THE GARDENS AT ALDERSGATE
3220 SW ALBRIGHT DRIVE, TOPEKA, KS 66614 · CCN 175340
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 175
- Avg residents/day
- 152.3
- Phone
- 7854789440
Inspection history vs Kansas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Kansas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2026-01-07 | 17 | 10.1 | 9.5 | +6.9 worse |
| 2 | 2024-02-22 | 28 | 9.9 | 9.8 | +18.1 worse |
| 3 | 2022-08-18 | 10 | 7.2 | 9.3 | +2.8 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 4 |
| Resident rights | 5 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.13 | 65.1% |
| RN staffing (reported) | 0.58 | 54.8% |
| Total nurse staffing (adjusted) | 3.87 | — |
Fines & penalties
- Total fines
- $56,617
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- RECOVER-CARE HEALTHCARE
- Facilities in chain
- 25
- Chain avg overall
- 2.50 / 5
Inspection citations (55)1 immediate jeopardy3 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2026-01-07 · Health
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2026-01-07 · Health
Potential for more than minimal harm
- FF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2026-01-07 · Health
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2026-01-07 · Health
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2026-01-07 · Health
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-07 · Health
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-07 · Health
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-07 · Health
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2026-01-07 · Health
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2026-01-07 · Health
Potential for more than minimal harm
- DF0761Ensure 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.2026-01-07 · Health
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2026-01-07 · Health
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-07 · Health
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2026-01-07 · Health
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2026-01-07 · Health
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2026-01-07 · Health
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-16 · Health · corrected 2025-07-09
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-12-30 · Health · corrected 2025-01-10
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-02 · Health · corrected 2024-10-23
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-09 · Health · corrected 2024-06-01
Actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-07 · Health · corrected 2024-03-19
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-22 · Health · corrected 2024-03-19
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- 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.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- 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.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-22 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-07-18 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-08-18 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-08-18 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-08-18 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-08-18 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-08-18 · Health · corrected 2022-09-23
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-08-18 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-08-18 · Health · corrected 2022-09-23
Potential for more than minimal harm
- 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.2022-08-18 · Health · corrected 2022-09-23
Potential for more than minimal harm
- 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.2022-08-18 · Health · corrected 2022-09-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MRC SNF MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 |
| CUEVAS, TRACI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 |
| MARGULIES, ZISHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 |
| RHUNKE, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-22 |
Other facilities in TOPEKA
| Name | Overall | Beds |
|---|---|---|
| THE HEALTHCARE RESORT OF TOPEKA | ★★★★★ | 70 |
| LEXINGTON PARK NURSING & POST ACUTE CENTER | ★★★★★ | 90 |
| Brewster Health Center | ★★★★★ | 97 |
| MCCRITE PLAZA HEALTH CENTER | ★★★★★ | 80 |
| BRIGHTON PLACE NORTH | ★★★★☆ | 34 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.