Legacy On 10Th Avenue - 1-Star Rehab Facility in Topeka, KS | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 35%Falls causing major injury 1.43%Pressure ulcers (high-risk) 3.35%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Jul 2025 (333 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
2/5
★★☆☆☆
Private Pay
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 43 min · US avg: 41 min
Total Nurse / Resident / Day
3h 2m
State avg: 4h 4m · US avg: 3h 53m
0 min
State avg: 2 min · US avg: 4 min
59 per 100
State avg: 50 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
154%above avg
US avg: 64%
Total Nurse Weekend
1h 47m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|
| 4/18/2023 | Fine | $103,737 | - |
| 4/18/2023 | Payment Denial | - | 79 |
| 4/18/2023 | Fine | $103,737 | - |
| 4/18/2023 | Payment Denial | - | 79 |
| 4/18/2023 | Fine | $103,737 | - |
| 4/18/2023 | Payment Denial | - | 79 |
| 4/18/2023 | Fine | $103,737 | - |
| 4/18/2023 | Payment Denial | - | 79 |
| 4/18/2023 | Fine | $103,737 | - |
| 4/18/2023 | Payment Denial | - | 79 |
| 4/18/2023 | Fine | $103,737 | - |
| 4/18/2023 | Payment Denial | - | 79 |
| 4/18/2023 | Fine | $103,737 | - |
| 4/18/2023 | Payment Denial | - | 79 |
| 4/18/2023 | Fine | $103,737 | - |
| 4/18/2023 | Payment Denial | - | 79 |
| 4/18/2023 | Fine | $103,737 | - |
| 4/18/2023 | Payment Denial | - | 79 |
Inspection Citations
Survey: July 7, 2025(3 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: October 9, 2024(51 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for Harm
N/A
State avg: 23.0 · US avg: 23.9
N/A
State avg: 11.7 · US avg: 12.0
1.4 per 100
State avg: 4.4 · US avg: 3.3
3.4 per 100
State avg: 4.6 · US avg: 5.1
N/A
State avg: 2.2 · US avg: 1.6
N/A
State avg: 73.5 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
12/100
Incentive Payment
-1.89% penalty
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
33.6 days
Avg Payment / Stay
$12,327.97
Patient Complexity
2.77 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Resident Rights Deficiencies
Complaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
⚪ MinimalResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
⚪ MinimalNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
⚪ MinimalResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
⚪ MinimalNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
⚪ MinimalResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
⚪ MinimalNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
Survey: June 18, 2024(6 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
Survey: April 23, 2024(3 citations)
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
Survey: October 25, 2023(6 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
+ 3 more survey(s) not shown in snapshot
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