Deficiency Index

Shawn Manor Nursing Home

Ponca City, Oklahoma · CCN 375194

19 surveys since 2011, 14 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
180
Surveys
19
Harm or worse
14
Immediate jeopardy
5
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/19

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
96
Ownership
For profit - Corporation
Chain
CONHOLD
County
Kay · rural
Medicare-certified since
1995

CMS ratings

Overall
5
Health inspection
5
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 68 for-profit facilities of 66–99 beds in Oklahoma.

Last survey on record

Nov 20, 2024

719 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.023.65
Registered-nurse hours per resident day0.22—
Annual nurse turnover45.8%55.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H418.2%I—
No harm, potential for more than minimalD940.9%E940.9%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 22 of the 180 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F5711×

    Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

  • F5781×

    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.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

In the surveyor’s words

From the most serious findings on record at Shawn Manor Nursing Home, in the surveyor’s own words.

  • Actual harm, patternF600Sep 9, 2022

    Based on record review, observation and interview the facility failed to ensure residents were free from abuse for four of six residents reviewed for abuse. a. Three residents (#85, 25,and #32) were identified to be involved with resident to resident sexual encounters, to include touching, petting, and groping. b. One resident (#22) was identified to have physical aggression toward other residents, to include hitting, scratching, and attempting to run into residents while propelling self in hallway. The Resident Census and Condition of Residents identified 34 residents resided in the facility. […]

  • Actual harm, patternF607Sep 9, 2022

    Based on record review, observations and interviews, the facility failed to fully develop and/or implement an abuse policy to prevent, protect, investigate and report allegations of abuse. This affected: a. Five residents (#85, 25, 32, 27 and #10) with altered cognition for daily decision making who were identified to be involved with resident to resident sexual encounters. b. One resident (#22) was identified to have physical aggression toward other residents. The Resident Census and Condition of Residents identified 34 residents resided in the facility. […]

  • Actual harm, patternF609Sep 9, 2022

    Based on record review and interview the facility failed to report allegations of abuse and neglect to local law enforcement and OSDH for for four (#85, 25, 32, and #22) of six sampled residents reviewed for abuse. a. Three (#85, 25, and #32) of six sampled residents were identified to be involved with resident to resident sexual encounters, to include touching, petting, and groping. b. One resident (#22) was identified to have physical aggression toward other residents, to include hitting, scratching, and attempting to run into residents while propelling self in hallway. The Resident Census and Condition of Residents identified 34 residents resided in the facility. […]

  • Actual harm, patternF610Sep 9, 2022

    Based on record review and interview, the facility failed to provide evidence that allegations of abuse were thoroughly investigated, implement interventions to protect residents from further abuse, and report abuse allegations within the appropriate time frame to OSDH, APS, and Local Law Enforcement. This affected four (#85, 22, 25, and #32) of six sampled residents reviewed for abuse. a. Three residents (#85, 25, and #32) of three sampled residents who were identified to be involved with resident to resident sexual encounters, to include touching, petting, and groping. b. One resident (#22) identified to have physical aggression toward other residents, to include hitting, scratching, and attempting to run into residents while propelling self in hallway. […]

  • No harm, potential for more than minimal, patternF571Nov 2, 2023

    Based on record review and interview, the facility failed ensure the co-pay charged to a resident account did not exceed the Medicaid payment limit for one (Resident #5) of four resident whose monies were held in the resident trust. The Administrator identified 20 residents who received Medicaid and 17 residents whose monies were held in the facility trust. Findings: Resident #5 had diagnoses which included bipolar disorder and schizophrenia. On 10/31/23 at 3:07 p.m., Resident #5 stated they received $50.00 a month for personal funds. […]

Read 27 findings in full →The most serious and the most recent: 27 of 180 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 20, 2024Standard3 findings
  • Nov 2, 2023Standard3 findings
  • Sep 9, 2022Standard and complaint16 findings · 4 harm
  • Apr 29, 2021Complaint2 findings
  • Oct 31, 2019Standard8 findings
  • Aug 21, 2018Standard16 findings
  • Oct 17, 2017Standard and complaint36 findings
  • Dec 15, 2016Complaint4 findings · 4 harm
Show the 11 earlier surveys
  • Aug 16, 2016Standard16 findings
  • Apr 11, 2016Complaint3 findings
  • Feb 25, 2016Complaint1 finding
  • Jun 9, 2015Standard and complaint7 findings
  • Jan 27, 2015Complaint2 findings
  • Jul 16, 2014Standard and complaint16 findings
  • Jan 3, 2014Complaint3 findings · 3 harm
  • Aug 22, 2013—13 findings
  • Jan 4, 2013—5 findings
  • Oct 18, 2012—18 findings · 1 harm
  • Jul 29, 2011—8 findings · 2 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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