Shawnee County, Kansas · Nursing home
Legacy on 10th Avenue
1 of 5 overall from CMS
2015 SE 10th Avenue, Topeka, KS 66607
At a glance
- Overall rating 1 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.01 hours Below the state average of 4.07
- Nursing staff who left in a year 65.4% Above the state average of 48.1%
- Health citations, last 3 inspection cycles 52 1 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 88.3% of 60 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Legacy on 10th Avenue is a 60-bed nursing home in Topeka, Kansas (Shawnee County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.01 nurse staffing hours per resident per day, below the Kansas average of 4.07. CMS lists no fines in the past three years.
- Certified beds
- 60
- Residents per day (average)
- 53.0
- Certified since
- 1976 (50 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Advena Living Communities (6 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Legacy on 10th Avenue
Chosen from this home's public data.
- CMS counts 14 health deficiencies in the latest inspection cycle (the standard inspection on Mar 31, 2026 plus complaint and infection-control inspections); the Kansas average is 9.5. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 65.4%, above the Kansas average of 48.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.70 hours per resident on weekends against 3.01 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Kansas average 3.1
- Health inspections 1 of 5 Kansas average 2.9
- Staffing 3 of 5 Kansas average 3.5
- Quality measures 2 of 5 Kansas average 3.2
The vertical line marks the Kansas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.01 h Kansas average 4.07
- Nurse aides 1.90 h Kansas average 2.70
- Licensed practical nurses 0.60 h Kansas average 0.65
- Registered nurses 0.51 h Kansas average 0.71
- All staff, weekends 2.70 h Kansas average 3.60
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Kansas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover65.4%
- Kansas average48.1%
- Registered nurse turnover33.3%
- Kansas average42.0%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Kansas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Kansas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 31.6% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 10.1% | 4.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% | 1.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 6.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.0% | 6.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.5% | 4.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% | 92.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 13.5% | 16.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 43.1% | 23.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% | 95.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.2% | 4.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.7% | 22.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 32.9% | 18.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.04 | 1.80 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.57 | 2.13 | 1.78 |
Short-stay residents
| Measure | This home | Kansas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% | 76.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 73.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 22.4% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 52 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 28 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 18, 2023: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 31, 2026 | 14 | 8 |
| Oct 9, 2024 | 18 | 17 |
| Apr 18, 2023 | 20 | 22 |
Kansas homes averaged 9.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (52)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (May 13, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (May 13, 2026)
-
FPotential for more than minimal harm, widespread
Employ staff that are licensed, certified, or registered in accordance with state laws.
Complaint investigation · Administration · Deficient, Provider has date of correction (May 13, 2026)
-
FPotential for more than minimal harm, widespread
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (May 13, 2026)
-
FPotential for more than minimal harm, widespread
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (May 13, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 13, 2026)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (May 13, 2026)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (May 13, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 13, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (May 13, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 13, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (May 13, 2026)
-
CPotential for minimal harm, widespread
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (May 13, 2026)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (May 13, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Jul 2, 2025)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Nov 20, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to manage his or her financial affairs.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 20, 2024)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 20, 2024)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 20, 2024)
-
EPotential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 20, 2024)
-
EPotential for more than minimal harm, pattern
Ensure the activities program is directed by a qualified professional.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 20, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 20, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Nov 20, 2024)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Nov 20, 2024)
-
DPotential for more than minimal harm, isolated
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 20, 2024)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 20, 2024)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 20, 2024)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Nov 20, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Nov 20, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Nov 20, 2024)
Showing the 30 most recent of 52.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Kansas homes averaged 1.1 fines and $20,430 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Kansas
- Size100 of 296 by certified beds
- Kansas average residents per day50.5
- ChainAdvena Living Communities
- Chain average overall rating1.3 of 5
- Resident or family councilBoth
- Homes in Topeka14
- Homes in Shawnee County15
Common questions
What is the CMS star rating for Legacy on 10th Avenue?
Legacy on 10th Avenue has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 2.
How many beds does Legacy on 10th Avenue have?
Legacy on 10th Avenue has 60 certified beds. It averages 53.0 residents per day, about 88.3% of its certified beds.
How much nursing care do residents get at Legacy on 10th Avenue?
The home reports 3.01 hours of nurse staffing per resident per day, including 0.51 hours from registered nurses. The Kansas average is 4.07 hours and 0.71 hours from registered nurses.
Has Legacy on 10th Avenue been fined?
CMS lists no fines for this home in the past three years.
Does Legacy on 10th Avenue accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Providence Living Center 78beds 87.2%in use 2.46nurse hours a day
- 4 of 5 Countryside Health Center 97beds 93.6%in use 1.86nurse hours a day
- 4 of 5 Brighton Place North 34beds 94.7%in use 2.04nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Shawnee County
Who to call in Kansas
These offices serve residents of every nursing home in Kansas.
- Long-term care ombudsman Kansas Office of the State Long-Term Care Ombudsman 877-662-8362 (Toll-free. Topeka office 785-296-3017. Monday-Friday, 8:30 am - 5:00 pm.) An advocate for residents and their families.
- File a complaint about a nursing home KDADS Abuse, Neglect or Exploitation Hotline (adult care home complaints) 800-842-0078 (Monday through Friday, 8 am to 5 pm, excluding holidays. Email KDADS.ComplaintHotline@ks.gov; fax 785-296-0256. Outside hotline hours KDADS directs callers to local law enforcement for abuse, neglect or exploitation complaints.) The state agency that inspects nursing homes.
Kansas staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 175113. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.