Inspection Reports for
Shawnee Hills
6335 Maurer Rd, Shawnee, KS 66217, KS, 66217
Back to Facility ProfileDeficiencies (over last year)
Deficiencies (over last year)
11 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
83% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Feb 20, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-01-29.
Findings
All deficiencies have been corrected as of the compliance date of 2025-02-20, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 11
Date: Jan 29, 2025
Visit Reason
Licensure survey with attached complaints #191121, 191400, and 193088 conducted at an assisted living facility.
Complaint Details
The inspection was conducted as a licensure survey with attached complaints #191121, 191400, and 193088.
Findings
The facility failed to report an allegation of abuse timely, did not complete or accurately document functional capacity screenings for several residents, and failed to fully develop negotiated service agreements. Additional deficiencies included lack of medication self-administration assessments, improper labeling of medications, lack of policies for sample medications, failure to document quarterly emergency plan reviews with residents, and unsafe food storage and serving temperatures.
Deficiencies (11)
KAR 26-41-101(f)(3) The operator failed to ensure staff reported an allegation of abuse to the operator immediately and to the department within 24 hours for Resident 6.
KAR 26-41-201(c)(1) The operator failed to ensure designated staff completed Functional Capacity Screens for Residents 2 and 3 after changes in condition.
KAR 26-41-201(d) The operator failed to ensure Functional Capacity Screens were accurately documented for Residents 2, 3, and 6.
KAR 26-41-202(a) The administrator failed to ensure Negotiated Service Agreements were fully developed based on Functional Capacity Screens and service needs for Residents 1, 3, 4, and 6.
KAR 26-41-205(a)(1) The operator failed to ensure a licensed nurse performed medication self-administration assessments for Residents 1 and 5.
KAR 26-41-205(g)(3) The operator failed to ensure licensed pharmacist or nurse placed full resident names on original packages of nine over-the-counter medications.
KAR 26-41-205(g)(2) The operator failed to ensure each prescription medication container had a pharmacist affixed label, including one box of apixaban.
KAR 26-41-205(g)(4) The operator failed to develop policies and procedures for receiving and identifying sample medications, including lack of provider orders and labeling for sample Lokelma medication.
KAR 26-41-104(d)(3) The operator failed to provide evidence of quarterly reviews of the emergency management plan with residents since facility opening.
KAR 26-41-206(d) The operator failed to ensure food was served at proper temperatures; temperature logs were incomplete and many recorded temperatures were below safe minimums.
KAR 26-41-206(e)(1) The operator failed to ensure food items were stored under safe and sanitary conditions; temperature logs for food storage units were incomplete.
Report Facts
Census: 45
Medication pens: 53
OTC medications without resident names: 9
Food temperature logs missing: 19
Food temperature logs missing: 26
Food temperature logs missing: 19
Food temperature logs incomplete: 8
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jan 28, 2025
Visit Reason
The document is a plan of correction submitted in response to a licensure survey with attached complaints #191121, 191400, and 193088 conducted on January 28 and 29, 2025, for an assisted living facility.
Findings
The plan of correction addresses findings from the licensure survey and attached complaints conducted on January 28 and 29, 2025. Specific deficiencies are not detailed in this document.
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