Topeka Presbyterian Manor
4712 SW 6th Ave, Topeka, KS 66606 · Shawnee County · 68 certified beds · avg 60 residents/day · certified since Jul 15, 1994
Part of chain: PRESBYTERIAN MANORS OF MID-AMERICA (13 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 1, 2026 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 16, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 12, 2024 · F-0689 · triggered by a complaint
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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 13, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 1, 2024 · F-0689 · triggered by a complaint
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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 15, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 27, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 12, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 26, 2023 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 14, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (33)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 1, 2026 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Jun 17, 2025 | D · Potential for harm, one-off | 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 |
| Dec 11, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Dec 11, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 11, 2024 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Dec 11, 2024 | E · Potential for harm, repeated | 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. |
| Dec 11, 2024 | E · Potential for harm, repeated | 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. |
| Dec 11, 2024 | E · Potential for harm, repeated | The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about. |
| Dec 11, 2024 | E · Potential for harm, repeated | The facility did not include required infection control training — with written standards, policies, and procedures — as part of its infection prevention program. |
| Dec 11, 2024 | D · Potential for harm, one-off | 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. |
| Dec 11, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 11, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Dec 11, 2024 | D · Potential for harm, one-off | 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. |
| Dec 11, 2024 | D · Potential for harm, one-off | 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. |
| Dec 11, 2024 | D · Potential for harm, one-off | 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. |
| Dec 11, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 12, 2024 | ▲ G · Actual harm, one-off | 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 |
| Feb 1, 2024 | ▲ G · Actual harm, one-off | 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 |
| Nov 27, 2023 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 27, 2023 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint |
| Jul 26, 2023 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 26, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 26, 2023 | E · Potential for harm, repeated | 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. |
| Jul 26, 2023 | E · Potential for harm, repeated | 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. |
| Jul 26, 2023 | D · Potential for harm, one-off | 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. |
| Jul 26, 2023 | D · Potential for harm, one-off | 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. |
| Jul 26, 2023 | D · Potential for harm, one-off | 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. |
| Jul 26, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jul 26, 2023 | D · Potential for harm, one-off | 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. |
| Dec 30, 2021 | F · Potential for harm, facility-wide | 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. |
| Dec 30, 2021 | E · Potential for harm, repeated | 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. |
| Dec 30, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 30, 2021 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (9 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | F |
| 2023 | 11 | 2 | G ▲ |
| 2024 | 16 | 2 | G ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 1 | 1 | G ▲ |
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)
4 fines totaling $56,260, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 6, 2026 | Fine | $17,155 |
| Apr 6, 2026 | Payment Denial | 16 days from Apr 30, 2026 |
| Sep 12, 2024 | Fine | $12,048 |
| Feb 1, 2024 | Fine | $8,824 |
| Nov 27, 2023 | Fine | $18,233 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.12 | 4.58 | 3.95 | top 28% in Kansas; top 11% in the U.S. |
| Registered Nurse hours | 0.66 | 0.81 | 0.69 | bottom 41% in Kansas; top 41% in the U.S. |
| Weekend total nurse staffing | 4.68 | 4.05 | 3.50 | top 23% in Kansas; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.49 | 0.48 | bottom 23% in Kansas; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 47.4 | 48.1 | 45.8 | top 50% in Kansas; bottom 43% in the U.S. |
| RN turnover (%) | 42.9 | 42.0 | 42.9 | bottom 45% in Kansas; bottom 49% in the U.S. |
Hours are per resident per day, 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 4.54, RN 0.58, weekend 4.15. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Presbyterian Manors INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/30/1989 |
| Bonney, Robert | Individual | Corporate Director | NOT APPLICABLE | 04/23/2019 |
| Brennecke, Gary | Individual | Corporate Director | NOT APPLICABLE | 07/01/2015 |
| Cook, James | Individual | Corporate Director | NOT APPLICABLE | 07/01/2012 |
| Goodwin, John | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Harris, Daniel | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Hind, Sherry | Individual | Corporate Officer | NOT APPLICABLE | 07/01/1989 |
| McKell, Elizabeth | Individual | Corporate Director | NOT APPLICABLE | 07/01/2012 |
| Miller, Joan | Individual | Corporate Officer | NOT APPLICABLE | 09/01/1997 |
| Morrison, Aaron | Individual | Corporate Director | NOT APPLICABLE | 07/01/2015 |
| Nelson, Eleanor | Individual | Corporate Director | NOT APPLICABLE | 07/01/2010 |
| Owens, Melanie | Individual | Corporate Officer | NOT APPLICABLE | 07/10/2017 |
| Pilkinton, Heather | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/12/2016 |
| Presbyterian Manors of Mid-America INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/30/1989 |
| Shogren, Bruce | Individual | Corporate Officer | NOT APPLICABLE | 08/05/1996 |
| Taylor, William | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lexington Park Nursing & Post Acute Center | 0.9 mi | Topeka, KS | ★★★★★ | 5/5 | |
| Brighton Place West | 1.4 mi | Topeka, KS | ★★☆☆☆ | 2/5 | |
| The Healthcare Resort of Topeka | 1.5 mi | Topeka, KS | ★★★★★ | 5/5 | |
| Plaza West Healthcare and Rehab | 1.7 mi | Topeka, KS | ★☆☆☆☆ | 1/5 | |
| Tanglewood Nursing & Rehabilitation | 2.9 mi | Topeka, KS | ★☆☆☆☆ | 1/5 | SFF |
| Rolling Hills Health Center | 3.2 mi | Topeka, KS | ★★☆☆☆ | 2/5 | |
| Brewster Health Center | 4.0 mi | Topeka, KS | ★★★★★ | 4/5 | |
| The Gardens at Aldersgate | 4.2 mi | Topeka, KS | ★☆☆☆☆ | 1/5 | abuse |
| Brighton Place North | 4.5 mi | Topeka, KS | ★★★★☆ | 3/5 | |
| Heritage Grove Estates | 4.6 mi | Topeka, KS | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 175297.