Federal inspection record · CMS data as of October 1, 2026
The Gardens At Aldersgate
3220 Sw Albright Drive, Topeka, KS · (785) 478-9440
- Cited for abuse (CMS abuse icon)
- Certified beds
- 175
- Residents per day
- 155
- Ownership
- For-Profit
- Chain
- Recover-Care Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1995
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Kansas homes
The Gardens At Aldersgate carries 168.75 inspection points. That is fewer than 6% of Kansas's 293 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–27 pts
- 4★ 27–49 pts
- 3★ 49–71 pts
- 2★ 71–114.38 pts
- 1★ over 114.38 pts
Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
58 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care17E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide 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.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service10E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
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.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Resident Rights9F
- F
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Keep residents' personal and medical records private and confidential.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Environmental1E
- E
Keep all essential equipment working safely.
Nursing and Physician Services1F
- F
Observe each nurse aide's job performance and give regular training.
Inspection history
2026-01-07
20 health deficiencies · 15 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-02-22
27 health deficiencies · 17 fire-safety deficiencies
Top issue: Quality of Life and Care (12 deficiencies)
2022-08-18
11 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 15 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
4 h 15 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$56,617 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-02 | Fine | $23,520 |
| 2024-05-09 | Fine | $17,965 |
| 2024-02-22 | Fine | $15,132 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.6 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 98.0% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts better | 100.0% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 3.3% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.6 pts better | 0.0% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 4.3% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts worse | 24.0% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.6 pts worse | 21.3% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8 pts worse | 22.5% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better | 14.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 1.4% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts better | 0.8% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts worse | 27.0% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12 pts better | 89.1% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts better | 10.3% | 11.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 2.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4 pts worse | 71.4% | 75.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.5 pts worse | 23.8% | 22.3% | 23.4% |
·
Who owns and runs it
31 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bhnv 2 LLC | Indirect Ownership Interest · Organization | 0% | 14 facilities |
| Cuevas, Traci | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Cuevas, Traci | Adp Of The SNF · Individual | 0% | 2 facilities |
| Goldstein, Avrohom | Indirect Ownership Interest · Individual | 0% | 18 facilities |
| Halberstam, Miriam | Indirect Ownership Interest · Individual | 0% | 15 facilities |
| Halberstam, Moshe | Indirect Ownership Interest · Individual | 0% | 17 facilities |
| Kamna Holdings LLC | Indirect Ownership Interest · Organization | 0% | 15 facilities |
| Kansas SNF Holdings LLC | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| Kansas SNF Holdings LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Mad Family Holdings LLC | Indirect Ownership Interest · Organization | 0% | 31 facilities |
| Mad Family Holdings LLC | Adp Of The SNF · Organization | 0% | 31 facilities |
| Margulies, Zisha | Indirect Ownership Interest · Individual | 0% | 19 facilities |
| Margulies, Zisha | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Midwest SNF Holdings LLC | Direct Ownership Interest · Organization | 0% | 15 facilities |
| Mrc SNF Management LLC | Operational/Managerial Control · Organization | 0% | 25 facilities |
| Mrc SNF Management LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Mrcmm Ii LLC | Direct Ownership Interest · Organization | 0% | 11 facilities |
| Natr Trust | Indirect Ownership Interest · Organization | 0% | 31 facilities |
| Natr Trust | Adp Of The SNF · Organization | 0% | 31 facilities |
| Nzm Holdings LLC | Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Rarmna Holdings LLC | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Rarmna Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Ratr Trust | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Ratr Trust | Adp Of The SNF · Organization | 0% | 30 facilities |
| Recover-Care Healthcare LLC | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Rhunke, Matthew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rhunke, Matthew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rnr Holdings LLC | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Rnr Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Wetr Trust | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Wetr Trust | Adp Of The SNF · Organization | 0% | 30 facilities |
·
Fire safety
40 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- C
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems8F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Ensure proper usage of power strips and extension cords.
- B
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Egress8E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
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.
Emergency Preparedness5F
- F
Conduct testing and exercise requirements.
- F
Establish an Emergency Preparedness Program (EP).
- F
List the names and contact information of those in the facility.
- F
Provide a means of sharing information on occupancy/needs.
- F
Address patient/client population and determine types of services needed.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- B
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
Construction2E
- E
Use approved construction type or materials.
- C
Use approved construction type or materials.
Services2F
- E
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
·
Other homes nearby
-
Rolling Hills Health Center
Topeka, KS · Midwest Health
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 47 min
- Fines
- $14,186
-
Plaza West Healthcare And Rehab
Topeka, KS · Recover-Care Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 43 min
- Fines
- $51,087
-
Tanglewood Nursing & Rehabilitation
Topeka, KS · Hmg Healthcare · Special Focus
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 55 min
- Fines
- $227,440