Shawnee Colonial Estates Nursing Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

52.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 41 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 16% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 161 beds and averages 59.7 residents a day — about 37% occupied, or roughly 101 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.91 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.26 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.59 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.55 hrs/resident/day on weekends vs 4.06 on weekdays — 13% thinner on weekends. RN hours go from 0.30 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · Kcited before2025-04-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On 04/08/25 at 3:50 p.m., the Oklahoma State Department of Health was notified and verified the existence of an Immediate Jeopardy situation related to the facility's failure to provide supervision to prevent elopement from the facility. Resident #22 was identified as being at risk for elopement. Resident #22 made it out to the parking lot through the front door within sight of the nurse's station unattended. A visitor notified staff Resident #22 was in the parking lot. On 04/08/25 at 3:55 p.m., the administrator, director of nursing, assistant director of nursing, business office manager, and corporate nurse were notified of the immediate jeopardy and provided the immediate jeopardy template. On 04/09/25 at 11:54 a.m., an amended plan of removal was approved by the Oklahoma State Department of Health. The plan of removal, read in part, A) Immediate interventions initiated for Resident #22 following elopement on 02/03/25: *15 minute checks *Physician notification with medication changes *Pain evaluation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-10 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a NOMNC was provided to a resident discharging from skilled services for 1 (#94) of 3 sampled residents reviewed for beneficiary notification. MDS Coordinator #1 identified 15 residents who were discharged from a Medicare covered Part A stay with benefit days remaining in the past six months (11/18/24 through 04/03/25). Findings: Resident #94 admitted to the facility on [DATE]. A nurse's note, dated 02/25/25, showed Resident #94 discharged home with home health. The SNF beneficiary notification review showed Resident #94's Medicare Part A skilled services episode start date was 12/07/24 and their last covered day of Part A service was 02/24/25. The notification showed the Medicare Part A service termination/discharge was determined voluntarily and the facility/provider initiated the discharge from Medicare Part A services when when benefit days were not exhausted. The notification showed the resident did not receive a NOMNC because Resident #94…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-10 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a significant change resident assessment was completed for 1 (#21) of 16 sampled residents reviewed for resident assessments. LPN #1 identified 40 residents resided in the facility. Findings: Resident #21 had diagnoses which included coagulation defect and chronic kidney disease stage 5. An admission resident assessment, dated 11/06/24, showed Resident #21's mood score was 09 (mild depression), and the resident required set-up or clean up assistance for the task of toilet hygiene, lower body dressing, and putting on/taking off footwear. The assessment showed the resident was independent for the task of roll left and right, sit to lying, and lying to sitting on the side of the bed. A quarterly resident assessment, dated 02/13/25, showed Resident #21's mood score was 00 (no depression), and the resident was dependent on staff for the task of toileting hygiene, lower body dressing, putting on/taking off footwear, roll left and right, sit to lying, and lying to sitting on the side of the bed. There was no significant…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-10 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure resident assessments were accurately coded for 1 (#20) of 16 sampled residents reviewed for resident assessments. LPN #1 identified 40 residents resided in the faciilty. Findings: Resident #20 had diagnosis which included cognitive communication deficit. A behavior note, dated 01/07/25, showed Resident #20 had been actively exit-seeking for the last 1.5 hours walking nonstop from one end of the North hall to the other. The note showed the resident had been able to set the alarm off on the Northwest door twice by pressing it repeatedly. The note showed staff was able to get Resident #20 before the door opened. A nurse's note, dated 01/09/25, showed Resident #20 was noted to aimlessly wander throughout the facility. The note showed the resident's family was at their side and voiced concerns about the resident's constant pacing and wandering throughout the facility. An admission resident assessment, dated 01/12/25, showed Resident #20 had severe…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-10 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure resident care plans were accurate and updated for 2 (#21 and #95) of 16 sampled residents reviewed for resident assessments. LPN #1 identified 40 residents resided in the facility. Findings: 1. On 04/08/25 from 9:22 a.m. through 9:33 a.m., CNA #2 and CNA #4 were observed transferring Resident #21 from their wheelchair to the bedside commode, then from the bedside commode to the resident's bed utilizing a mechanical lift. On 04/08/25 from 9:53 a.m. through 10:10 a.m., Resident #21 was observed receiving turning assistance in bed, perineal care, and transfer assistance from the bed to the shower chair with a mechanical lift with the assistance of CNA #2, CNA #4, and CNA #5. Resident #21 had diagnoses which included coagulation defect and chronic kidney disease stage 5. Resident #21's care plan, date initiated 11/01/24, read in part, ADL [activities of daily living] self-care needs Date Initiated: 11/01/2024 .DRESSING: The resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-10 · tag F0732 — isolated
