high blood pressure) medications as ordered. This placed R17 at risk for adverse side effects and medical complications.
- D 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.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with three reviewed for nutritional diets. Based on observation, record review, and interviews, the facility failed to follow Resident (R)28's specialized dietary requirements during meal services. This deficient practice placed the residents at risk for impaired nutrition and aspiration (inhaling foreign material or vomit). Findings Included: - The Medical Diagnosis section within R28's Electronic Medical Records (EMR) included diagnoses of congestive heart failure (CHF-a condition with low heart output and the body becomes congested with fluid), dysphagia (difficulty swallowing), cognitive-communication disorder, and dementia (a progressive mental disorder characterized by failing memory, confusion). [...]
- D 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.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with three residents reviewed for hospice services. Based on observation, record review, and interviews, the facility failed to ensure a communication process was implemented, which included how the communication would be documented between the facility and the hospice provider, and a failed to describe the services and equipment provided to Resident (R) 21 by hospice. This deficient practice created a risk for missed or delayed services and impaired physical, and psychosocial care for R21.
- D Provide and implement an infection prevention and control program.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with two residents where on transmission-based precautions. Based on observation, record review, and interviews, the facility failed to ensure proper infection control standards were followed related to hand hygiene, the disinfecting of shared equipment, and the replacement of respiratory equipment. The facility also failed to ensure laundry temperatures for laundry including laundry from transmission-based precaution rooms with infectious diseases were assessed for appropriate temperatures. This deficient practice placed the residents at risk for complications related to infectious diseases.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteThe facility identified a census of 80 residents. The sample included 18 residents with five residents reviewed for immunizations. Based on observation, record review, and interviews, the facility failed to provide Resident (R) 42, R27, and R23 with the Pneumococcal Conjugate Vaccine (PCV20- vaccination for bacterial infections) as consented. This placed the residents at increased risk for complications related to pneumonia.
November 20, 2023Complaint inspection · 1 citation
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteThe facility reported a census of 79 residents. The sample included three residents reviewed for grievances. Based on record review, observations, and interviews, the facility failed to log grievances received from or about Resident (R) 1 and failed to record actions taken and provide a resolution to the resident and/or representatives regarding the grievances. This deficient practice placed the residnet at risk for unresolved grievances and decreased quality of care.
October 5, 2022Standard inspection · 10 citations
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteThe facility had a census of 79 residents. The sample included 17 residents with seven reviewed for nutrition. Based on observation, interview, and record review, the facility failed to respond to an unplanned, ongoing weight loss and failed to identify and implement further interventions to prevent weight loss for Resident (R)22 who had a significant unplanned weight loss of 14.29 percent ( in six months.
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents. Based on observation, record review, and interview, the facility failed to ensure a system that all staff implemented for residents to file grievances . This placed residents at risk for unresolved concerns.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility had a census of 79 residents. Based on observation, record review, and interviews, the facility failed to serve food in a safe and sanitary manner for two of the five kitchenettes in the facility. This placed the affected residents at risk for food-borne illness. Findings Included: - On 10/03/22 at 08:30 AM, during tour of the facility kitchenette, observation of the temperature logs of [NAME] one and Maple two daily food temperature logs lacked evidence staff assessed temperature of the following meals: Willow one: Review of the weekly unit temperature logs from September 25 until October 1, 2022 revealed the 09/26/22 supper meal lacked documented temperatures. Review of the weekly unit temperature logs form August 28 until September 3, 2022 revealed the 09/28/22 supper meal lacked documented temperatures. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents. Based on observation, interview, and record review, the facility failed to report Resident (R) 4's allegation of verbal, emotional, and physical abuse to State Agency (SA) as required. This deficient practice placed R4 at risk of ongoing abuse.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents of which seven were reviewed for pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on observation, record review and interview, the facility failed to implement a soft heel boot as directed by the provider to treat a facility-acquired pressure ulcer for Resident (R)71. This placed R71 at risk for further skin breakdown and delayed healing.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents with two reviewed for behaviors. Based on observation, record review and interview, the facility failed to provide the necessary behavioral health services and interventions for one of two sampled residents, Resident (R) 2. This placed the resident at risk for continued and worsened behaviors.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents with five reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to ensure a system where staff acknowledged, reported to the physician, and acted upon the Consultant Pharmacist (CP) recommendations for Resident (R) 6 who received routine insulin (medication used to lower blood sugar). This placed the resident at risk for complications related to high or low blood sugar levels.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents with five reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to obtain blood sugar parameters for Resident (R) 6 who received routine insulin (medication used to lower blood sugar). This placed the resident at risk for complications related to high or low blood sugar levels.
