nursing home in Topeka, KS
Plaza West Healthcare and Rehab
1570 SW Westport Drive, Topeka, KS 66604 · (785) 271-6700
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Plaza West Healthcare and Rehab at a glance
Plaza West Healthcare and Rehab is a 151-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 3.7 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 4.1 hours.
Its most recent standard health inspection (March 19, 2025) found 21 health citations. The Kansas average is 9.5.
Federal regulators fined it 10 times in the past three years, totaling $93,073.
Nursing staff turnover is 58.7% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 151
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Recover-Care Healthcare
- Medicare-certified since
- May 28, 1993
- Continuing care retirement community
- Yes
- Resident/family council
- Both
- County
- Shawnee County
- CMS Certification Number
- 175255
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) | 2 / 5 | 3.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.3 / 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) | 3.70 hrs | 4.07 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.43 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.66 hrs | 2.70 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 2.87 hrs | 3.60 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 58.7% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 42% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 21 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 21 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 132 | 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) | 10 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $93,073 | $20,430 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 10 | 1 | 1 | Worse |
Size
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 151 | 61 | 107 | |
| Average residents per day | 128 | 51 | 86 | |
| Occupancy | 84.8% | 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) | 3.7% | 4.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.4% | 4.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 20.2% | 18.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.8% | 1.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 8.3% | 17.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.3% | 16.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.7% | 4.9% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 21.6% | 23.2% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 21.2% | 22.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 76.7% | 95.5% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 86.9% | 92.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.9% | 1.9% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 44.1% | 73.8% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 53.8% | 76.1% | 82% | Worse |
Inspection citations
State inspectors cited this home for 63 health deficiencies and 69 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 15, 2025 |
| March 19, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 15, 2025 |
| March 19, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected May 16, 2025 |
| March 19, 2025 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 May 16, 2025 |
| March 19, 2025 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | E Potential harm, pattern | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected May 16, 2025 |
| March 19, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected May 16, 2025 |
| March 19, 2025 Complaint | 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 9, 2025 |
| March 19, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected May 9, 2025 |
| March 19, 2025 Complaint | 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. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected May 9, 2025 |
| March 19, 2025 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected May 9, 2025 |
| March 19, 2025 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 9, 2025 |
| March 19, 2025 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | E Potential harm, pattern | Corrected May 9, 2025 |
| March 19, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected May 9, 2025 |
| March 19, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 19, 2025 Complaint | 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 9, 2025 |
| March 19, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 19, 2025 Complaint | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 19, 2025 Complaint | 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 9, 2025 |
| March 19, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 19, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 19, 2025 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 19, 2025 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 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 19, 2025 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 May 9, 2025 |
| March 19, 2025 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 19, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 19, 2025 Complaint | 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 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 19, 2025 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 May 9, 2025 |
| January 28, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected February 21, 2025 |
| September 30, 2024 Complaint | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Tag F0941 | E Potential harm, pattern | Corrected October 29, 2024 |
| September 30, 2024 Complaint | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | E Potential harm, pattern | Corrected October 29, 2024 |
| September 30, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 29, 2024 |
| September 30, 2024 Complaint | 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 October 29, 2024 |
| December 28, 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 January 26, 2024 |
| December 28, 2023 Complaint | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected January 26, 2024 |
| December 28, 2023 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 January 26, 2024 |
| October 9, 2023 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 19, 2023 |
| October 9, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected December 19, 2023 |
| October 9, 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 December 19, 2023 |
| October 9, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 19, 2023 |
| October 9, 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 December 19, 2023 |
| October 9, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected December 19, 2023 |
| October 9, 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 December 19, 2023 |
| October 9, 2023 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | E Potential harm, pattern | Corrected December 19, 2023 |
| October 9, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 19, 2023 |
| October 9, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected November 6, 2023 |
| October 9, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected November 6, 2023 |
| October 9, 2023 Complaint | 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 November 6, 2023 |
| October 9, 2023 Complaint | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected November 6, 2023 |
| October 9, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected November 6, 2023 |
