All citations for Shawnee Colonial Estates 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 Shawnee Colonial Estates Nursing Home

Last standard health inspection on record

April 10, 2025

Showing 1 to 18 of 18 citations

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

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

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

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

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

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

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

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

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

  6. 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 November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

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

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

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

  9. 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 November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

  10. 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 November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

  12. 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 November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

  13. 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 April 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 5, 2025).

  14. 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

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

    Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

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

    Health citation F-0772, Administration Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2022).

  18. No harm, with potential for minimal harm

    Ensure residents have reasonable access to and privacy in their use of communication methods.

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

    Health citation F-0576, Resident Rights Deficiencies. Inspection of November 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 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.