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Topeka Community Healthcare Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 82
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 02/13/2012

Date of last standard health inspection: 02/13/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in KS: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in KS: 0 - 18

Inspection, 02/08/2011

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/08/2011 01/05/2001 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/08/2011 01/03/2002 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/08/2011 01/05/2001 2 Some
Provide housekeeping and maintenance services. 02/08/2011 00/07/2012 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/08/2011 00/07/2012 2 Few
Have a program that investigates 02/08/2011 00/07/2012 Some controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 02/08/2011 01/03/2002 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/08/2011 01/05/2001 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/08/2011 01/05/2001 2 Few
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/08/2011 00/07/2012 2 Few
At least once a month 02/08/2011 00/07/2012 Few have a licensed pharmacist review each resident's
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/08/2011 01/05/2001 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/08/2011 01/05/2001 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/08/2011 00/07/2012 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/08/2011 00/07/2012 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/08/2011 01/05/2001 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/08/2011 01/05/2001 2 Few
Conduct initial and periodic assessments of each resident's functional capacity. 02/08/2011 00/07/2012 2 Some
Develop a complete care plan that meets all the resident's needs 02/08/2011 00/07/2012 Few with timetables and actions that can be measured.

Inspection, 02/02/2010

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/02/2010 02/06/2010 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/02/2010 02/06/2010 and that incontinent patients receive proper servi unless medically necessary

Inspection, 02/09/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/09/2008 03/00/2009 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/09/2008 03/00/2009 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/09/2008 03/00/2009 2 Some
Have a program that investigates 02/09/2008 03/00/2009 Some controls and keeps infection from spreading.
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/09/2008 03/00/2009 2 Few
At least once a month 02/09/2008 03/00/2009 Few have a licensed pharmacist review each resident's
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/09/2008 03/00/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2008 03/00/2009 2 Few
Assist those residents who need help with eating/drinking 02/09/2008 03/00/2009 Few grooming and personal and oral hygiene.
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/09/2008 03/00/2009 and that incontinent patients receive proper servi unless medically necessary
Properly care for residents needing special services 02/09/2008 03/00/2009 colostomy including: injections
Provide routine and 24-hour emergency dental care for each resident. 02/09/2008 03/00/2009 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 02/09/2008 03/00/2009 2 Few
Develop a complete care plan that meets all the resident's needs 02/09/2008 03/00/2009 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 02/09/2008 03/00/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold 02/09/2008 03/00/2009 and manage each resident's personal money which is secure
Upon the death of a resident 02/09/2008 03/00/2009 Few convey the resident
Keep residents' personal and medical records private and confidential. 02/09/2008 03/00/2009 2 Few
Provide residents with private access to a telephone. 02/09/2008 03/00/2009 2 Few
Allow residents to self-administer drugs if determined safe. 02/09/2008 03/00/2009 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/09/2008 03/00/2009 2 Few

Inspection, 01/02/2007

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/02/2007 00/00/0000 2 Few

Inspection, 00/01/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 00/01/2006 00/06/2008 Many and develop corrective plans of action.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 00/01/2006 00/07/2009 Few neglect and misappropriation of personal property.
1) Hire only people with no legal history of abusing 00/01/2006 02/08/2008 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/01/2006 02/07/2007 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2006 00/07/2009 2 Few

Inspection, 00/04/2005

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 00/04/2005 01/02/2005 2 Few

Inspection, 00/03/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/03/2005 01/07/2005 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/03/2005 01/07/2005 4 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/03/2005 01/07/2005 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/03/2005 01/07/2005 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/03/2005 01/07/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/03/2005 01/07/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2005 01/07/2005 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/03/2005 01/07/2005 2 Few
Ensure residents maintain acceptable nutritional status. 00/03/2005 01/07/2005 3 Few
Provide or obtain dental services for each resident. 00/03/2005 01/07/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/03/2005 01/07/2005 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 00/03/2005 01/07/2005 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/03/2005 01/07/2005 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/03/2005 01/07/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/03/2005 01/07/2005 2 Few
Tell the resident or the resident 00/03/2005 01/07/2005 2 Few
Give notice to the resident before a room or roommate change. 00/03/2005 01/07/2005 2 Few

Inspection, 01/09/2003

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 01/09/2003 00/06/2004 Few grooming and personal and oral hygiene.
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/09/2003 00/06/2004 2 Few

Inspection, 02/08/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/08/2002 00/04/2004 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/08/2002 01/09/2004 2 Some
Have a program that investigates 02/08/2002 00/04/2004 Few controls and keeps infection from spreading.
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/08/2002 00/04/2004 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/08/2002 00/04/2004 2 Few
At least once a month 02/08/2002 00/04/2004 Some have a licensed pharmacist review each resident's
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/08/2002 00/04/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 02/08/2002 00/04/2004 Few grooming and personal and oral hygiene.
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/08/2002 00/04/2004 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/08/2002 00/04/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give notice to the resident before a room or roommate change. 02/08/2002 00/04/2004 2 Few

Inspection, 01/03/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/03/2002 01/09/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/03/2002 01/09/2003 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/03/2002 01/09/2003 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/03/2002 01/09/2003 2 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/03/2002 01/09/2003 1 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/03/2002 01/09/2003 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/03/2002 00/06/2004 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/03/2002 00/06/2004 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/03/2002 01/09/2003 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/03/2002 01/09/2003 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/03/2002 01/09/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/03/2002 01/09/2003 2 Few
Try to resolve each resident's complaints quickly. 01/03/2002 01/09/2003 2 Few

Inspection, 01/05/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2001 00/00/0000 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/05/2001 00/00/0000 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in KS Golden Living Center, Asheville
RN Staff Only1 N/A N/A 2 out of 5 stars
Total Number of Residents 86 52 59
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 19 hours 26 minutes 1 hour 15 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 18 hours 49 minutes 23 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 18 hours 48 minutes 52 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 20 hours 45 minutes 2 hours 24 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 02/23/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/23/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in KS: 2
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in KS: 0 - 2

Inspection, 01/04/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Back-up procedures in place for a faulty automatic sprinkler system. 01/04/2008 02/04/2008 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/04/2008 02/04/2008 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/04/2008 02/04/2008 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/04/2008 02/04/2008 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved back-up procedure for a faulty fire alarm system. 01/04/2008 02/04/2008 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/04/2008 02/04/2008 2 Some

Inspection, 02/04/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/04/2004 02/04/2004 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/04/2004 02/04/2004 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/04/2004 02/04/2004 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/04/2004 02/04/2004 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/04/2004 02/04/2004 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/04/2004 02/04/2004 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/04/2004 02/04/2004 2 Some

Inspection, 02/03/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/03/2002 01/05/2003 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/03/2002 01/05/2003 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/03/2002 01/05/2003 2 Many
Properly installed electrical wiring and equipment. 02/03/2002 01/05/2003 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/03/2002 01/05/2003 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/03/2002 01/05/2003 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/03/2002 01/05/2003 2 Many
Properly maintained smoke detectors. 02/03/2002 01/05/2003 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/03/2002 01/05/2003 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/03/2002 01/05/2003 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/03/2002 01/05/2003 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/03/2002 01/05/2003 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/03/2002 01/05/2003 2 Some
 

1821 Se 21st St
Topeka, KS 66607

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