Brewster Health Center
Topeka, Kansas · CCN 175044
13 surveys since 2012, 4 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 71
- Surveys
- 13
- Harm or worse
- 4
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 97
- Ownership
- Non profit - Church related
- Chain
- Independent
- County
- Shawnee
- Medicare-certified since
- 1967
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 57 facilities of 66–99 beds in Kansas.
Last survey on record
Jun 11, 2025
516 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.70 | 4.61 |
| Registered-nurse hours per resident day | 0.57 | — |
| Annual nurse turnover | 53.1% | 44.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1578.9% | E— | F315.8% |
| No harm, potential for minimal | A— | B— | C15.3% |
Most frequently cited here
In CMS’s current monthly file.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F7582×
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.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6051×
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
In the surveyor’s words
From the most serious findings on record at Brewster Health Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF761Jun 11, 2025
The facility had a census of 75 residents. The sample included 18 residents. Based on observation, interview, and record review, the facility failed to label Resident (R) 31 and R42's insulin (a hormone that lowers the level of glucose in the blood) flex pens when initially opened for use and when expired. This deficient practice placed the affected residents at risk for ineffective medications. Findings included: - On [DATE] at 08:05 AM, observation of the facility's Meadowlark Hall medication room revealed the following: R31's Basaglar (long-acting insulin) flex pen was not labeled with an opened date or an expired date. R42's Novolog (fast-acting insulin) flex pen was labeled with an expiration date of [DATE]. […]
- No harm, potential for more than minimal, widespreadF868Oct 9, 2023
The facility had a census of 76 residents. The sample included 18 residents. Based on record review and interview, the facility lacked evidence the required committee members attended the Quality Assessment and Assurance (QAA) Committee quarterly meetings. This placed the residents who resided in the facility at risk for decreased quality of care. Findings included: - On 10/09/23 at 12:50 PM, the facility's Quality Assurance Performance Improvement (QAPI) meeting attendance sheets lacked signatures of attendees/committee members on the sheets. […]
- No harm, potential for more than minimal, widespreadF812Apr 21, 2022
The facility had a census of 71 residents. The sample included 19 residents. Based on observation, record review, and interview the facility failed to prepare, store, distribute, and serve food under sanitary conditions for the 71 residents in the facility who received their meals from the facility kitchen. This placed the residents at risk for foodborne illness. Findings included: - On 04/18/22 at 07:10 AM, during initial tour, observation revealed the following: Four - 24 inches by 24 inches ceiling air vent grills/registers, located above the food preparation area, covered with brownish-gray, fuzzy substance. Two - 24 inches by 24 inches ceiling air vent grills/registers, located above the dishwasher area, covered with brownish-gray, fuzzy substance. […]
- No harm, potential for more than minimal, widespreadF812Mar 25, 2021
The facility had a census of 75 residents. Based on observation, record review, and interview, the facility failed to provide a backflow device (unwanted flow of water in the reverse direction) or floor drain with a two inch air gap for the drainage system of the kitchen ice machine, used by the 75 residents who resided in the facility. Findings Included: - On 03/24/21 at 11:34 AM, observation revealed two flex hoses (flexible water supply tubes that connect plumbing fixtures and appliances to the plumbing system) from the back of the ice machine connected to plastic drainpipes. Continued observation revealed the drainpipes extended approximately three inches into the floor drain, and the ends of the drainpipes were soiled and wet. […]
- No harm, potential for more than minimal, isolatedF605Jun 11, 2025
- R25's Electronic Medical Record (EMR) recorded diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion) and anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear). R25's Quarterly Minimum Data Set (MDS), dated [DATE], recorded R25 had severely impaired cognition. The MDS recorded R25 required staff assistance with most activities of daily living (ADL). The MDS recorded the resident received antipsychotic medication during the observation period. The Psychotropic Drug Use Care Area Assessment (CAA), dated 08/30/24, recorded R25 received antipsychotic medication and had dementia, anxiety, and depression diagnoses. […]
Read 24 findings in full →The most serious and the most recent: 24 of 71 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 11, 2025Standard and complaint8 findings
- Oct 9, 2023Standard and complaint7 findings
- Apr 21, 2022Standard4 findings
- Mar 25, 2021Standard7 findings
- Oct 12, 2020Complaint1 finding
- Jul 9, 2019Standard10 findings
- Jul 6, 2018Standard7 findings
- Jul 22, 2016Standard and complaint7 findings · 1 harm
Show the 5 earlier surveys
- Feb 25, 2015Standard5 findings · 1 harm
- Nov 13, 2014Complaint1 finding · 1 harm
- Nov 15, 2013—11 findings
- Dec 18, 2012—1 finding · 1 harm
- Feb 15, 2012—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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