LEGACY ON 10TH AVENUE

πŸ“ 2015 SE 10TH AVENUE, topeka, KS 66607 πŸ“ž 7852338918 πŸ›οΈ 60 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐
1/5

Inspection History Overview

58
Total Violations
8 years of data
$71,920
Total Fines
6 penalties
12
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 3 violations

Tag 0623 D Jun 18, 2024

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

βœ“ Corrected: Jul 19, 2024
Tag 0625 D Jun 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.

βœ“ Corrected: Jul 19, 2024
Tag 0755 E Apr 23, 2024

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

βœ“ Corrected: May 31, 2024

2023 20 violations

Tag 0690 D Oct 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.

βœ“ Corrected: Dec 6, 2023
Tag 0691 D Oct 25, 2023

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

βœ“ Corrected: Dec 6, 2023
Tag 0623 D Oct 2, 2023

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

βœ“ Corrected: Oct 27, 2023
Tag 0600 J Jul 11, 2023

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

βœ“ Corrected: Aug 4, 2023
Tag 0610 K Jul 11, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 4, 2023
Tag 0699 D Jul 11, 2023

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

βœ“ Corrected: Aug 4, 2023
Tag 0550 D Apr 18, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 22, 2023
Tag 0582 D Apr 18, 2023

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

βœ“ Corrected: May 22, 2023
Tag 0584 E Apr 18, 2023

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.

βœ“ Corrected: Jun 30, 2023
Tag 0657 D Apr 18, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 22, 2023
Tag 0689 J Apr 18, 2023

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

βœ“ Corrected: Jun 30, 2023
Tag 0692 D Apr 18, 2023

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: May 22, 2023
Tag 0700 E Apr 18, 2023

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.

βœ“ Corrected: May 22, 2023
Tag 0726 D Apr 18, 2023

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.

βœ“ Corrected: May 22, 2023
Tag 0757 D Apr 18, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jun 30, 2023
Tag 0761 E Apr 18, 2023

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.

βœ“ Corrected: May 22, 2023
Tag 0801 F Apr 18, 2023

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.

βœ“ Corrected: May 22, 2023
Tag 0804 D Apr 18, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: May 22, 2023
Tag 0880 F Apr 18, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 22, 2023
Tag 0925 E Apr 18, 2023

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

βœ“ Corrected: May 22, 2023

2022 2 violations

Tag 0880 E Nov 1, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 7, 2022
Tag 0812 F Aug 22, 2022

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

βœ“ Corrected: Sep 9, 2022

2021 6 violations

Tag 0584 E Oct 25, 2021

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.

βœ“ Corrected: Nov 25, 2021
Tag 0812 F Oct 25, 2021

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

βœ“ Corrected: Nov 25, 2021
Tag 0881 F Oct 25, 2021

Implement a program that monitors antibiotic use.

βœ“ Corrected: Nov 25, 2021
Tag 0924 E Oct 25, 2021

Put firmly secured handrails on each side of hallways.

βœ“ Corrected: Nov 25, 2021
Tag 0760 J Apr 28, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Apr 27, 2021
Tag 0803 J Mar 2, 2021

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Mar 2, 2021

2020 2 violations

Tag 0880 E Nov 9, 2020

Provide and implement an infection prevention and control program.

Tag 0880 E Jun 23, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 5, 2020

2019 4 violations

Tag 0801 F Nov 21, 2019

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.

βœ“ Corrected: Dec 21, 2019
Tag 0804 D Nov 21, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Dec 21, 2019
Tag 0812 E Nov 21, 2019

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

βœ“ Corrected: Dec 21, 2019
Tag 0689 D Jun 10, 2019

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

βœ“ Corrected: Jul 10, 2019

2018 7 violations

Tag 0692 D Oct 8, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Nov 7, 2018
Tag 0814 D Oct 8, 2018

Dispose of garbage and refuse properly.

βœ“ Corrected: Nov 7, 2018
Tag 0880 D Oct 8, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 7, 2018
Tag 0881 E Oct 8, 2018

Implement a program that monitors antibiotic use.

βœ“ Corrected: Nov 7, 2018
Tag 0921 E Oct 8, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Nov 7, 2018
Tag 0925 F Oct 8, 2018

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

βœ“ Corrected: Nov 7, 2018
Tag 0689 J May 30, 2018

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

βœ“ Corrected: May 25, 2018

2017 14 violations

Tag 0323 J Aug 16, 2017

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

βœ“ Corrected: Aug 16, 2017
Tag 0323 J Jun 29, 2017

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

βœ“ Corrected: Jun 29, 2017
Tag 0156 E Apr 26, 2017

Give residents a notice of rights, rules, services and charges.

βœ“ Corrected: May 15, 2017
Tag 0159 F Apr 26, 2017

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

βœ“ Corrected: May 15, 2017
Tag 0223 K Apr 26, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

βœ“ Corrected: May 15, 2017
Tag 0225 L Apr 26, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: May 15, 2017
Tag 0253 F Apr 26, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: May 15, 2017
Tag 0323 E Apr 26, 2017

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

βœ“ Corrected: May 15, 2017
Tag 0329 D Apr 26, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: May 15, 2017
Tag 0353 F Apr 26, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

βœ“ Corrected: May 15, 2017
Tag 0431 D Apr 26, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: May 15, 2017
Tag 0441 E Apr 26, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: May 15, 2017
Tag 0460 E Apr 26, 2017

Provide bedrooms that don't allow residents to see each other when privacy is needed.

βœ“ Corrected: May 15, 2017
Tag 0520 F Apr 26, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

βœ“ Corrected: May 15, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $15,000

$15,000
Fine
November 1, 2022
Average: $15,000 | Range: $15,000 - $15,000

2021 2 penalties totaling $19,170

$19,170
Fine
April 28, 2021
$19,170
Fine
March 2, 2021
Average: $19,170 | Range: $19,170 - $19,170

2020 1 penalties totaling $15,000

$15,000
Fine
November 9, 2020
Average: $15,000 | Range: $15,000 - $15,000

2018 1 penalties totaling $11,375

$11,375
Fine
May 30, 2018
Average: $11,375 | Range: $11,375 - $11,375

2017 1 penalties totaling $11,375

$11,375
Fine
August 16, 2017
Average: $11,375 | Range: $11,375 - $11,375

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 18, 2024
0.00

Health

April 23, 2024
0.00

Health

October 25, 2023
0.00

Health

October 2, 2023
0.00

Health

July 11, 2023
0.00

Health

April 18, 2023
0.00

Health

November 1, 2022
0.00

Health

August 22, 2022
0.00

Health

October 25, 2021
0.00

Health

April 28, 2021
0.00

Health

March 2, 2021
0.00

Health

November 21, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
175113
175113
7852338918
Shawnee

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual