About Plaza West Healthcare and Rehab
Plaza West Healthcare And Rehab, located in TOPEKA, KS, is a for-profit organization that accepts Medicare and Medicaid. This facility is part of a continuing care retirement community.
Why Families Choose Plaza West Healthcare and Rehab
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.68 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the RECOVER-CARE HEALTHCARE network. This chain operates 27 facilities.
Chain Performance Overview
Inspection
2.4
Staffing
2.3
Quality
3.2
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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
Plaza West Healthcare and Rehab provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
0.39
hrs/day
State: 0.71
US: 0.68
Case Mix Adj:
0.75
Quality Adj:
0.35
Licensed Practical Nurses
1.01
hrs/day
State: 1.37
US: 1.54
Case Mix Adj:
0.95
Quality Adj:
0.56
Certified Assistants
2.67
hrs/day
State: 2.69
US: 2.33
Case Mix Adj:
2.56
Quality Adj:
2.41
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 120 | Mar 19, 2025 |
| Weighted Average | 137 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 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) | 31.0% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 17.2% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.3% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.8% |
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) | 9.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.7% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 2.8% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.3% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.9% |
| 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) | 3.8% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 87.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 48.9% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.4% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 8.7% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 20.7% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 76.7% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 44.1% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 5.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 25.5% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 18.8% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 27 complaints
- 2024: 7 complaints
- 2025: 22 complaints
- Total: 56 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| May 09, 2025 | 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. |
| May 09, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| May 09, 2025 | Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. |
| May 09, 2025 | 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. |
| May 09, 2025 | Ensure that residents are free from significant medication errors. |
| May 09, 2025 | Ensure each resident?s drug regimen must be free from unnecessary drugs. |
| May 09, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| May 09, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| May 09, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| May 09, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| May 09, 2025 | Provide safe and appropriate respiratory care for a resident when needed. |
| May 09, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| May 09, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| May 09, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| May 09, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| May 09, 2025 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. |
| May 09, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| May 09, 2025 | 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 09, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. |
| May 09, 2025 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| May 09, 2025 | Provide and implement an infection prevention and control program. |
| Feb 21, 2025 | Provide safe and appropriate respiratory care for a resident when needed. |
| Oct 29, 2024 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. |
| Oct 29, 2024 | Provide and implement an infection prevention and control program. |
| Oct 29, 2024 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. |
| Oct 29, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Jan 26, 2024 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. |
| Jan 26, 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. |
| Jan 26, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| Nov 06, 2023 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| Nov 06, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| Nov 06, 2023 | Provide and implement an infection prevention and control program. |
| Nov 06, 2023 | 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. |
| Nov 06, 2023 | 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 06, 2023 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| Nov 06, 2023 | Post nurse staffing information every day. |
| Nov 06, 2023 | 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. |
| Nov 06, 2023 | Provide care or services that was trauma informed and/or culturally competent. |
| Nov 06, 2023 | Provide safe and appropriate respiratory care for a resident when needed. |
| Nov 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. |
| Nov 06, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Nov 06, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Nov 06, 2023 | Allow residents to self-administer drugs if determined clinically appropriate. |
| Nov 06, 2023 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. |
| Nov 06, 2023 | Honor the resident's right to organize and participate in resident/family groups in the facility. |
| Nov 06, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Nov 06, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Nov 06, 2023 | Provide activities to meet all resident's needs. |
| Nov 06, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Nov 06, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 19, 2023 | 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. |
| Sep 08, 2023 | Provide a written emergency evacuation plan. |
| Jul 27, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jul 27, 2023 | Provide and implement an infection prevention and control program. |
| Jul 27, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| Jul 27, 2023 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. |
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.
Nearby Hospitals
VA EASTERN KANSAS HEALTHCARE SYSTEM
TOPEKA, KS
4
STORMONT VAIL HOSPITAL
TOPEKA, KS
4
Owner & Operator Information
Business Entity
RECOVER-CARE PLAZA WEST CARE CENTER LLC
Ownership Structure
Management & Direction
- BHNV PROPERTY HOLDINGS 2 LLC ADP OF THE SNF
- GLENN HAGEN OPERATIONAL/MANAGERIAL CONTROL
- GLENN HAGEN ADP OF THE SNF
- KANSAS SNF HOLDINGS LLC ADP OF THE SNF
- DEBBIE LYDA OPERATIONAL/MANAGERIAL CONTROL
- MAD FAMILY HOLDINGS LLC ADP OF THE SNF
- ZISHA MARGULIES OPERATIONAL/MANAGERIAL CONTROL
- MRC SNF MANAGEMENT LLC ADP OF THE SNF
- MRC SNF MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL
- NATR TRUST ADP OF THE SNF
- NZM PROPERTY HOLDINGS 2 LLC ADP OF THE SNF
- RARMNA HOLDINGS LLC ADP OF THE SNF
- RATR TRUST ADP OF THE SNF
- JAMES RIDER OPERATIONAL/MANAGERIAL CONTROL
- JAMES RIDER ADP OF THE SNF
- RNR HOLDINGS LLC ADP OF THE SNF
- WETR TRUST ADP OF THE SNF
Associated Doctors
No associated doctor information available.
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 |
| Brewster Health Center | N/A | 5 |
| Heritage Gardens Health and Rehabilitation Center | N/A | 3 |
| Brighton Place North | N/A | 4 |
| Countryside Health Center | N/A | 4 |
Related Analysis
Best Nursing Homes in TOPEKA, KS
Compare Plaza West Healthcare and Rehab 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
Plaza West Healthcare and Rehab has a 1-star CMS overall rating out of 5, which indicates
care quality that may need improvement.
The nursing staff spends 3.68 hours per resident daily, compared to the national average of 3.87 hours.
Plaza West Healthcare and Rehab is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
- 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
Plaza West Healthcare and Rehab accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
- 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 Plaza West Healthcare and Rehab directly at 7852716700. Their admissions team can help determine coverage and out-of-pocket expenses.
When visiting Plaza West Healthcare and Rehab, pay attention to these important factors:
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.