Topeka, KS

Mccrite Plaza Health Center

5-star overall rating with 4-star inspections with $9,113 in total fines with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

1610 Sw 37th Street, Topeka, KS

(785) 267-2960

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

61

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.82

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.79

Licensed practical nurse staffing · state 0.67 · national 0.87

Aide hours / resident day

3.50

Nurse aide staffing · state 2.69 · national 2.35

Total nurse hours

5.12

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.61

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

4.74

Weekend nurse staffing · state 3.58 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.78

CMS adjusted RN staffing hours

Adjusted total hours

4.87

CMS adjusted total nurse staffing hours

Case-mix index

1.44

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,648

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.01

Composite VBP score used to determine payment impact.

Payment multiplier

0.9830

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.52% · Performance 21.35% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 5.67% · Performance 7.73% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.49

Baseline 35.82% · Performance 49.41% · Measure score 3.49 · Achievement 3.49 · Improvement 0

Adjusted total nurse staffing

5.71

Baseline 5.49 hours · Performance 4.70 hours · Measure score 5.71 · Achievement 5.71 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 7.9%
10.72%
2.8 pts better
Better than the National Rate · Eligible stays 251 · Observed rate 4.78% · Lower 95% interval 5.52%
Discharge to community 68.2%
50.57%
17.6 pts better
Better than the National Rate · Eligible stays 234 · Observed rate 64.96% · Lower 95% interval 62.85%
Medicare spending per beneficiary 1.23
1.02
0.2 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 216 · Denominator 216
Falls with major injury 1.39%
0.77%
0.6 pts worse
Numerator 3 · Denominator 216
Discharge self-care score 61.59%
53.69%
7.9 pts better
Numerator 101 · Denominator 164
Discharge mobility score 69.51%
50.94%
18.6 pts better
Numerator 114 · Denominator 164
Pressure ulcers or injuries, new or worsened 2.31%
2.29%
About the same
Numerator 5 · Denominator 216 · Adjusted rate 2.41%
Healthcare-associated infections requiring hospitalization 7.73%
7.12%
0.6 pts worse
No Different than the National Rate · Eligible stays 190 · Observed rate 7.37% · Lower 95% interval 5.09%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 125
Staff flu vaccination coverage 3.01%
42%
39 pts worse
Numerator 5 · Denominator 166
Discharge function score 66.46%
56.45%
10 pts better
Numerator 109 · Denominator 164
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 64 · Denominator 64
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 127 · Denominator 127
Resident COVID-19 vaccinations up to date 50.83%
25.2%
25.6 pts better
Numerator 61 · Denominator 120

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.8
0.3 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
2.2
1.2 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.8%
8.2 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
95.5%
2.1 pts better
95.5%
2.1 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6%
Percentage of long-stay residents experiencing one or more falls with major injury 3.0%
4.4%
1.4 pts better
3.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 2.3% · Q4 7.7% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 5.7%
5.6%
0.1 pts worse
11.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 5.6% · Q3 2.5% · Q4 7.7% · 4Q avg 5.7%
Percentage of long-stay residents who lose too much weight 5.3%
5.0%
0.3 pts worse
5.4%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 8.3% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.0%
23.2%
13.2 pts better
19.6%
9.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 7.1% · Q3 11.5% · Q4 9.5% · 4Q avg 10.0%
Percentage of long-stay residents who received an antipsychotic medication 9.6%
19.8%
10.2 pts better
16.7%
7.1 pts better
Long Stay · 2024Q4-2025Q3 · Q2 8.7% · Q3 9.5% · Q4 10.0% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 14.0%
18.4%
4.4 pts better
16.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 10.1%
18.8%
8.7 pts better
14.9%
4.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 17.9% · Q3 7.7% · Q4 5.0% · 4Q avg 10.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.9%
1.8%
0.1 pts worse
1.0%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.5% · Q3 0.0% · Q4 1.8% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.8%
3.1%
0.7 pts worse
1.7%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.7% · Q3 7.3% · Q4 0.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 33.8%
23.2%
10.6 pts worse
19.8%
14 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 39.7% · Q2 22.8% · Q3 40.5% · Q4 30.7% · 4Q avg 33.8%
Percentage of long-stay residents with pressure ulcers 2.4%
4.6%
2.2 pts better
5.1%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.9% · Q3 3.2% · Q4 2.9% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.3%
75.6%
13.7 pts better
81.7%
7.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 88.6% · Q3 86.6% · Q4 90.0% · 4Q avg 89.3%
Percentage of short-stay residents who had an outpatient emergency department visit 13.1%
11.7%
1.4 pts worse
12.0%
1.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 12.2% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
2.2%
1.7 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77.6%
73.5%
4.1 pts better
79.7%
2.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.0%
23.0%
1 pts better
23.9%
1.9 pts better
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 20.8% · Expected 22.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-07 · Fire 2024-08-07

