Providence Living Center
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
intravenously (IV- administered directly into the bloodstream via a vein).Resident R1's Nursing note dated 07/22/25 at 03:16 PM documented the lab results were sent to the provider.Resident R1's 'Physician Progress Note dated 07/22/25 at 03:57 PM documented the provider just received the results of the UA C&S showing E. coli ESBL and would start ertapenem IV; if the IV could not remain in, staff were to send Resident R1 to the emergency room. The note documented the provider asked the DON to allow the provider to be the one to review and check off on lab results, and also to place a hard copy of the lab to place in the provider's inbox at the facility, and that abnormal labs be communicated to the provider through the chat system.Resident R1's Nursing: Infection Note dated 07/25/25 at 10:48 PM noted Resident R1 continued on ertepenam for a UTI and the resident remained confused.On 08/25/25 at 12:33 PM, Resident R1 was in bed asleep.On 08/25/25 at 06:22 PM, Licensed Nurse (LN) G stated that lab results should populate in the system so providers can see the results from there; the nurse can see them there as well. She stated the nurses have communication logs they can use to track labs or keep track of labs they are waiting for. She stated the facility has an easy chat program so
they can communicate with the provider through that about the labs. LN G said, regardless of the way it is communicated, if a provider is waiting for a lab, the nurses should keep an eye out for the results, even if
the result did not show up in the system as a new result. LN G said if they knew a provider was waiting for a result, the nurses should check on it. She stated the nurses have communication sheets they pass on to ensure continued care between the nurses. LN G said she would notify the provider if she obtained lab results.On 08/25/25 at 06:49 PM, Administrative Staff A stated the facility used a lab that uploaded results directly into the facility's EMR system, and the results can be viewed in the EMR. She stated the UA C&S was uploaded to the system on 07/18/25 and would have been viewable in Resident R1's EMR at that time.
Administrative Staff A stated that perhaps the provider may not have known to look for the results there.
She stated she was not sure if staff would have seen the C&S after the initial alert went away.
Administrative Staff A said if a lab result was still pending, staff could contact the providers through the direct message system to let them know the results. The facility did not provide a policy for the timely reviewing and reporting of lab and/or diagnostic results.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Providence Living Center
1112 SE Republican Avenue Topeka, KS 66607
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0757
F 0757 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
insulin was given outside of ordered parameters on 07/15/25 and 07/21/25.On 08/25/25 at 12:33 PM, Resident R1 was in bed asleep.On 08/25/25 at 06:22 PM, Licensed Nurse (LN) G stated that if the vitals were outside
the ordered parameters, staff should hold the medication and contact the provider; if the medication needed to be held longer, the provider would put it on hold. LN G stated staff should never give a medication outside of the ordered parameters.On 08/25/25 at 06:49 PM, Administrative Staff A stated if the results of vital signs were found to be outside of parameters, staff needed to notify the doctor to see if the doctor wanted to do as it would be up to the doctor to hold the medication or not. Administrative Staff A stated if
the doctor wanted staff to give a medication outside of the ordered parameters, there should be a progress note documenting the call to the doctor and the doctor's order to go ahead and give the medication.The facility did not provide a policy related to following physician-ordered parameters for medication administration.
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Facility ID:
If continuation sheet
PROVIDENCE LIVING CENTER in TOPEKA, KS inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TOPEKA, KS, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PROVIDENCE LIVING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.