Starfile / Kansas

LEGACY ON 10TH AVENUE

2015 SE 10TH AVENUE, TOPEKA, KS 66607 · CCN 175113

Inspection history vs Kansas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$103,737

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

ADVENA LIVING COMMUNITIES

Facilities in chain

6

Chain avg overall

1.50 / 5

Inspection citations (45)3 immediate jeopardy

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-07 · Health · corrected 2025-07-02

   Potential for more than minimal harm

2. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-10-09 · Health · corrected 2024-11-20

   Potential for more than minimal harm

3. DF0558Reasonably accommodate the needs and preferences of each resident.2024-10-09 · Health · corrected 2024-11-20

   Potential for more than minimal harm

4. EF0567Honor the resident's right to manage his or her financial affairs.2024-10-09 · Health · corrected 2024-11-20

   Potential for more than minimal harm

5. CF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-10-09 · Health · corrected 2024-11-20

   Potential for minimal harm

6. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-09 · Health · corrected 2024-11-20

   Potential for more than minimal harm

7. EF0584Honor 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.2024-10-09 · Health · corrected 2024-11-20

   Potential for more than minimal harm

8. EF0585Honor 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.2024-10-09 · Health · corrected 2024-11-20

   Potential for more than minimal harm

9. EF0679Provide activities to meet all resident's needs.2024-10-09 · Health · corrected 2024-11-20

   Potential for more than minimal harm

10. EF0680Ensure the activities program is directed by a qualified professional.2024-10-09 · Health · corrected 2024-11-20

    Potential for more than minimal harm

11. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-09 · Health · corrected 2024-11-20

    Potential for more than minimal harm

12. CF0732Post nurse staffing information every day.2024-10-09 · Health · corrected 2024-11-20

    Potential for minimal harm

13. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-10-09 · Health · corrected 2024-11-20

    Potential for more than minimal harm

14. DF0758Implement 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.2024-10-09 · Health · corrected 2024-11-20

    Potential for more than minimal harm

15. FF0838Conduct 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.2024-10-09 · Health · corrected 2024-11-20

    Potential for more than minimal harm

16. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-10-09 · Health · corrected 2024-11-20

    Potential for more than minimal harm

17. EF0880Provide and implement an infection prevention and control program.2024-10-09 · Health · corrected 2024-11-20

    Potential for more than minimal harm

18. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-10-09 · Health · corrected 2024-11-20

    Potential for more than minimal harm

19. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-18 · Health · corrected 2024-07-19

    Potential for more than minimal harm

20. DF0625Notify 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.2024-06-18 · Health · corrected 2024-07-19

    Potential for more than minimal harm

21. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-23 · Health · corrected 2024-05-31

    Potential for more than minimal harm

22. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-25 · Health · corrected 2023-12-06

    Potential for more than minimal harm

23. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-10-25 · Health · corrected 2023-12-06

    Potential for more than minimal harm

24. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-10-02 · Health · corrected 2023-10-27

    Potential for more than minimal harm

25. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-11 · Health · corrected 2023-08-04

    Immediate jeopardy

26. KF0610Respond appropriately to all alleged violations.2023-07-11 · Health · corrected 2023-08-04

    Immediate jeopardy

27. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-07-11 · Health · corrected 2023-08-04

    Potential for more than minimal harm

28. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

29. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

30. EF0584Honor 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.2023-04-18 · Health · corrected 2023-06-30

    Potential for more than minimal harm

31. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

32. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-18 · Health · corrected 2023-06-30

    Immediate jeopardy

33. DF0692Provide enough food/fluids to maintain a resident's health.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

34. EF0700Try 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.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

35. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

36. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-04-18 · Health · corrected 2023-06-30

    Potential for more than minimal harm

37. EF0761Ensure 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.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

38. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

39. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

40. FF0880Provide and implement an infection prevention and control program.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

41. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-04-18 · Health · corrected 2023-05-22

    Potential for more than minimal harm

42. EF0584Honor 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.2021-10-25 · Health · corrected 2021-11-25

    Potential for more than minimal harm

43. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-10-25 · Health · corrected 2021-11-25

    Potential for more than minimal harm

44. FF0881Implement a program that monitors antibiotic use.2021-10-25 · Health · corrected 2021-11-25

    Potential for more than minimal harm

45. EF0924Put firmly secured handrails on each side of hallways.2021-10-25 · Health · corrected 2021-11-25

    Potential for more than minimal harm

Ownership

Other facilities in TOPEKA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.