Federal inspection record · CMS data as of October 1, 2026

Shawnee Gardens Healthcare & Rehab Center

6416 Long Street, Shawnee, KS · (913) 631-2146

CMS overall rating

1 of 5

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Certified beds
130
Residents per day
113
Ownership
For-Profit
Chain
Recover-Care Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 1, 1993

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.

  2. Staffing

    no change (already 1)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kansas homes

Shawnee Gardens Healthcare & Rehab Center carries 156.75 inspection points. That is fewer than 9% of Kansas's 293 rated homes.

5★4★3★2★1★+9 homes above 20405102550100200inspection points → fewer is better on the leftThis home · 156.75 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–27 pts
  • 4★ 27–49 pts
  • 3★ 49–71 pts
  • 2★ 71–114.38 pts
  • 1★ over 114.38 pts

Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

62 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 5 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 38 4 pts
E 8 8 pts
F 8 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 2 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (6)

  1. G

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    June 11, 2025 · Complaint inspection · Resident Rights · F563 · Corrected July 9, 2025

  2. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    June 11, 2025 · Complaint inspection · Quality of Life and Care · F684 · Corrected July 9, 2025

  3. J

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

    February 19, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 18, 2025

  4. G

    Respond appropriately to all alleged violations.

    February 19, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected March 18, 2025

  5. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 1, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected May 24, 2024

  6. G

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    December 11, 2023 · Complaint inspection · Nursing and Physician Services · F726 · Corrected December 20, 2023

Everything else, by area of care

Quality of Life and Care22E
  1. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 5, 2026 · Standard · F689 · Corrected September 4, 2026

  2. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 5, 2026 · Standard · F677 · Corrected September 4, 2026

  3. D

    Provide activities to meet all resident's needs.

    August 5, 2026 · Standard · F679 · Corrected September 4, 2026

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 5, 2026 · Standard · F684 · Corrected September 4, 2026

  5. D

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

    August 5, 2026 · Standard · F695 · Corrected September 4, 2026

  6. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    August 5, 2026 · Standard · F698 · Corrected September 4, 2026

  7. D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    February 19, 2025 · Complaint · F740 · Corrected March 18, 2025

  8. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    September 18, 2024 · Complaint · F676 · Corrected October 21, 2024

  9. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    September 18, 2024 · Complaint · F677 · Corrected October 21, 2024

  10. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 18, 2024 · Complaint · F686 · Corrected October 21, 2024

  11. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 18, 2024 · Complaint · F689 · Corrected October 21, 2024

  12. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    September 18, 2024 · Complaint · F698 · Corrected October 21, 2024

  13. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    September 18, 2024 · Complaint · F744 · Corrected October 21, 2024

  14. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 24, 2023 · Standard · F677 · Corrected March 23, 2023

  15. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 24, 2023 · Standard · F684 · Corrected March 23, 2023

  16. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    January 24, 2023 · Standard · F686 · Corrected March 23, 2023

  17. 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.

    January 24, 2023 · Standard · F688 · Corrected March 23, 2023

  18. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 24, 2023 · Standard · F689 · Corrected March 23, 2023

  19. 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.

    January 24, 2023 · Standard · F690 · Corrected March 23, 2023

  20. D

    Provide enough food/fluids to maintain a resident's health.

    January 24, 2023 · Standard · F692 · Corrected March 23, 2023

  21. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    January 24, 2023 · Standard · F698 · Corrected March 23, 2023

  22. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    January 24, 2023 · Standard · F744 · Corrected March 23, 2023

Resident Rights8F
  1. E

    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.

    August 5, 2026 · Complaint · F584 · Corrected September 4, 2026

  2. F

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    September 18, 2024 · Complaint · F942 · Corrected October 21, 2024

  3. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 18, 2024 · Complaint · F550 · Corrected October 21, 2024

  4. D

    Reasonably accommodate the needs and preferences of each resident.

    September 18, 2024 · Complaint · F558 · Corrected October 21, 2024

  5. D

    Reasonably accommodate the needs and preferences of each resident.

    January 24, 2023 · Standard · F558 · Corrected March 23, 2023

  6. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    January 24, 2023 · Standard · F582 · Corrected March 23, 2023

  7. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    January 24, 2023 · Standard · F623 · Corrected March 23, 2023

  8. 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.

    January 24, 2023 · Standard · F625 · Corrected March 23, 2023

Infection Control5F
  1. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    August 5, 2026 · Complaint · F882 · Corrected September 4, 2026

  2. F

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    September 18, 2024 · Complaint · F945 · Corrected October 21, 2024

  3. E

    Provide and implement an infection prevention and control program.

    September 18, 2024 · Complaint · F880 · Corrected October 21, 2024

  4. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    September 18, 2024 · Complaint · F883 · Corrected October 21, 2024

  5. E

    Provide and implement an infection prevention and control program.