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to post nurse staffing in a prominent place accessible to residents and visitors for one of one staffing boards observed. LPN #1 identified 40 residents resided in the facility. Findings: On 04/09/25 at 3:13 p.m., a large white board located behind the nurse's station showed one RN, one LPN, and three CNAs were working. The board did not show what shift or how many hours. The date written on the board was 04/06/25. There was no census. On 04/10/25 at 10:18 a.m., the large white board showed RN (name withheld). There was no date, no other staff listed, and no census. On 04/10/25 at 10:40 a.m., LPN #2 stated the white board did not include all the relevant information. They stated the information was down the hall across from the offices. On 04/10/25 at 10:41 a.m., the administrator identified two sheets of paper that contained most of the required information. Neither of the two papers showed the number of hours each staff member was working. The sheets were located on a cork board on a hall that only contained offices. On…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-10 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, record review and interview, the facility failed to ensure the temperature log was maintained for the medication refrigerator in the medication room. LPN #1 identified 40 residents resided in the facility. Findings: On 04/03/25 at 11:16 a.m., a tour of the medication room was conducted with CMA #1. CMA #1 was unable to locate a temperature log. The refrigerator was found to be 42 degrees Fahrenheit. A Medication Storage in the Facility policy, dated 2021, read in part, Medications requiring refrigeration or temperatures between 36 degrees F and 46 degrees F are kept on a refrigerator with a thermometer to allow daily temperature monitoring. Medications requiring storage in a cool place are refrigerated unless otherwise directed on the label. On 04/08/25 at 2:19 p.m., the administrator stated, We are supposed to keep a temperature log on the refrigerator in the med [medication] room. It is the responsibility of the day shift CMA to monitor the temperature daily. The administrator stated CMA #1 has worked there long enough to know about the temperature log.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-10 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a baseline care plan was completed within 48 hours of admission for 1 (#19) of 17 sampled residents reviewed for completion of baseline care plans. LPN #1 identified 40 residents resided in the facility. Findings: Resident #19 was admitted on [DATE] with diagnoses which included severe protein-calorie malnutrition, repeated falls, and depression. There was no documentation a baseline care plan was completed within 48 hours of admission. On 04/08/25 at 2:17 p.m., the administrator stated they follow the RAI manual regarding care plans. On 04/09/25 at 10:45 a.m., MDS coordinator #1 stated Resident #19 did not have a 48 hour baseline care plan because they were behind on them.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2021-11-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to: a. firmly attach toilet seat risers to the toilet seats for four (#12, 34, 45, and #49) of seven sampled residents reviewed for accident hazards. b. thoroughly investigate the root cause of falls and implement interventions to prevent further falls for one (#58) of three sampled residents reviewed for falls. The Resident Census and Conditions of Residents identified 77 residents who resided in the facility. Findings: 1. During the resident (Res) council meeting, on 11/18/21 at 9:22 a.m. with ten cognitively intact residents the following statements were made related to toilet seat risers: a. Res #34 stated the handles on her commode was not sturdy. She stated she had requested a new one but had not received one, and b. Res #12 stated room [ROOM NUMBER] had a toilet seat riser which was not sturdy. On 11/18/21 at 10:11 a.m., the bathroom between rooms one and two was observed. The toilet had both a toilet seat riser and handles attached…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-11-21 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide pharmaceutical services for one (#128) of six sampled residents whose medications were reviewed. The Resident Census and Conditions of Residents report documented 77 residents resided in the facility. Findings: Resident (Res) #128 was admitted to the facility on [DATE] and had diagnoses which included COPD, HTN, UTI, anxiety, and hallucinations. A nurse note, dated 01/15/20 at 12:01 a.m., documented the resident had been up numerous times throughout the night, with and without clothes, asking for money, relatives, and shopping lists, etc. A late entry nurse note, dated 01/17/20, from the former ADON, documented, on 01/15/20 at 4:45 p.m., the resident's family member was upset her mother had been at the facility for almost 24 hours and no medications had been administered. The note documented the nurse reviewed the resident's record and found that was accurate. The note documented the nurse would review the medications the resident had brought…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-11-21 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the physician failed to respond to pharmacist MRRs timely and according to the facility's policy for three (#10, 62, and #77) of five sampled residents whose medications were reviewed. The Resident Census and Conditions of Residents report documented 77 residents resided in the facility. Findings: The facility's undated Drug Regimen Review'' policy read in parts, .The report is provided by the Consultant Pharmacist or facility to the Primary Physician and the Director of Nursing within seven working days of review, or according to facility policy. The physician provides a written response of the report to the facility within one month after the report is sent . 1. Resident (Res) #62 had diagnoses which included schizoaffective disorder, anxiety, depressive disorder, and bipolar disorder. A physician order, dated 12/13/19, documented Depakote (an anti-seizure medication) 250 mg four times a day for anxiety disorder. A physician order, dated 08/04/20, documented duloxetine (an antidepressant medication) 60 mg two times a day for depression. A…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$44,355 in federal fines across 1 penalty.

• $44,355 — penalty dated 2025-04-10

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

What families pay in OK