LEGACY ON 10TH AVENUE
LEGACY ON 10TH AVENUE is a 60-bed nursing home in TOPEKA, Kansas. CMS has certified it for Medicare and Medicaid since 1976-11-30. It averages 53.0 residents a day.
What harm was found in the violations cited at LEGACY ON 10TH AVENUE?
CMS lists 52 health-inspection deficiencies for LEGACY ON 10TH AVENUE since 2023-04-18, 38 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-31.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-31 | F0725, F0812, F0839, F0925, F0947 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Employ staff that are licensed, certified, or registered in accordance with state laws. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F |
| 2026-03-31 | F0584, F0755, F0761, F0880 | 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide and implement an infection prevention and control program. | E |
| 2026-03-31 | F0628, F0689, F0883 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2026-03-31 | F0582, F0732 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Post nurse staffing information every day. | C |
| 2025-07-07 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-10-09 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F |
| 2024-10-09 | F0567, F0584, F0585, F0679, F0680, F0689, F0880, F0925 | Honor the resident's right to manage his or her financial affairs. / 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. / 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. / Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2024-10-09 | F0553, F0558, F0580, F0756, F0758, F0849 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / 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. | D |
| 2024-10-09 | F0576, F0732 | Ensure residents have reasonable access to and privacy in their use of communication methods. / Post nurse staffing information every day. | C |
| 2024-06-18 | F0623, F0625 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D |
| 2024-04-23 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2023-10-25 | F0690, F0691 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D |
| 2023-10-02 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| 2023-04-18 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-04-18 | F0801, F0880 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Provide and implement an infection prevention and control program. | F |
| 2023-04-18 | F0584, F0700, F0761, F0925 | 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. / 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. / 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2023-04-18 | F0550, F0582, F0657, F0692, F0726, F0757, F0804 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough food/fluids to maintain a resident's 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
How is LEGACY ON 10TH AVENUE staffed relative to the KS average?
| Measure | This facility | KS average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.00711 | 4.06686 |
| Total nursing staff turnover (%) | 65.4 | 48.1 |
| Average number of residents per day | 53.0 | 50.5 |
Who owns LEGACY ON 10TH AVENUE, and what chain is it in?
LEGACY ON 10TH AVENUE is registered with CMS as For profit - Limited Liability company, operates under the legal business name LEGACY ON 10TH OPCO, LLC and belongs to the ADVENA LIVING COMMUNITIES chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | CGHII INC | since 04/01/2019 |
| INDIRECT OWNERSHIP INTEREST | CORNERSTONE GROUP HOLDINGS INC, NOVOTNY, MICHELLE, NOVOTNY, WILLIAM | since 04/01/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | NEW PARADIGM SOLUTIONS INC, NOVOTNY, MICHELLE, NOVOTNY, WILLIAM | since 04/01/2019 |
| ADP OF THE SNF | CORNERSTONE EMPLOYMENT SOLUTIONS INC, NEW PARADIGM SOLUTIONS INC, HESTON, TIMOTHY, HOPKINS, KIMPTON | since 01/06/2025 |
Were you or a family member harmed at LEGACY ON 10TH AVENUE?