Inspection Reports for
Sharon Lane Health and Rehabilitation
10315 JOHNSON DRIVE, SHAWNEE, KS, 66203-3065
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
7.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
78% occupied
Based on a November 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Census: 47
Deficiencies: 8
Date: Nov 17, 2025
Visit Reason
Routine inspection of Sharon Lane Health and Rehabilitation to assess compliance with regulatory requirements related to resident dignity, medication administration, accident prevention, feeding tube care, respiratory care, drug regimen, medication labeling, and infection control.
Findings
The facility had multiple deficiencies including failure to preserve resident dignity regarding catheter bag coverage, failure to ensure safe self-administration of medication, unsecured hazardous materials, improper feeding tube care labeling, unsanitary storage of respiratory equipment, incomplete medication orders, unlabeled multidose medication vial, and lapses in infection prevention and hand hygiene practices.
Deficiencies (8)
F 0550: The facility failed to preserve Resident 59's dignity by not covering the catheter bag with a dignity bag and allowing the catheter bag to rest on the floor.
F 0554: The facility failed to ensure safe and appropriate self-administration of medication for Resident 43, lacking assessment documentation and leaving medication unattended.
F 0689: The facility failed to keep hazardous materials locked and out of reach, including an unsecured telephone room and oxygen cylinders left on the floor, and failed to ensure call lights were within residents' reach.
F 0693: The facility failed to label Resident 33's tube feeding water bag and syringe with date and time as required for safe feeding tube care.
F 0695: The facility failed to store Resident 19's CPAP mask in a sanitary manner, leaving it on the bedside table without proper containment.
F 0757: The facility failed to ensure dosing instructions for Voltaren gel for Resident 31 included a dose as ordered by the physician.
F 0761: The facility failed to label an opened vial of tuberculin with the date, risking improper use beyond recommended timeframes.
F 0880: The facility failed to implement infection prevention and control practices including improper storage of respiratory equipment, catheter bags on the floor, inadequate hand hygiene, and improper handling of medication cups and feeding tube syringes.
Report Facts
Residents in census: 47
Residents in sample: 12
Residents on Enhanced Barrier Precautions: 14
Days for tuberculin vial discard: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse I | Licensed Nurse | Provided statements on catheter bag placement, medication self-administration, respiratory equipment storage, and hand hygiene |
| Certified Nurse Aide M | Certified Nurse Aide | Provided statements on catheter bag dignity, call light placement, CPAP storage, and hand hygiene |
| Administrative Nurse D | Administrative Nurse | Provided statements on catheter bag handling, medication self-administration assessment, respiratory equipment storage, and infection control practices |
| Licensed Nurse G | Licensed Nurse | Reported unlabeled tuberculin vial and actions taken |
| Licensed Nurse H | Licensed Nurse | Observed medication administration and hand hygiene lapses |
| Certified Medication Aide R | Certified Medication Aide | Observed handling of medication cups with hand hygiene lapses |
Inspection Report
Annual Inspection
Census: 54
Deficiencies: 5
Date: Jan 31, 2024
Visit Reason
The inspection was conducted as part of the annual survey of Sharon Lane Health and Rehabilitation to assess compliance with regulatory requirements and resident care standards.
Findings
The facility had multiple deficiencies including failure to provide appropriate pressure ulcer care, failure to prevent accidents due to unsafe oxygen storage and improper resident transfers, inconsistent monitoring of dialysis catheter sites, failure to notify physicians of significant weight changes related to medication, and medication errors involving discontinued drugs being administered.
Deficiencies (5)
F0686: The facility failed to ensure pressure-reducing measures were placed on Resident 34's bilateral lower extremities and failed to monitor refusals, increasing risk for pressure ulcer development.
F0689: The facility failed to secure 33 pressurized oxygen tanks in locked areas and failed to follow Resident 4's transfer plan, placing residents at risk for accidents and injuries.
F0698: The facility failed to consistently monitor and document Resident 48's dialysis catheter site for infection, bleeding, or complications on non-dialysis days.
F0757: The facility failed to notify the medical provider of Resident 2's weight gain related to diuretic medication as ordered, risking unnecessary medication side effects.
F0760: The facility failed to prevent medication errors when Resident 4 continued to receive anticoagulant and mood stabilizer after orders to discontinue, risking adverse side effects.
Report Facts
Residents in census: 54
Residents reviewed: 14
Pressurized oxygen tanks unsecured: 33
Weight gain incidents: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse G | Licensed Nurse | Provided statements regarding pressure ulcer care, resident transfers, and medication notification |
| Administrative Nurse D | Administrative Nurse | Provided statements on pressure ulcer care, resident transfers, dialysis monitoring, and medication orders |
| Certified Nurse Aide M | Certified Nurse Aide | Involved in transfer of Resident 4 resulting in fall |
| Consultant Pharmacist HH | Consultant Pharmacist | Reviewed medication orders for Resident 4 and confirmed discontinued medications were administered |
Inspection Report
Annual Inspection
Census: 56
Deficiencies: 3
Date: May 4, 2022
Visit Reason
The inspection was conducted as an annual survey of Sharon Lane Health and Rehabilitation to assess compliance with regulatory requirements related to resident care and safety.