| October 9, 2023 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 6, 2023 |
| October 9, 2023 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 9, 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 November 6, 2023 |
| October 9, 2023 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 9, 2023 Complaint | 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 November 6, 2023 |
| October 9, 2023 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 6, 2023 |
| October 9, 2023 Complaint | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 9, 2023 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 9, 2023 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 9, 2023 Complaint | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 9, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 9, 2023 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 6, 2023 |
| October 9, 2023 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 9, 2023 Complaint | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 9, 2023 Complaint | 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 November 6, 2023 |
| October 9, 2023 Complaint | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected November 6, 2023 |
| October 9, 2023 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected November 6, 2023 |
| September 15, 2023 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 September 19, 2023 |
| April 21, 2022 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Install noncombustible or limited-combustible interior walls. Construction Deficiencies · Tag K0163 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Meet other general requirements that are deficient. Egress Deficiencies · Tag K0300 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 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 June 11, 2022 |
| April 21, 2022 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 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 11, 2022 |
| April 21, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 11, 2022 |
| April 21, 2022 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 | E Potential harm, pattern | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Have properly sized and located compartments to protect residents from smoke. Smoke Deficiencies · Tag K0371 | E Potential harm, pattern | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected June 11, 2022 |
| April 21, 2022 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected June 11, 2022 |
| April 21, 2022 Standard | 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 June 2, 2022 |
| April 21, 2022 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected June 2, 2022 |
| April 21, 2022 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected June 2, 2022 |
| April 21, 2022 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 2, 2022 |
| April 21, 2022 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 2, 2022 |
| April 21, 2022 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 June 2, 2022 |
| April 21, 2022 Standard | 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 June 2, 2022 |
| April 21, 2022 Standard | 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 June 2, 2022 |
| April 21, 2022 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected June 2, 2022 |
| April 21, 2022 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 June 2, 2022 |
| April 21, 2022 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 June 2, 2022 |
| April 21, 2022 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 2, 2022 |
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 10 federal penalties in the past three years, including $93,073 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 20, 2024 | Fine | $4,893 |
| February 12, 2024 | Fine | $4,893 |
| January 22, 2024 | Fine | $14,679 |
| January 8, 2024 | Fine | $4,516 |
| January 2, 2024 | Fine | $3,846 |
| December 11, 2023 | Fine | $9,440 |
| November 20, 2023 | Fine | $2,470 |
| November 13, 2023 | Fine | $2,117 |
| October 23, 2023 | Fine | $4,233 |
| October 9, 2023 | Fine | $41,986 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BHNV PROPERTY HOLDINGS 2 LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| HAGEN, GLENN Individual | adp of the snf | NOT APPLICABLE | 03/26/2025 |
| KANSAS SNF HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| MAD FAMILY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| MRC SNF MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 02/10/2025 |
| NATR TRUST Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| NZM PROPERTY HOLDINGS 2 LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| RARMNA HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| RATR TRUST Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| RIDER, JAMES Individual | adp of the snf | NOT APPLICABLE | 02/10/2025 |
| RNR HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| WETR TRUST Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| MIDWEST SNF HOLDINGS LLC Organization | direct ownership interest | NOT APPLICABLE | 02/28/2025 |
| MRCMM II LLC Organization | direct ownership interest | NOT APPLICABLE | 02/28/2025 |
| BHNV 2 LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| GOLDSTEIN, AVROHOM Individual | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| HALBERSTAM, MIRIAM Individual | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| HALBERSTAM, MOSHE Individual | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| KAMNA HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| KANSAS SNF HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| MAD FAMILY HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| MARGULIES, ZISHA Individual | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| NATR TRUST Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| NZM HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| RARMNA HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| RATR TRUST Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| RECOVER-CARE HEALTHCARE LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| RNR HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| WETR TRUST Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| HAGEN, GLENN Individual | operational/managerial control | NOT APPLICABLE | 06/01/2019 |
| LYDA, DEBBIE Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| MARGULIES, ZISHA Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| MRC SNF MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 06/26/2019 |
| RIDER, JAMES Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
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Frequently asked questions
What is Plaza West Healthcare and Rehab's rating?
Plaza West Healthcare and Rehab 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 Plaza West Healthcare and Rehab receive?
Its most recent standard health inspection found 21 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Plaza West Healthcare and Rehab 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 Plaza West Healthcare and Rehab?
It is for profit - limited liability company and part of Recover-Care Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Plaza West Healthcare and Rehab and how do I contact it?
Plaza West Healthcare and Rehab is at 1570 SW Westport Drive, Topeka, KS 66604. Phone: (785) 271-6700.
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.