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-02-02 · Fire 2023-02-02

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

15 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 3 Health 2021-08-18 · Fire 2021-08-18

5 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-07

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-10-17

F · Potential for more than minimal harm 2024-08-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-08-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-08-07

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-08-07

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-08-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-17

F · Potential for more than minimal harm 2023-02-02

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-03-22

F · Potential for more than minimal harm 2023-02-02

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-02-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-28

F · Potential for more than minimal harm 2021-08-18

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2021-09-27

F · Potential for more than minimal harm 2021-08-18

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2021-09-27

F · Potential for more than minimal harm 2021-08-18

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2021-09-27

F · Potential for more than minimal harm 2021-08-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-09-27

F · Potential for more than minimal harm 2021-08-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-09-27

F · Potential for more than minimal harm 2021-08-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2021-09-27

F · Potential for more than minimal harm 2021-08-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-09-27

F · Potential for more than minimal harm 2021-08-18

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2021-09-27

F · Potential for more than minimal harm 2021-08-18

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-09-27

F · Potential for more than minimal harm 2021-08-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-09-27

F · Potential for more than minimal harm 2021-08-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-09-27

E · Potential for more than minimal harm 2021-08-18

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2021-09-27

E · Potential for more than minimal harm 2021-08-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-09-27

E · Potential for more than minimal harm 2021-08-18

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2021-09-27

D · Potential for more than minimal harm 2021-08-18

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-09-27

Inspection history

Recent health citations

J · Immediate jeopardy 2025-01-29

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-28

E · Potential for more than minimal harm 2024-08-07

F941 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Corrected 2024-08-15

E · Potential for more than minimal harm 2024-08-07

F942 · Resident Rights Deficiencies

Health

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Corrected 2024-08-15

D · Potential for more than minimal harm 2024-08-07

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-08-15

D · Potential for more than minimal harm 2024-08-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-08-15

D · Potential for more than minimal harm 2024-08-07

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-08-15

G · Actual harm 2023-02-02

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-03-06

G · Actual harm 2023-02-02

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-06

E · Potential for more than minimal harm 2023-02-02

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-02

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-02

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-02

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-02

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-03-06

E · Potential for more than minimal harm 2021-08-18

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2021-09-24

E · Potential for more than minimal harm 2021-08-18

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2021-09-24

E · Potential for more than minimal harm 2021-08-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-09-24

D · Potential for more than minimal harm 2021-08-18

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2021-09-24

D · Potential for more than minimal harm 2021-08-18

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2021-09-24

Penalties and ownership

What sits behind the stars

$9,113 2025-01-29

Fine

Fine · fine $9,113

Fine

Ownership

Mccrite Real Estate Inc

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2000-12-29
Mccrite Family Gifting Trust

5% Or Greater Indirect Ownership Interest · Organization

35% 1 facilities 2000-12-29
Mccrite, Patrick

5% Or Greater Indirect Ownership Interest · Individual

33% 2 facilities 2000-12-29
Mccrite, Judith

5% Or Greater Indirect Ownership Interest · Individual

32% 2 facilities 2000-12-29
Mccrite Holding Company

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2022-12-29
Mccrite, Judith

Corporate Director · Individual

0% 2 facilities 2000-12-29
Mccrite, Judith

Corporate Officer · Individual

0% 2 facilities 2000-12-29
Mccrite, Patrick

Corporate Director · Individual

0% 2 facilities 2000-12-29
Mccrite, Patrick

Corporate Officer · Individual

0% 2 facilities 2000-12-29
Mccrite, Patrick

Contracted Managing Employee · Individual

0% 2 facilities 2001-10-25

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