THE GARDENS AT ALDERSGATE

CMS abuse icon · Continuing care retirement community · CCN 175340 · THE GARDENS AT ALDERSGATE LLC · For profit - Limited Liability company · RECOVER-CARE HEALTHCARE chain · 175 certified beds · Shawnee · KS


THE GARDENS AT ALDERSGATE is a 175-bed nursing home in TOPEKA, Kansas. CMS has certified it for Medicare and Medicaid since 1995-02-01. It averages 161.4 residents a day.

What harm was found in the violations cited at THE GARDENS AT ALDERSGATE?

CMS lists 58 health-inspection deficiencies for THE GARDENS AT ALDERSGATE since 2022-08-18, 49 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 2026-06-29.

Survey dateTagDeficiencySeverity
2026-06-29F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2026-06-29F0602, F0761Protect each resident from the wrongful use of the resident's belongings or money. / 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
2026-04-01F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2026-01-07F0576, F0812, F0880Ensure residents have reasonable access to and privacy in their use of communication methods. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2026-01-07F0689, F0805, F0908Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Keep all essential equipment working safely.E
2026-01-07F0550, F0558, F0583, F0605, F0628, F0677, F0690, F0698, F0761, F0883Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Keep residents' personal and medical records private and confidential. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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 safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2025-07-16F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-12-30F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D
2024-10-02F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-05-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-03-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-02-22F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-02-22F0730, F0812, F0867Observe each nurse aide's job performance and give regular training. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2024-02-22F0761, F0880, F0883Ensure 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2024-02-22F0550, F0580, F0610, F0656, F0657, F0677, F0684, F0689, F0690, F0692, F0698, F0742, F0744, F0745, F0756, F0757, F0758Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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.D
2022-08-18F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2022-08-18F0550, F0580, F0609, F0689, F0692, F0756, F0758, F0849Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / 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

Why was THE GARDENS AT ALDERSGATE fined 3 times?

DateTypeAmount
2024-10-02Fine$23,520
2024-05-09Fine$17,965
2024-02-22Fine$15,132

How is THE GARDENS AT ALDERSGATE staffed relative to the KS average?

MeasureThis facilityKS average
Total nurse staffing hours per resident per day4.011894.06686
Total nursing staff turnover (%)64.248.1
Average number of residents per day161.450.5

Who owns THE GARDENS AT ALDERSGATE, and what chain is it in?

THE GARDENS AT ALDERSGATE is registered with CMS as For profit - Limited Liability company, operates under the legal business name THE GARDENS AT ALDERSGATE LLC and belongs to the RECOVER-CARE HEALTHCARE chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTMIDWEST SNF HOLDINGS LLC, MRCMM II LLCsince 02/28/2025
INDIRECT OWNERSHIP INTERESTBHNV 2 LLC, KAMNA HOLDINGS LLC, KANSAS SNF HOLDINGS LLC, MAD FAMILY HOLDINGS LLC, NATR TRUST, NZM HOLDINGS LLC, RARMNA HOLDINGS LLC, RATR TRUST, RECOVER-CARE HEALTHCARE LLC, RNR HOLDINGS LLC, WETR TRUST, GOLDSTEIN, AVROHOM, HALBERSTAM, MIRIAM, HALBERSTAM, MOSHE, MARGULIES, ZISHAsince 02/28/2025
OPERATIONAL/MANAGERIAL CONTROLMRC SNF MANAGEMENT LLC, CUEVAS, TRACI, MARGULIES, ZISHA, RHUNKE, MATTHEWsince 02/28/2025
ADP OF THE SNFKANSAS SNF HOLDINGS LLC, MAD FAMILY HOLDINGS LLC, MRC SNF MANAGEMENT LLC, NATR TRUST, RARMNA HOLDINGS LLC, RATR TRUST, RNR HOLDINGS LLC, WETR TRUST, CUEVAS, TRACI, RHUNKE, MATTHEWsince 02/07/2025

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