Skilled Nursing

LEGACY ON 10TH AVENUE

2015 SE 10TH AVENUE, TOPEKA, KS 66607

60beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.6h

Hrs/resident · weekday

Expected: 3.5h

3.2h

Hrs/resident · weekend

vs 2.6h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
40%
LPNs
CNAs
63%

Administrator turnover: 4 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0610Severity KJul 11, 2023

Respond appropriately to all alleged violations.

Corrected: Aug 4, 2023

SeriousImmediate Jeopardy0600Severity JJul 11, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Aug 4, 2023

39 standard deficiencies in the last 3 years

View all
0947Severity FMar 31, 2026

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0925Severity FMar 31, 2026

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0883Severity DMar 31, 2026

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0880Severity EMar 31, 2026

Provide and implement an infection prevention and control program.

0839Severity FMar 31, 2026

Employ staff that are licensed, certified, or registered in accordance with state laws.

0812Severity FMar 31, 2026

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity EMar 31, 2026

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.

0755Severity EMar 31, 2026

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0732Severity CMar 31, 2026

Post nurse staffing information every day.

0725Severity FMar 31, 2026

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

0689Severity DMar 31, 2026

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

0628Severity DMar 31, 2026

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0584Severity EMar 31, 2026

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.

0582Severity CMar 31, 2026

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0689Severity DJul 7, 2025

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

0925Severity EOct 9, 2024

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0880Severity EOct 9, 2024

Provide and implement an infection prevention and control program.

0849Severity DOct 9, 2024

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.

0838Severity FOct 9, 2024

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.

0758Severity DOct 9, 2024

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.

0756Severity DOct 9, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0732Severity COct 9, 2024

Post nurse staffing information every day.

0689Severity EOct 9, 2024

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

0680Severity EOct 9, 2024

Ensure the activities program is directed by a qualified professional.

0679Severity EOct 9, 2024

Provide activities to meet all resident's needs.

0585Severity EOct 9, 2024

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.

0584Severity EOct 9, 2024

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.

0580Severity DOct 9, 2024

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

0576Severity COct 9, 2024

Ensure residents have reasonable access to and privacy in their use of communication methods.

0567Severity EOct 9, 2024

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

0558Severity DOct 9, 2024

Reasonably accommodate the needs and preferences of each resident.

0553Severity DOct 9, 2024

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0625Severity DJun 18, 2024

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.

0623Severity DJun 18, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0755Severity EApr 23, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0691Severity DOct 25, 2023

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

0690Severity DOct 25, 2023

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

0623Severity DOct 2, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0699Severity DJul 11, 2023

Provide care or services that was trauma informed and/or culturally competent.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

LEGACY ON 10TH OPCO, LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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