15 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Topeka, KS
2-star overall rating with 2-star inspections with $39,105 in total fines with 15 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
4712 Sw 6th Ave, Topeka, KS
(785) 272-6510
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
68
Certified beds
Average residents
59
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Manors Of Mid-America
Operator or chain grouping
Approved since
1994-07-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 4 overall / 4 health / 4 staffing / 3 quality stars
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
RN hours / resident day
0.55
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
3.23
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.81
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
4.52
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
5.44
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
1,590
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.48
Composite VBP score used to determine payment impact.
Payment multiplier
1.0105
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
2.17
Baseline 48.48% · Performance 54.81% · Measure score 2.17 · Achievement 2.17 · Improvement 0
Adjusted total nurse staffing
8.93
Baseline 4.73 hours · Performance 5.62 hours · Measure score 8.93 · Achievement 8.93 · Improvement 7.94
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.5% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 33 · Observed rate 0% · Lower 95% interval 6.4% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 95.45% |
95.27%
0.2 pts better
|
Numerator 21 · Denominator 22 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 22 |
| Discharge self-care score | 40.91% |
53.69%
12.8 pts worse
|
Numerator 9 · Denominator 22 |
| Discharge mobility score | 18.18% |
50.94%
32.8 pts worse
|
Numerator 4 · Denominator 22 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 22 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 96 |
| Staff flu vaccination coverage | 26.8% |
42%
15.2 pts worse
|
Numerator 26 · Denominator 97 |
| Discharge function score | 36.36% |
56.45%
20.1 pts worse
|
Numerator 8 · Denominator 22 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.8
0.7 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.9 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
2.2
0.3 pts better
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.5 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
91.8%
5.2 pts better
|
93.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 98.4% · Q3 98.3% · Q4 98.2% · 4Q avg 97.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
95.5%
1.4 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.2% |
4.4%
3.8 pts worse
|
3.3%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 9.7% · Q3 6.9% · Q4 3.6% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
5.6%
4.6 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 1.9% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 7.6% |
5.0%
2.6 pts worse
|
5.4%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 4.8% · Q3 13.2% · Q4 5.0% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.2% |
23.2%
9 pts better
|
19.6%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 17.4% · Q3 14.6% · Q4 14.6% · 4Q avg 14.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.1% |
19.8%
14.7 pts better
|
16.7%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.6% · Q3 6.2% · Q4 5.6% · 4Q avg 5.1% · 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 | 24.1% |
18.4%
5.7 pts worse
|
16.3%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 31.2% · 4Q avg 24.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.1% |
18.8%
1.3 pts worse
|
14.9%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 26.8% · Q3 25.6% · Q4 12.8% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.9% |
1.8%
3.1 pts worse
|
1.0%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 5.8% · Q3 2.1% · Q4 1.5% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.1% |
3.1%
1 pts worse
|
1.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.1% · Q3 3.6% · Q4 1.8% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.9% |
23.2%
4.7 pts worse
|
19.8%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.3% · Q2 27.8% · Q3 25.7% · Q4 18.1% · 4Q avg 27.9% |
| Percentage of long-stay residents with pressure ulcers | 0.8% |
4.6%
3.8 pts better
|
5.1%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 1.6% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.8% |
75.6%
12.2 pts better
|
81.7%
6.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.0% · Q4 91.7% · 4Q avg 87.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
11.7%
3.4 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 7.1% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 8.3% |
2.2%
6.1 pts worse
|
1.6%
6.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 8.3% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.9% |
23.0%
8.1 pts better
|
23.9%
9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 10.7% · Expected 17.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
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 2025-02-14
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-02-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-14
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-02-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-14
Fire Safety
Use approved construction type or materials.
Corrected 2025-02-14
Fire Safety
Meet other general requirements.
Corrected 2025-02-14
Fire Safety
Provide large enough exits.
Corrected 2025-01-27
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-01-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-14
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-01-27
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-22
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-22
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 2023-09-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-22
Fire Safety
Use approved construction type or materials.
Corrected 2022-01-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-01-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-01-13
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 2022-01-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-01-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-01-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-01-13
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 2022-01-13
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-01-13
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-02
Health
Provide activities to meet all resident's needs.
Corrected 2025-01-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-20
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-01-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-20
Health
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2025-01-20
Health
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2025-01-20
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-20
Health
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.
Corrected 2025-01-20
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 2025-01-20
Health
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.
Corrected 2025-01-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-01-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-12
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-12-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-14
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-14
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 2023-08-14
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 2023-08-14
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 2023-09-18
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-14
Health
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.
Corrected 2023-08-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-29
Health
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.
Corrected 2022-01-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-01-29
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 2022-01-29
Penalties and ownership
Fine · fine $12,048
Fine
Fine · fine $8,824
Fine
Fine · fine $18,233
Fine
Payment Denial · denial start 2023-08-23 · 26 days
26 day denial
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Topeka, KS
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
Topeka, KS
3-star overall rating with 2-star inspections with $15,076 in total fines with 5 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Topeka, KS
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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