Legacy on 10th Avenue
2015 Se 10th Avenue · Topeka, KS · 66607 · 7852338918
60 certified beds For profit - Limited Liability company Chain: Advena Living Communities
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.92 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 2.63 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (55 in the current record)
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Potential for harm · D March 31, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 13, 2026 · Resident Rights
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Potential for harm · D March 31, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 13, 2026 · Quality of Life and Care
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Potential for harm · F March 31, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 13, 2026 · Nursing and Physician Services
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Potential for harm · E March 31, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 13, 2026 · Pharmacy Service
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Potential for harm · E March 31, 2026
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 May 13, 2026 · Pharmacy Service
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Potential for harm · E March 31, 2026
Provide and implement an infection prevention and control program.
Corrected May 13, 2026 · Infection Control
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Potential for harm · D March 31, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 13, 2026 · Infection Control
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Potential for harm · F March 31, 2026
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 13, 2026 · Nursing and Physician Services
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Potential for harm · E March 31, 2026 · found via complaint
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.
Corrected May 13, 2026 · Resident Rights
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Potential for harm · F March 31, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 13, 2026 · Nutrition and Dietary
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Potential for harm · F March 31, 2026 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected May 13, 2026 · Administration
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Potential for harm · F March 31, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 13, 2026 · Environmental
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No harm found · C March 31, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 13, 2026 · Resident Rights
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No harm found · C March 31, 2026
Post nurse staffing information every day.
Corrected May 13, 2026 · Nursing and Physician Services
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Potential for harm · D July 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 2, 2025 · Quality of Life and Care
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Potential for harm · D October 9, 2024 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected November 20, 2024 · Resident Rights
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Potential for harm · D October 9, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected November 20, 2024 · Resident Rights
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Potential for harm · E October 9, 2024 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected November 20, 2024 · Resident Rights
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Potential for harm · D October 9, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 20, 2024 · Resident Rights
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Potential for harm · E October 9, 2024 · found via complaint
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.
Corrected November 20, 2024 · Resident Rights
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Potential for harm · E October 9, 2024 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected November 20, 2024 · Resident Rights
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Potential for harm · E October 9, 2024 · found via complaint
Provide activities to meet all resident's needs.
Corrected November 20, 2024 · Quality of Life and Care
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Potential for harm · E October 9, 2024 · found via complaint
Ensure the activities program is directed by a qualified professional.
Corrected November 20, 2024 · Quality of Life and Care
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Potential for harm · E October 9, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 20, 2024 · Quality of Life and Care
-
Potential for harm · D October 9, 2024 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 20, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175113 · certified since November 30, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.