Shawneespring Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Jan 14, 2026

  Based on medical record review, review of hospital medical records, interview with staff, Medical Director (MD) #90 and Nurse Practitioner (NP) #9, policy review and review of information from the National Library of Medicine, the facility failed to monitor a resident's bowel movements and implement their bowel monitoring policy when the resident did not have a bowel movement for five consecutive days. This resulted in a fecal impaction with a perforated bowel requiring hospitalization. […]

• No harm, potential for more than minimal, widespreadF812Mar 5, 2026

  Based on observation, interview, and policy review, the facility failed to store, prepare and serve food in a manner that prevents the potential spread of food-borne illness to the residents. This had the potential to affect 128 residents who received meals in the facility. Findings include: Observation and interview on 03/02/26 at 9:00 A.M. in the kitchen with Dietary Manager (DM) #380 revealed a total of three crates of milk sitting directly on the floor in the walk-in refrigerator. […]

• No harm, potential for more than minimal, patternF812Jan 30, 2023

  Based on observations, record review, staff interview, and review of faciliyt policy, the facility failed to ensure food items were maintained in a sanitary manner. This affected all residents except Resident #75 and Resident #251 that were no food by mouth. The facility census was 106. Findings include: Observation of the kitchen on 01/23/23 at 8:12 A.M., revealed there to be food debris on the edge of the fryer and in the oil of the fryer that were brown in color. Observation of the reach in refrigerator in the kitchen, revealed there to be an open and undated bag of provolone cheese, an open and undated plastic tub of vegetable base, an open and undated plastic tub of beef base on the first shelf, a half-full plastic cup of iced coffee with a straw in it that was not labeled, dated or… […]

• No harm, potential for more than minimal, patternF880Jan 30, 2023

  Based on record review, observations, staff interviews, review of facility policy, and review of Centers for Disease Control (CDC) recommendations, the facility failed to ensure glucometers were cleaned after usage. This affected 19 residents (#54, #15, #31, #55, #47, #10, #57, #37, #11, #20, #46, #83, #73, #74, #45, #86, #61, #25, and #13) who received medications from the 2400 hall medication cart. The facility also failed to ensure staff's personal belongings were not stored in the medication carts. This affected 17 residents (#70, #62, #252, #39, #75, #27, #22, #30, #81, #68, #77, #26, #5, #3, #201, #82, and #88) who received medications from the 1200 hall medication cart. Facility Census was 106. […]

• No harm, potential for more than minimal, patternF883Jan 30, 2023

  Based on interviews, record review, review of facility policy and review of online resources from the Centers for Disease Control (CDC), the facility failed to monitor and ensure residents were up to date on pneumonia vaccinations and facility failed to ensure their pneumonia policy was updated annually. This affected four of five residents (#4, #69, #84, and #87) reviewed for immunizations. Facility census was 106. Findings include: 1. Review of medical records for Resident #69 revealed an admitted [DATE] with congestive heart failure (CHF). Review of the MDS assessment dated [DATE], revealed resident had severe cognitive impairment. […]