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Legacy on 10th Avenue
2015 SE 10th Avenue, Topeka, KS 66607 (opens Google Maps) · Shawnee County · (785) 233-8918· 60 certified beds · avg 53 residents/day · certified since Nov 30, 1976 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ADVENA LIVING COMMUNITIES (6 facilities, chain avg rating 1.3★)
1/5
Health inspection rating (on-site)
inspected Mar 31, 2026
1
Serious findings on record
most recent Apr 18, 2023
$0
Fines, last 3 years
3.87
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Apr 18, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Immediate jeopardy, isolated · Apr 18, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 30, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 52 inspection findings. Open the full record below to read every finding.
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. F-0725
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint F-0812
The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint F-0839
View all 52 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 31, 2026 | F · Potential for more than minimal harm, widespread | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Mar 31, 2026 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812 |
| Mar 31, 2026 | F · Potential for more than minimal harm, widespread | The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint · F-0839 |
| Mar 31, 2026 | F · Potential for more than minimal harm, widespread | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925 |
| Mar 31, 2026 | F · Potential for more than minimal harm, widespread | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947 |
| Mar 31, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Mar 31, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Mar 31, 2026 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Mar 31, 2026 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Mar 31, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628 |
| Mar 31, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 31, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Mar 31, 2026 | C · Potential for minimal harm, widespread | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Mar 31, 2026 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Jul 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Oct 9, 2024 | F · Potential for more than minimal harm, widespread | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint · F-0838 |
| Oct 9, 2024 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint · F-0567 |
| Oct 9, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Oct 9, 2024 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585 |
| Oct 9, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint · F-0679 |
| Oct 9, 2024 | E · Potential for more than minimal harm, pattern | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. · from a complaint · F-0680 |
| Oct 9, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Oct 9, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Oct 9, 2024 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925 |
| Oct 9, 2024 | D · Potential for more than minimal harm, isolated | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint · F-0553 |
| Oct 9, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558 |
| Oct 9, 2024 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Oct 9, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint · F-0756 |
| Oct 9, 2024 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint · F-0758 |
| Oct 9, 2024 | D · Potential for more than minimal harm, isolated | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint · F-0849 |
| Oct 9, 2024 | C · Potential for minimal harm, widespread | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · from a complaint · F-0576 |
| Oct 9, 2024 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint · F-0732 |
| Jun 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623 |
| Jun 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint · F-0625 |
| Apr 23, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Oct 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690 |
| Oct 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint · F-0691 |
| Oct 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623 |
| Apr 18, 2023 | ▲ J · Immediate jeopardy, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Apr 18, 2023 | F · Potential for more than minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Apr 18, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Apr 18, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Apr 18, 2023 | E · Potential for more than minimal harm, pattern | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700 |
| Apr 18, 2023 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Apr 18, 2023 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (17 → 14).
All citationsSerious citations (G–L)
2023
All citations: 17
Serious citations (G–L): 1
2024
All citations: 20
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 14
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 17 | 1 | J ▲ |
| 2024 | 20 | 0 | F |
| 2025 | 1 | 0 | D |
| 2026 | 14 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityKansas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.87
Kansas average: 4.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.65
Kansas average: 0.81
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.48
Kansas average: 4.05
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Kansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.87 | 4.58 | 3.95 | bottom 30% in Kansas; top 45% in the U.S. |
| Registered Nurse hours | 0.65 | 0.81 | 0.69 | bottom 40% in Kansas; top 41% in the U.S. |
| Weekend total nurse staffing | 3.48 | 4.05 | 3.50 | bottom 33% in Kansas; top 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.49 | 0.48 | bottom 46% in Kansas; top 44% in the U.S. |
| Total nursing staff turnover (%) | 65.4 | 48.1 | 45.8 | bottom 13% in Kansas; bottom 9% in the U.S. |
| RN turnover (%) | 33.3 | 42.0 | 42.9 | top 34% in Kansas; top 33% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.01, RN 0.51, weekend 2.70.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.01 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Legacy on 10th Avenue. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cghii INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2019 |
| Cornerstone Group Holdings INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2019 |
| Novotny, Michelle | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2019 |
| Novotny, William | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2019 |
| Cornerstone Employment Solutions INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Heston, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 07/26/2019 |
| Hopkins, Kimpton | Individual | ADP of the SNF | NOT APPLICABLE | 01/06/2025 |
| New Paradigm Solutions INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| New Paradigm Solutions INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Novotny, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Novotny, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Advena Living Communities — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Orchard Gardens — Wichita, KS · overall 1/5
- Advena Living at Fountainview — Rose Hill, KS · overall 3/5
- Advena Living of Cherryvale — Cherryvale, KS · overall 1/5
- Bonner Springs Nursing & Rehab Center — Bonner Springs, KS · overall 1/5
- Clearwater Nursing & Rehabilitation Center — Clearwater, KS · overall 1/5abuseSFF
Listed by state, then facility name — not a ranking.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Kansas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 65% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 16 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Providence Living Center | 0.4 mi | Topeka, KS | ★☆☆☆☆ | 1/5 | SFF |
| Countryside Health Center | 0.6 mi | Topeka, KS | ★★★★☆ | 3/5 | |
| Brighton Place North | 1.9 mi | Topeka, KS | ★★★★☆ | 3/5 | |
| Brewster Health Center | 3.0 mi | Topeka, KS | ★★★★★ | 4/5 | |
| Brighton Place West | 3.7 mi | Topeka, KS | ★★☆☆☆ | 2/5 | |
| Heritage Grove Estates | 3.9 mi | Topeka, KS | ★★★★☆ | 4/5 | |
| Lexington Park Nursing & Post Acute Center | 4.2 mi | Topeka, KS | ★★★★★ | 5/5 | |
| Topeka Presbyterian Manor | 5.0 mi | Topeka, KS | ★☆☆☆☆ | 1/5 | |
| Tanglewood Nursing & Rehabilitation | 5.2 mi | Topeka, KS | ★☆☆☆☆ | 1/5 | SFF |
| Plaza West Healthcare and Rehab | 5.9 mi | Topeka, KS | ★☆☆☆☆ | 1/5 | |
| The Healthcare Resort of Topeka | 6.5 mi | Topeka, KS | ★★★★★ | 5/5 | |
| Rolling Hills Health Center | 7.2 mi | Topeka, KS | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Shawnee, KS — 15 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Rossville Healthcare and Rehabilitation Center — Rossville, KS · overall 1/5SFF
- The Gardens at Aldersgate — Topeka, KS · overall 1/5abuse
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 175113.