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C
Below Standard

LEGACY ON 10TH AVENUE

2015 SE 10TH AVENUE · TOPEKA, KS 66607

7852338918 · For profit - Limited Liability company

60 beds52.2 residents103 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LEGACY ON 10TH AVENUE receives an overall staffing grade of C (Below Standard). With 3.0307 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4481 HPRD, below the recommended 0.75. It is 0.87 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.01% compared to weekdays. The facility has low agency staff usage (2.86% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0307 HPRD — needs 0.45 more hours per resident per day.
⚠️RN staffing (0.4481 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.86%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0307hrs/resident/day▼ 0.87
CMS benchmark: 3.48
RN HPRD
0.4481hrs/resident/day▼ 0.23
Recommended: 0.75
Weekend Drop-off
15.01%
3.165 weekday → 2.6898 weekend
Agency Staff
2.86%
0.55% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4468hrs/resident/day
Direct care aides
LPN HPRD
0.6805hrs/resident/day
Licensed practical nurses
Consistency
0.3514std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Shawnee County Average-0.59 HPRD
3.63
03.03 HPRD
vs. Kansas State Average-1.05 HPRD
4.08
03.03 HPRD
vs. National Average-0.87 HPRD
3.90
03.03 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LEGACY ON 10TH AVENUE ★
TOPEKA · This facility
—
C
3.03070.4481★☆☆☆☆
PROVIDENCE LIVING CENTER
TOPEKA
0.4 mi
F
2.12560.323★★☆☆☆
Brewster Health Center
TOPEKA
3 mi
C
6.30750.5155★★★★★
MCCRITE PLAZA HEALTH CENTER
TOPEKA
3.9 mi
A
5.12120.821★★★★★
LEXINGTON PARK NURSING & POST ACUTE CENTER
TOPEKA
4.2 mi
B
4.65880.7086★★★★★
TOPEKA PRESBYTERIAN MANOR
TOPEKA
5 mi
B
4.81350.5517★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
45
Total Deficiencies
$103,737
Fines Assessed
Jul 7, 2025Health
1 deficiency cited
▼
Oct 9, 2024Health
17 deficiencies cited
▼
Jun 18, 2024Health
2 deficiencies cited
▼
Apr 23, 2024Health
1 deficiency cited
▼
Oct 25, 2023Health
2 deficiencies cited
▼
Oct 2, 2023Health
1 deficiency cited
▼
Jul 11, 2023Health
3 deficiencies cited· Includes actual harm
▼
Apr 18, 2023Health
14 deficiencies cited· Includes actual harm
▼
Oct 25, 2021Health
4 deficiencies cited
▼

Penalty History

Apr 18, 2023Fine
$103,737
Apr 18, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.