Findings
The facility was found deficient in providing adequate bathing assistance, implementing fall prevention interventions, and managing incontinence care for several residents. These deficiencies placed residents at risk for skin breakdown, falls, and complications related to incontinence.
Deficiencies (3)
F 0677: The facility failed to ensure bathing was provided for a resident requiring extensive assistance, risking skin breakdown and impaired psychosocial well-being.
F 0689: The facility failed to implement fall prevention interventions per the care plan for a resident, placing her at risk for further falls.
F 0690: The facility failed to implement incontinence care interventions for residents, increasing risk for complications related to incontinence.
Report Facts
Resident census: 56
Resident census: 53
Resident census: 56
Bladder incontinence occurrences: 79
Bowel incontinence occurrences: 22
Sample size: 15
Residents reviewed for ADLs: 10
Residents reviewed for accidents: 2
Residents reviewed for incontinence care: 4
Inspection Report
Follow-Up
Deficiencies: 0
Date: Oct 2, 2013
Visit Reason
This is a post-certification revisit to verify that previously cited deficiencies have been corrected as documented on the CMS-2567 Statement of Deficiencies and Plan of Correction.
Findings
All previously reported deficiencies identified by regulation numbers F0279, F0329, F0371, F0428, F0441, and F0460 were corrected as of the revisit date.
Inspection Report
Plan of Correction
Deficiencies: 6
Date: Oct 2, 2013
Visit Reason
This document is a Plan of Correction submitted in response to a prior inspection identifying deficiencies in care planning, medication monitoring, infection control, privacy, and food handling.
Findings
The facility identified multiple areas needing improvement including comprehensive care plans, medication side effect monitoring, infection control practices, food sanitation, and resident privacy. The facility outlined corrective actions and ongoing monitoring to achieve substantial compliance by October 2, 2013.
Deficiencies (6)
F279-D: The facility must develop comprehensive care plans with measurable objectives addressing medical, nursing, and psychosocial needs. Specific resident care plans lacked accurate behavior monitoring and medication interventions.
F329-E: Residents' drug regimens must be free from unnecessary drugs and side effects monitored. Policies were revised and staff educated on behavior and bowel monitoring related to medications.
F371-F: The facility must store, prepare, and distribute food under sanitary conditions. Policies were reviewed and staff trained on infection control related to food handling.
F428-E: Monthly pharmacist reviews of drug regimens must occur with irregularities reported and acted upon. Medication and care plan reviews were implemented with audits and staff education.
F441-E: The facility must maintain an Infection Control Program to prevent disease transmission. Staff were reeducated on cleaning and storage of nebulizers and infection control practices.
F460-E: Bedrooms must assure full visual privacy for residents. Policies on privacy curtains and resident rights were revised and staff reeducated with ongoing audits.
Report Facts
Deficiencies cited: 6
Inspection Report
Census: 80
Deficiencies: 6
Date: Sep 4, 2013
Visit Reason
Health Resurvey and Complaint Investigations #KS00068252 and #KS00066483 were conducted to assess compliance with regulatory requirements.
Findings
The facility failed to develop individualized comprehensive care plans for residents, failed to monitor and document medication side effects, failed to provide adequate bowel monitoring, failed to serve food in a sanitary manner, failed to properly store nebulizers, failed to handle linens to prevent infection spread, failed to assure full visual privacy for residents, and failed to ensure proper hand hygiene.
Deficiencies (6)
F279: The facility failed to develop individualized comprehensive care plans for residents #49 and #64, lacking specific behavior monitoring and non-pharmacological interventions.
F329: The facility failed to ensure residents' drug regimens were free from unnecessary drugs by not documenting side effects, specific behaviors related to anti-anxiety medications, and inadequate bowel monitoring for residents #45, #79, #64, #49, and #66.
F371: The facility failed to serve food in a sanitary manner, including staff not washing hands after touching their head and handling dirty dishes before serving food.
F428: The facility failed to document medication side effects for all medications prescribed for 5 residents, failed to individualize behavior monitoring sheets, and the pharmacist failed to identify these issues.
F441: The facility failed to properly store a nebulizer, failed to handle linens to prevent infection spread, and failed to adhere to appropriate hand washing techniques.
F460: The facility failed to assure full visual privacy for residents on the 100 hall due to missing privacy curtains and lack of a resident privacy policy.
