About Legacy On 10th Avenue
Legacy On 10th Avenue, located in TOPEKA, KS, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Legacy On 10th Avenue
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 2.92 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the ADVENA LIVING COMMUNITIES network. This chain operates 6 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Legacy On 10th Avenue provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 2 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 128 | Mar 31, 2026 |
| Weighted Average | 180 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.7% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.4% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 21.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 9.1% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 2.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 4.6% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.5% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 99.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 98.3% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 15.9% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 43.3% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 98.1% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | N/A |
| Percentage of long-stay residents with pressure ulcers (QM479) | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 14.3% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 31.9% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 6 complaints
- 2024: 20 complaints
- 2025: 1 complaint
- 2026: 4 complaints
- Total: 31 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| May 13, 2026 | 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. |
| May 13, 2026 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| May 13, 2026 | Employ staff that are licensed, certified, or registered in accordance with state laws. |
| May 13, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Jul 02, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 20, 2024 | Provide and implement an infection prevention and control program. |
| Nov 20, 2024 | 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. |
| Nov 20, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Nov 20, 2024 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| Nov 20, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Nov 20, 2024 | Honor the resident's right to manage his or her financial affairs. |
| Nov 20, 2024 | Ensure residents have reasonable access to and privacy in their use of communication methods. |
| Nov 20, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Nov 20, 2024 | 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. |
| Nov 20, 2024 | 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. |
| Nov 20, 2024 | Provide activities to meet all resident's needs. |
| Nov 20, 2024 | Ensure the activities program is directed by a qualified professional. |
| Nov 20, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 20, 2024 | Post nurse staffing information every day. |
| Nov 20, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| Nov 20, 2024 | 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. |
| Nov 20, 2024 | 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. |
| Jul 19, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| Jul 19, 2024 | 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. |
| May 31, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Dec 06, 2023 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. |
| Dec 06, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Oct 27, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| Aug 04, 2023 | Provide care or services that was trauma informed and/or culturally competent. |
| Aug 04, 2023 | Respond appropriately to all alleged violations. |
| Aug 04, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
Nearby Hospitals
VA EASTERN KANSAS HEALTHCARE SYSTEM
TOPEKA, KS
STORMONT VAIL HOSPITAL
TOPEKA, KS
LMH
LAWRENCE, KS
F W HUSTON MEDICAL CENTER
WINCHESTER, KS
Owner & Operator Information
Business Entity
LEGACY ON 10TH OPCO, LLC
Ownership Structure
Management & Direction
- CORNERSTONE EMPLOYMENT SOLUTIONS INC ADP OF THE SNF
- TIMOTHY HESTON ADP OF THE SNF
- KIMPTON HOPKINS ADP OF THE SNF
- NEW PARADIGM SOLUTIONS INC OPERATIONAL/MANAGERIAL CONTROL
- NEW PARADIGM SOLUTIONS INC ADP OF THE SNF
- MICHELLE NOVOTNY OPERATIONAL/MANAGERIAL CONTROL
- WILLIAM NOVOTNY OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Lexington Park Nursing and Post Acute Center | N/A | 5 |
| Community Hospital Onaga Ltcu | N/A | 5 |
| The Healthcare Resort of Topeka | N/A | 5 |
| Brookside Retirement Community | N/A | 5 |
| Valley Health Care Center | N/A | 4 |
| Heritage Grove Estates | N/A | 5 |
| Baldwin Healthcare and Rehab Center, LLC | N/A | 5 |
| Brewster Health Center | N/A | 5 |
| Lawrence Presbyterian Manor | N/A | 4 |
| Lawrence Memorial Hospital Snf | N/A | 4 |
Related Analysis
Best Nursing Homes in TOPEKA, KS
Compare Legacy On 10th Avenue to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Legacy On 10th Avenue directly at 7852338918. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.