- 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.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents. Based on observation, record review , and interview, the facility failed to secure a treatment cart and appropriately store and label multiple-dose insulin (medication to lower blood sugar) pens (an injection device) located on the second-floor nursing unit for Resident (R) 59, R24 and R53. This deficient practice placed the residents at risk for ineffective medication and allowed unsafe access to medications.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteThe facility had a census of 79 residents. The sample included 19 residents. Based on observation, record review and interview, the facility failed to prepare a pureed diet using professional standards to maintain nutritive and palatable value for three residents, Resident (R)22, R23, and R52. This placed the residents at risk for inadequate nutrition.
Fire safety inspections
15 fire safety citations on file: 3 on February 18, 2026, 8 on March 27, 2024, 4 on October 5, 2022.
Every fire safety citation15 citations
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 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.
- E Have properly installed electrical wiring and gas equipment.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have proper medical gas storage and administration areas.
- E Ensure proper usage of power strips and extension cords.
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
- F Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 27, 2024 | Fine | $28,558 |
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.
| Measure | This home | Kansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.11 | 4.07 | 3.86 |
| Registered nurses | 0.39 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.60 | 3.60 | 3.42 |
| Nurse aides | 2.67 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | not reported | 48.1% | 45.8% |
| Registered nurse turnover | not reported | 42.0% | 42.9% |
| Administrators who left | not reported |
CMS expects 4.00 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 4.32 on weekdays and 3.60 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 4.11 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.11 | 0.39 | 4.32 | 3.60 | 0.6% | 0 of 90 | 86 |
| Jul to Sep 2025 | 3.79 | 0.40 | 3.93 | 3.43 | 3.8% | 0 of 92 | 89 |
| Apr to Jun 2025 | 3.80 | 0.35 | 3.94 | 3.44 | 3.0% | 2 of 91 | 79 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kansas, Jan to Mar 2026 | 4.01 | 0.67 | 4.19 | 3.56 | 4.8% | 0.6% 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.
| Measure | This home | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.9 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.7 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.8 | 18.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.8 | 22.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.9 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: MAPLE HILLS HEALTHCARE, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gateway Healthcare LLC | Direct ownership interest | Organization | 01/28/2014 | |
| The Ensign Group Inc | Indirect ownership interest | Organization | 01/28/2014 | |
| Geha, Christopher | Managing control - governing body | Individual | 07/01/2023 | |
| Jimenez, Luis | Managing control - governing body | Individual | 09/26/2019 | |
| Burnam, Soon | Corporate officer | Individual | 01/28/2014 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Lewis, Corwin | Corporate officer | Individual | 06/01/2021 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Geha, Christopher | Operational/managerial control | Individual | 07/01/2023 | |
| Jimenez, Luis | Operational/managerial control | Individual | 09/26/2019 | |
| Port, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/12/2025 | |
| Ensign Services Inc | Adp of the SNF | Organization | 11/17/2015 | |
| Welltower Op, LLC | Adp of the SNF | Organization | 01/29/2014 | |
| Geha, Christopher | Adp of the SNF | Individual | 06/12/2025 | |
| Jimenez, Luis | Adp of the SNF | Individual | 06/12/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on February 18, 2026: "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason."
- 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 February 18, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 9 problems in this area, most recently on February 18, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on March 27, 2024: "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."
Other nursing homes nearby
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- Merriam Gardens Healthcare & Rehabilitation Center Merriam, 2 mi · 2 of 5 stars · 36 citations
- Shawnee Gardens Healthcare & Rehab Center Shawnee, 2.4 mi · 1 of 5 stars · 63 citations
- Sharon Lane Health and Rehabilitation Shawnee, 2.4 mi · 5 of 5 stars · 16 citations
- Claridge Court Prairie Village, 3.1 mi · 5 of 5 stars · 17 citations
- The Village at Mission Prairie Village, 3.1 mi · 2 of 5 stars · 35 citations
- Westchester Village of Lenexa Lenexa, 3.2 mi · 4 of 5 stars · 22 citations
Common questions
- What is Shawnee Post Acute Rehabilitation Center's Medicare star rating?
- CMS rates Shawnee Post Acute Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Shawnee Post Acute Rehabilitation Center get at its last inspection?
- 9 health deficiencies at the standard inspection on February 18, 2026. The Kansas average is 9.5.
- Has Shawnee Post Acute Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $28,558 in the last three years.
- Does Shawnee Post Acute Rehabilitation 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 Post Acute Rehabilitation Center?
- CMS lists 15 owners and managers, and links the home to The Ensign Group. Legal business name: MAPLE HILLS HEALTHCARE, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.