All citations for Shawn Manor Nursing Home

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Shawn Manor Nursing Home

Last standard health inspection on record

November 20, 2024

Showing 1 to 25 of 25 citations

  1. Harm to a resident

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

    Pattern (more than a few residents). CMS level H.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  2. Harm to a resident

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Pattern (more than a few residents). CMS level H.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  3. Harm to a resident

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

    Pattern (more than a few residents). CMS level H.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  4. Harm to a resident

    Respond appropriately to all alleged violations.

    Pattern (more than a few residents). CMS level H.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  5. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0571, Resident Rights Deficiencies. Inspection of November 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  6. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  7. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  8. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  9. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  10. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  11. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0881, Infection Control Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, Infection Control Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  13. No harm, with potential for more than minimal harm

    Perform COVID19 testing on residents and staff.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0886, Infection Control Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  14. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  15. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  16. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  17. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2025).

  18. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2025).

  19. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2025).

  20. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of November 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  21. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  22. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  23. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  24. No harm, with potential for more than minimal harm

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0773, Administration Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

  25. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.