CareRecords.org

Nursing homesKansas › Legacy on 10Th Avenue

Legacy on 10Th Avenue

2015 Se 10Th Avenue, Topeka, KS 66607 · 7852338918 · 60 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★☆☆ 3/5
Quality measures★★☆☆☆ 2/5

Ownership group

Per CMS filings, this facility is affiliated with Advena Living Communities, a group operating 6 facilities in 1 states. Group record: average rating 1.5/5, 1 abuse citation icons, 1 facilities on the Special Focus list, $311,860 in federal fines. This facility rates below its group average (1.5/5).

See all 6 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.01 (Kansas median: 3.94). RN hours: 0.51. Weekend total: 2.70. Nursing staff turnover: 65%.

Inspection deficiencies

All-time on record: 55 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-03-31Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. FHealthcorrected 2026-05-13
2026-03-31Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2026-05-13
2026-03-31Employ staff that are licensed, certified, or registered in accordance with state laws. Fcomplaintcorrected 2026-05-13
2026-03-31Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Fcomplaintcorrected 2026-05-13
2026-03-31Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. FHealthcorrected 2026-05-13
2026-03-31Honor 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. Ecomplaintcorrected 2026-05-13
2026-03-31Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. EHealthcorrected 2026-05-13
2026-03-31Ensure 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. EHealthcorrected 2026-05-13
2026-03-31Provide and implement an infection prevention and control program. EHealthcorrected 2026-05-13
2026-03-31Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. DHealthcorrected 2026-05-13
2026-03-31Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2026-05-13
2026-03-31Develop and implement policies and procedures for flu and pneumonia vaccinations. DHealthcorrected 2026-05-13
2026-03-31Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. CHealthcorrected 2026-05-13
2026-03-31Post nurse staffing information every day. CHealthcorrected 2026-05-13
2025-07-07Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-07-02
2024-10-09Conduct 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. Fcomplaintcorrected 2024-11-20
2024-10-09Honor the resident's right to manage his or her financial affairs. Ecomplaintcorrected 2024-11-20
2024-10-09Honor 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. Ecomplaintcorrected 2024-11-20
2024-10-09Honor 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. Ecomplaintcorrected 2024-11-20
2024-10-09Provide activities to meet all resident's needs. Ecomplaintcorrected 2024-11-20
2024-10-09Ensure the activities program is directed by a qualified professional. Ecomplaintcorrected 2024-11-20
2024-10-09Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Ecomplaintcorrected 2024-11-20
2024-10-09Provide and implement an infection prevention and control program. Ecomplaintcorrected 2024-11-20
2024-10-09Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Ecomplaintcorrected 2024-11-20
2024-10-09Allow resident to participate in the development and implementation of his or her person-centered plan of care. Dcomplaintcorrected 2024-11-20
2024-10-09Reasonably accommodate the needs and preferences of each resident. Dcomplaintcorrected 2024-11-20
2024-10-09Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2024-11-20
2024-10-09Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Dcomplaintcorrected 2024-11-20
2024-10-09Implement 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. Dcomplaintcorrected 2024-11-20
2024-10-09Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Dcomplaintcorrected 2024-11-20
2024-10-09Ensure residents have reasonable access to and privacy in their use of communication methods. Ccomplaintcorrected 2024-11-20
2024-10-09Post nurse staffing information every day. Ccomplaintcorrected 2024-11-20
2024-06-18Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Dcomplaintcorrected 2024-07-19
2024-06-18Notify 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. Dcomplaintcorrected 2024-07-19
2024-04-23Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Ecomplaintcorrected 2024-05-31
2023-10-25Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Dcomplaintcorrected 2023-12-06
2023-10-25Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Dcomplaintcorrected 2023-12-06
2023-10-02Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Dcomplaintcorrected 2023-10-27
2023-07-11Respond appropriately to all alleged violations. Kcomplaintcorrected 2023-08-04
2023-07-11Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Jcomplaintcorrected 2023-08-04

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

NameRoleType%Since
CGHII INCDirect Ownership InterestOrganizationNOT APPLICABLEsince 04/01/2019
CORNERSTONE GROUP HOLDINGS INCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 04/01/2019
NOVOTNY, MICHELLEIndirect Ownership InterestIndividualNOT APPLICABLEsince 04/01/2019
NOVOTNY, WILLIAMIndirect Ownership InterestIndividualNOT APPLICABLEsince 04/01/2019
NEW PARADIGM SOLUTIONS INCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 04/01/2019
NOVOTNY, MICHELLEOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2019
NOVOTNY, WILLIAMOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2019

Compare nearby (Shawnee County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 175113. Corrections: data@carerecords.org.