nursing home in Topeka, KS
Legacy on 10th Avenue
2015 SE 10th Avenue, Topeka, KS 66607 · (785) 233-8918
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Legacy on 10th Avenue at a glance
Legacy on 10th Avenue is a 60-bed for-profit nursing home in Topeka, Kansas (Shawnee County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Kansas average of 3.1.
Residents receive about 3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4.1 hours.
Its most recent standard health inspection (March 31, 2026) found 14 health citations. The Kansas average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 65.4% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Advena Living Communities
- Medicare-certified since
- November 30, 1976
- Resident/family council
- Both
- County
- Shawnee County
- CMS Certification Number
- 175113
Ratings
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.5 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.01 hrs | 4.07 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.51 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.90 hrs | 2.70 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.70 hrs | 3.60 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 65.4% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 42% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 3 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 127 | 83.4 | 80.6 | Worse |
Penalties
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $20,430 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 61 | 107 | |
| Average residents per day | 53 | 51 | 86 | |
| Occupancy | 88.3% | 82.4% | 80.9% |
Long-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.5% | 4.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.2% | 4.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 32.9% | 18.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 6% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.2% | 1.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 31.6% | 17.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 13.5% | 16.2% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 10.1% | 4.9% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1% | 6.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 43.1% | 23.2% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 18.7% | 22.6% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 98.1% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.1% | 92.1% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.9% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.2% | 76.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 52 health deficiencies and 47 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 31, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 17, 2026 |
| March 31, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected June 18, 2026 |
| March 31, 2026 Fire safety | 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected June 18, 2026 |
| March 31, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 18, 2026 |
| March 31, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected June 17, 2026 |
| March 31, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 17, 2026 |
| March 31, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 18, 2026 |
| March 31, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected June 17, 2026 |
| March 31, 2026 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | F Potential harm, widespread | Corrected May 13, 2026 |
| March 31, 2026 Complaint | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Tag F0839 | F Potential harm, widespread | Corrected May 13, 2026 |
| March 31, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 13, 2026 |
| March 31, 2026 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected May 13, 2026 |
| March 31, 2026 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | F Potential harm, widespread | Corrected May 13, 2026 |
| March 31, 2026 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected May 13, 2026 |
| March 31, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 13, 2026 |
| March 31, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 13, 2026 |
| March 31, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 13, 2026 |
| March 31, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 13, 2026 |
| March 31, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected May 13, 2026 |
| March 31, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected May 13, 2026 |
| March 31, 2026 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | C No harm, widespread | Corrected May 13, 2026 |
| March 31, 2026 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected May 13, 2026 |
| July 7, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 2, 2025 |
| October 9, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 16, 2024 |
| October 9, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected December 16, 2024 |
| October 9, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 16, 2024 |
| October 9, 2024 Fire safety | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Tag K0751 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Complaint | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected November 20, 2024 |
| October 9, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | E Potential harm, pattern | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | E Potential harm, pattern | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected November 20, 2024 |
| October 9, 2024 Complaint | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected November 20, 2024 |
| October 9, 2024 Complaint | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | C No harm, widespread | Corrected November 20, 2024 |
| June 18, 2024 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected July 19, 2024 |
| June 18, 2024 Complaint | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected July 19, 2024 |
| April 23, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 31, 2024 |
| October 25, 2023 Complaint | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | D Potential harm, isolated | Corrected December 6, 2023 |
| October 25, 2023 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected December 6, 2023 |
| October 2, 2023 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected October 27, 2023 |
| April 18, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Electrical Deficiencies · Tag K0901 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 15, 2023 |
| April 18, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected June 15, 2023 |
| April 18, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 30, 2023 |
| April 18, 2023 Standard | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected May 22, 2023 |
| April 18, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 22, 2023 |
| April 18, 2023 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected May 22, 2023 |
| April 18, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 30, 2023 |
| April 18, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 22, 2023 |
| April 18, 2023 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected May 22, 2023 |
| April 18, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 18, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 18, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 18, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 18, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 30, 2023 |
| April 18, 2023 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 18, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected May 22, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CORNERSTONE EMPLOYMENT SOLUTIONS INC Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| HESTON, TIMOTHY Individual | adp of the snf | NOT APPLICABLE | 07/26/2019 |
| HOPKINS, KIMPTON Individual | adp of the snf | NOT APPLICABLE | 01/06/2025 |
| NEW PARADIGM SOLUTIONS INC Organization | adp of the snf | NOT APPLICABLE | 05/12/2025 |
| CGHII INC Organization | direct ownership interest | NOT APPLICABLE | 04/01/2019 |
| CORNERSTONE GROUP HOLDINGS INC Organization | indirect ownership interest | NOT APPLICABLE | 04/01/2019 |
| NOVOTNY, MICHELLE Individual | indirect ownership interest | NOT APPLICABLE | 04/01/2019 |
| NOVOTNY, WILLIAM Individual | indirect ownership interest | NOT APPLICABLE | 04/01/2019 |
| NEW PARADIGM SOLUTIONS INC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| NOVOTNY, MICHELLE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| NOVOTNY, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
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Frequently asked questions
What is Legacy on 10th Avenue's rating?
Legacy on 10th Avenue has 1 out of 5 stars on the CMS overall star rating. The average for Kansas nursing homes is 3.1 stars.
How many inspection citations did Legacy on 10th Avenue receive?
Its most recent standard health inspection found 14 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Legacy on 10th Avenue accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Legacy on 10th Avenue?
It is for profit - limited liability company and part of Advena Living Communities. The ownership section on this page lists the owners and managers reported to CMS.
Where is Legacy on 10th Avenue and how do I contact it?
Legacy on 10th Avenue is at 2015 SE 10th Avenue, Topeka, KS 66607. Phone: (785) 233-8918.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.