Report Facts
Deficiencies cited: 6
Resident census: 80
Sample size: 14
Behavior Monitoring Sheet date: Aug 1, 2013
Medication Regimen Review dates: 7
Bowel movement gap: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Administrative Nursing Staff | Reported Black Box warnings were on care plans but side effects were not fully care planned. |
| Staff L | Licensed Nursing Staff | Reported nursing staff initiated temporary care plans and acknowledged lack of side effect documentation. |
| Staff M | Licensed Nurse | Reported behavior monitoring sheet listed Lorazepam for anxiety but resident took it for sleep. |
| Staff KK | Consultant Pharmacist | Reviewed medication regimen but failed to identify lack of side effect monitoring and individualized behavior monitoring. |
| Staff DD | Dietary Staff | Observed serving food without handwashing after handling dirty dishes. |
| Staff T | Direct Care Staff | Observed picking up food from floor without handwashing afterward. |
| Staff Y | Housekeeping Staff | Observed placing soiled towels on floor before bagging. |
| Staff X | Housekeeping Staff | Stated soiled laundry should not be placed on floor. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jun 6, 2012
Visit Reason
This visit was conducted as a post-certification revisit to verify correction of previously cited deficiencies from the initial survey completed on 2012-05-14.
Findings
All previously reported deficiencies identified by regulation numbers 483.25, 483.60, and 483.70 were corrected as of the revisit date.
Inspection Report
Plan of Correction
Deficiencies: 5
Date: Jun 6, 2012
Visit Reason
This document is a Plan of Correction submitted by the facility in response to deficiencies cited during a prior inspection.
Findings
The facility submitted corrective actions addressing deficiencies related to resident care, accident hazard prevention, drug regimen management, medication labeling, and call light system functionality. The plan includes staff in-services, audits, policy development, and ongoing monitoring by the Quality Assurance and Performance Improvement Committee.
Deficiencies (5)
F309-D: The facility will provide residents necessary care to maintain physical, mental, and psychosocial well-being, including skin barrier application after incontinence and weekly skin assessments by licensed nurses.
F323-D: The facility will ensure the environment is free of accident hazards and residents receive adequate supervision and assistance devices to prevent accidents, including staff training and routine hazard rounds.
F329-D: Each resident's drug regimen will be free from unnecessary drugs, with pain assessments every shift and audits to ensure pain monitoring compliance.
F431-E: Drugs and biologicals will be labeled according to professional principles, with staff education and audits to ensure proper storage and labeling.
F463-E: The nurses station call light system will be maintained and tested weekly, with staff trained on immediate notification of failures and ensuring call light cords are accessible for residents.
Inspection Report
Re-Inspection
Census: 79
Deficiencies: 5
Date: May 14, 2012
Visit Reason
The inspection was a health resurvey to assess compliance with previously identified deficiencies and overall care quality at Sharon Lane Health Services.
Findings
The facility failed to provide necessary care for a resident with skin problems, maintain a safe environment free of accident hazards, monitor pain adequately, ensure proper labeling and dating of medications, and maintain a functioning resident call light system.
Deficiencies (5)
F 309: The facility failed to provide necessary care for a resident at high risk for skin breakdown by not applying barrier cream after incontinent episodes and lacking documentation of skin assessments.
F 323: The facility failed to address an exposed bed frame with sharp edges on the locked dementia unit, creating a hazard for cognitively impaired residents.
F 329: The facility failed to monitor pain for a resident receiving pain medication, lacking documentation of pain assessments despite frequent use of PRN analgesics.
F 431: The facility failed to ensure multi dose medication vials and insulin cartridges were labeled and dated on 2 of 3 units, including expired insulin cartridges.
F 463: The facility failed to maintain a functioning call light system for residents in rooms and toilet/bathing areas, with some call lights not working or having strings too short for accessibility.
Report Facts
Resident census: 79
Residents sampled: 15
Residents sampled for unnecessary medications: 10
PRN pain medication administrations: 14
PRN pain medication administrations: 12
PRN pain medication administrations: 24
PRN pain medication administrations: 7
Residents on dementia unit: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed staff F | Licensed staff | Assessed resident's reddened genital area and stated staff could apply barrier cream |
| Administrative nursing staff B | Administrative nursing staff | Acknowledged protocol for applying barrier cream and failure to report skin condition |
| Dietary staff member A | Dietary staff member | Oversaw resident house moves and acknowledged failure to replace mattress on bed |
| Administrative licensed nurse A | Administrative licensed nurse | Acknowledged exposed bed frame was an accident hazard |
| Administrative nursing staff G | Administrative nursing staff | Acknowledged failure to monitor resident pain every shift |
| Licensed staff H | Licensed staff | Stated insulin cartridges were expired and multi dose vials should be dated |
| Administrative staff A | Administrative staff | Acknowledged call light failures and short call light strings |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046011 POC H0F111
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as H0F111 for the facility with State ID N046011.
Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.
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