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Nursing HomeMedicaid Investigative

Shawnee Care Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

1202 West Gilmore, Shawnee, OK 74804114 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.1/5

based on 25 Google reviews

5
4
3
2
1

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (23 vs median 6.0)
  • High staff turnover (57%)
  • High RN turnover (60%)

Bottom 25% in OK · Critically understaffed (RN) · Worst in BGM ESTATE chain · $22,393 in fines

Source: Medicare data

What this means for your family

Given the consistent reports of neglect and hygiene concerns, we strongly advise families to conduct unannounced visits at different times of the day, especially on weekends. While some families report positive interactions, the recurring themes of poor communication and failure to follow medical instructions suggest a high level of risk for residents requiring consistent, high-quality care.

Google Reviews

Google Reviews

25 reviews on Google
Shawnee Care Center receives deeply concerning feedback regarding neglect, poor hygiene, and inadequate staffing levels. While a few families report positive experiences with staff kindness, the majority of recent reviews describe a facility struggling with basic care, including failure to manage pain medication, hygiene, and medical follow-through.

Quality Themes

Tap a score for details
Food5.0Staff2.0Clean1.0ActivitiesN/AMeds1.0Memory1.0Comms2.0ValueN/A

Strengths

  • Select staff members provide compassionate care
  • Some families report personalized attention for loved ones
  • Occasional proactive medical intervention

Concerns

  • Facility cleanliness and hygiene issues (mentioned by 4 reviewers)
  • Staff neglect and lack of responsiveness to patient needs (mentioned by 6 reviewers)
  • Inadequate medication management and pain control (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.0'16(2)3.01.0'20(1)1.03.7'22(3)2.01.0'24(9)3.0'25(6)

Distribution · 27 analyzed

5
6
4
0
3
1
2
1
1
19

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I've heard wonderful things about some of your individual staff members; how do you ensure that same level of compassionate, personalized attention is consistent across all shifts?
  • 2What specific protocols do you have in place to ensure medication administration and pain management are handled with 100% accuracy?
  • 3Could you walk me through your daily cleaning and sanitation schedule to help me understand how you maintain a high standard of hygiene in the resident rooms?
  • 4How does the nursing team communicate important medical updates or changes in condition to family members to ensure we are always in the loop?
  • 5What kind of daily activities or social engagement programs do you offer to keep residents active and connected with one another?
  • 6In the event of a medical emergency during the night, what is the immediate process for notifying both the medical team and the family?

Personalized based on this facility's data


Key Review Excerpts

The facility was dirty, short handed, and therefore the care they gave him was inexcusable. He was not being cared for and his bedding smelled.

Long-term resident's family · 2025☆☆☆☆

Memory and Alzheimer care here is lacking. The residents are truly on their own, and from time to time depending on who is working will things get done—but it’s never a guarantee.

CNA/Family member · 2024☆☆☆☆

My mom had a surgery scheduled for today but it had to be rescheduled due to the nursing home not following pre op instructions. Now we will be in the hospital for Christmas and they could care less.

Long-term resident's family · 2024☆☆☆☆
Source: 25 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.27hrs
37%
Registered nurses for medical care
Total Nursing
3.48hrs
85%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
2/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.2%
Better than Avg
Here
13.2%
US
19.5%
OK
25.4%
Pottawatomie
20.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
OK
3.3%
Pottawatomie
2.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.6%
Better than Avg
Here
9.6%
US
19.4%
OK
17.3%
Pottawatomie
16.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
OK
90.6%
Pottawatomie
99.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
14.4%
OK
13.8%
Pottawatomie
15.7%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility11.6%
Worse than Avg
Here
11.6%
US
4.9%
OK
4.9%
Pottawatomie
4.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.1%
Better than Avg
Here
96.1%
US
81.8%
OK
75.0%
Pottawatomie
93.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

23deficiencies
2penalties
Well above state avg (7.2)
21 complaint-triggered
$22,393 in fines

Families have filed multiple complaints about this facility, triggering 23 deficiencies across recent inspections. The most recurring problems involve medication management, nursing staffing adequacy, and meal service quality. Recent 2024-2025 complaints included issues with pain management, staffing shortages, and medication errors. While all deficiencies show correction dates, the pattern of repeated complaints about core care areas suggests ongoing operational challenges that families should carefully evaluate during visits.

Aug 13, 2025Complaint
1
0757Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

May 15, 2025Complaint
4
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0710Actual harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0841Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Jul 10, 2024Routine
19
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0568Potential for harm · PatternCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0569Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0570Potential for harm · PatternCorrected

Resident Rights Deficiencies

Assure the security of all personal funds of residents deposited with the facility.

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0291Potential for harm · PatternCorrected

Egress Deficiencies

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

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Jul 10, 2024Complaint
3
0580Potential for harm · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Jun 26, 2024Complaint
1
0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Mar 7, 2024Complaint
3
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Federal Penalties

Fine

May 15, 2025

$22,393

Payment Denial

Jun 26, 2024

4-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Shawnee Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Bgm Estate

Chain Size

15 facilities nationwide

Chain avg rating: 2.4/5 · Rank 15 of 15 (Worst)

Ownership & Management

Owners

Bgm Estate LLC

Owner · Organization

38%

Gilbert F. Green Trust

Owner · Organization

25%

Philip M. Green Revocable Trust

Owner · Organization

25%

Mitchell, Kelly

Owner

13%

Mitchell, Kelly

Owner (parent company)

9%

Mitchell, Marcinda

Owner (parent company)

9%

Mitchell, Robert

Owner (parent company)

9%

Tabor, Angela

Owner (parent company)

9%

Key personnel

Taylor, SandraW-2 Managing EmployeeMorgan, MichaelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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