Deficiency Index

Shawnee Care Center

Shawnee, Oklahoma · CCN 375246

25 surveys since 2011, 3 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
160
Surveys
25
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file16/25

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

The facility

Certified beds
114
Ownership
For profit - Corporation
Chain
BGM ESTATE
County
Pottawatomie · rural
Medicare-certified since
1995

CMS ratings

Overall
1
Health inspection
2
Staffing
3
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 94 for-profit facilities of 100–127 beds in Oklahoma.

Last survey on record

May 18, 2026

175 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 day3.583.68
Registered-nurse hours per resident day0.38—
Annual nurse turnover57.7%54.7%

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

Enforcement

Fines
$22,393 across 1 penalty
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG22.6%H—I—
No harm, potential for more than minimalD2228.9%E4761.8%F56.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 76 of the 160 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7614×

    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.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6573×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6953×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at Shawnee Care Center, in the surveyor’s own words.

  • Actual harm, isolatedF697May 15, 2025

    Based 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. Findings: On 05/14/25 at 10:00 a.m., Resident #1's bubble pack of morphine tablets were observed with CMA #1. The fill date on the morphine showed it was filled on 05/09/25. Resident #1's admission orders, dated 04/28/25, showed they had the following orders: Schedule II morphine extended release; 30 milligrams, one tablet by mouth twice a day for chronic pain. […]

  • Actual harm, isolatedF710May 15, 2025

    Based 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. Findings: The facility policy, Physician Services, last revised February 2021, read in part, The medical care of each resident is supervised by a licensed physician.Supervising the medical care of residents includes (but is not limited to) prescribing medications and therapy. […]

  • No harm, potential for more than minimal, widespreadF725May 15, 2025

    Based 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. Findings: On 05/12/25 at 1:48 p.m., the posted nurse staffing was observed without a name listed as the director of nursing. The undated facility employee list did not have a name of a registered nurse listed as the director of nursing. The undated list of facility key staff, provided by the corporate nurse consultant, did not contain a name listed as the director of nursing. A review of time cards for RN #3, the former director of nursing showed the last day of employment was April 1, 2025. […]

  • No harm, potential for more than minimal, widespreadF841May 15, 2025

    Based 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. Findings: The facility policy Medical Director, last revised July 2016, read in part, Physician services shall be under the supervision of the medical director.Medical director functions also include, but are not limited to helping assure that the residents receive adequate services appropriate to meet their needs. An email, dated 02/26/25, read in part, Please accept this as my letter of resignation as the medical director of Shawnee Care Center. I will provide services through April 30, 2025. If you choose to replace me prior to that date, I would understand. […]

  • No harm, potential for more than minimal, widespreadF802Nov 13, 2023

    Based 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. Findings: The September 2023 dietary schedule documented two dietary staff for the morning shift and two for the evening shift most days on Monday through Friday and two dietary staff total for the morning and evening shift on Saturday and Sunday. The schedule documented one dietary staff member present on 09/30/23. The October 2023 dietary schedule documented two dietary staff for the morning shift and two for the evening shift most days on Monday through Friday and two dietary staff total for the morning and evening shift on Saturday and Sunday. […]

Read 21 findings in full →The most serious and the most recent: 21 of 160 on record.

Every survey on record

FindingsAt actual harm or above

  • May 18, 2026Standard5 findings
  • Aug 13, 2025Complaint1 finding
  • May 15, 2025Complaint4 findings · 2 harm
  • Jul 10, 2024Standard18 findings
  • Jun 26, 2024Complaint1 finding
  • Mar 7, 2024Complaint3 findings
  • Nov 13, 2023Complaint4 findings
  • Jun 28, 2023Standard18 findings
Show the 17 earlier surveys
  • Mar 29, 2023Complaint2 findings
  • Aug 22, 2022Standard22 findings
  • Jun 1, 2022Complaint4 findings
  • Jan 27, 2021Infection control3 findings
  • Jun 16, 2020Infection control1 finding
  • Mar 3, 2020Complaint4 findings
  • May 13, 2019Standard10 findings
  • Dec 6, 2018Complaint2 findings
  • Feb 13, 2018Standard2 findings
  • Oct 6, 2016Standard6 findings
  • Nov 5, 2015Standard3 findings
  • Aug 28, 2014Standard9 findings
  • Dec 31, 2013—4 findings · 1 harm
  • Nov 6, 2013—4 findings
  • Jun 6, 2013—10 findings
  • Apr 25, 2012—6 findings
  • Mar 30, 2011—14 findings

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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