    January 24, 2023 · Standard · F880 · Corrected March 23, 2023

Pharmacy Service5E
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    September 18, 2024 · Complaint · F755 · Corrected October 21, 2024

  2. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    September 18, 2024 · Complaint · F756 · Corrected October 21, 2024

  3. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    September 18, 2024 · Complaint · F757 · Corrected October 21, 2024

  4. E

    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.

    January 24, 2023 · Standard · F761 · Corrected March 23, 2023

  5. 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.

    January 24, 2023 · Standard · F758 · Corrected March 23, 2023

Nutrition and Dietary4F
  1. F

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

    August 5, 2026 · Standard · F812 · Corrected September 4, 2026

  2. F

    Dispose of garbage and refuse properly.

    August 5, 2026 · Standard · F814 · Corrected September 4, 2026

  3. E

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    September 18, 2024 · Complaint · F806 · Corrected October 21, 2024

  4. F

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

    January 24, 2023 · Standard · F812 · Corrected March 23, 2023

Administration4F
  1. 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.

    August 5, 2026 · Standard · F849 · Corrected September 4, 2026

  2. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    September 18, 2024 · Complaint · F838 · Corrected October 21, 2024

  3. F

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    September 18, 2024 · Complaint · F941 · Corrected October 21, 2024

  4. 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.

    September 18, 2024 · Complaint · F849 · Corrected October 21, 2024

Resident Assessment and Care Planning3D
  1. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    August 5, 2026 · Standard · F636 · Corrected September 4, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    August 5, 2026 · Standard · F641 · Corrected September 4, 2026

  3. D

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

    September 18, 2024 · Complaint · F657 · Corrected October 21, 2024

Nursing and Physician Services3D
  1. C

    Post nurse staffing information every day.

    August 5, 2026 · Standard · F732 · Corrected September 4, 2026

  2. C

    Post nurse staffing information every day.

    September 18, 2024 · Complaint · F732 · Corrected October 21, 2024

  3. D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    January 24, 2023 · Standard · F726 · Corrected March 23, 2023

Freedom from Abuse, Neglect, and Exploitation2E
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 7, 2026 · Complaint · F609 · Corrected May 4, 2026

  2. E

    Protect each resident from the wrongful use of the resident's belongings or money.

    August 27, 2025 · Complaint · F602 · Corrected August 20, 2025

Inspection history

  1. 2026-08-05

    15 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  2. 2024-09-18

    27 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

  3. 2023-01-24

    20 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (10 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 45 min of nursing staff time a day, 25 min of it from a registered nurse.

This home

3 h 45 min

Kansas average

4 h 8 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 78% of nursing staff and 94% of registered nurses left in the past year, along with 2 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$80,905 in federal fines on record over the past three years.

DatePenaltyAmount
2025-06-11Fine$26,117
2025-02-19Fine$16,452
2024-10-08Fine$12,561
2024-05-01Fine$25,775

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same1.71.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better1.82.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine38.7 pts worse54.2%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine46.3 pts worse48.6%94.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better1.3%4.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.2 pts better4.4%6.6%13.5%
Percentage of long-stay residents who lose too much weight14 pts worse18.8%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.6 pts worse29.0%23.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.6 pts better12.1%17.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.6 pts better7.9%14.5%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.5 pts better9.9%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.0%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection1.8 pts better1.0%2.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts better18.7%21.6%18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts worse4.5%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine64 pts worse13.1%77.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5.5 pts better5.9%11.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better0.0%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine68.1 pts worse7.3%75.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts better17.1%22.3%23.4%

·

Who owns and runs it

13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Frisbie, KarenOperational/Managerial Control · Individual0%1 facilities
Frisbie, KarenAdp Of The SNF · Individual0%1 facilities
Kansas SNF Holdings LLCAdp Of The SNF · Organization0%24 facilities
Mad Family Holdings LLCAdp Of The SNF · Organization0%31 facilities
Mrc SNF Management LLCOperational/Managerial Control · Organization0%25 facilities
Mrc SNF Management LLCAdp Of The SNF · Organization0%25 facilities
Natr TrustAdp Of The SNF · Organization0%31 facilities
Rarmna Holdings LLCAdp Of The SNF · Organization0%30 facilities
Ratr TrustAdp Of The SNF · Organization0%30 facilities
Rnr Holdings LLCAdp Of The SNF · Organization0%30 facilities
Smith, CameronOperational/Managerial Control · Individual0%1 facilities
Smith, CameronAdp Of The SNF · Individual0%1 facilities
Wetr TrustAdp Of The SNF · Organization0%30 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness4F
  1. F

    Provide emergency officials' contact information.

    September 18, 2024 · E31 · Corrected November 15, 2024

  2. F

    Establish emergency prep training and testing.

    September 18, 2024 · E36 · Corrected November 15, 2024

  3. F

    Conduct risk assessment and an All-Hazards approach.

    September 18, 2024 · E6 · Corrected November 15, 2024

  4. F

    Include a process for Emergency Preparedness collaboration.

    September 18, 2024 · E9 · Corrected November 15, 2024

·

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