Deficiency Index

Brighton Place North

Topeka, Kansas · CCN 17E256

10 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
75
Surveys
10
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file7/10

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
34
Ownership
For profit - Corporation
Chain
Independent
County
Shawnee
Medicare-certified since
1981

CMS ratings

Overall
4
Health inspection
3
Staffing
2
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 108 for-profit facilities with fewer than 66 beds in Kansas.

Last survey on record

Oct 15, 2025

390 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.043.78
Registered-nurse hours per resident day0.43—
Annual nurse turnover43.8%50.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$9,408 across 3 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1052.6%E421.1%F526.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 75 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7563×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 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.

  • F7612×

    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.

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  • F6281×

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

In the surveyor’s words

From the most serious findings on record at Brighton Place North, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF725Oct 15, 2025

    The facility had a census of 33 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to have sufficient licensed nursing staff 24 hours a day.Finding included:- On 10/14/25 at 03:00 PM, a review of Licensed Nurse (LN) H had an employment date of 09/25/23, and license verification revealed LN H's license had lapsed on 06/30/25. LN H, the only LN scheduled, worked the following dates:July 2025: 1, 2, 3, 7, 8, 9, 10, 14, 15, 16, 17, 21, 22, 23, 24, 25, 28, 29, 30, and 31.August 2025: 4, 5, 6, 7, 11, 12, 13, 14, 18, 19, 20, 21, 25, 26, 27, and 28.September 2025: 1, 2, 3, 4, 8, 9, 10,11,15, 16, 17, 18, 22, 23, 24, 25, 29, and 30.October 2025: 1, 2, 6, 7, 8, 9, 10, and 13.On 10/14/25 at 03:30 PM, Administrative Staff A and… […]

  • No harm, potential for more than minimal, widespreadF812Oct 15, 2025

    The facility had a census of 33 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to store, prepare, distribute, and serve food by professional standards for food service safety in one kitchen. Findings included:- On 10/13/25 at 08:00 AM, observation in the kitchen revealed the following.A kitchen refrigerator labeled #1 had a 1/2 full, five-gallon container of cottage cheese with an expiration date of 09/20/25.On 10/13/25 at 08:05 AM, Certified Dietary Aide (CNA) M verified the finding and stated she was not a dietary staff member; she was helping today. […]

  • No harm, potential for more than minimal, widespreadF880Oct 15, 2025

    The facility had a census of 33 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to implement Enhanced Barrier Precautions (EBP- an infection control practice that uses personal protective equipment (PPE) to reduce the spread of multi-drug-resistant organisms (MDRO- common bacteria that have developed resistance to multiple types of antibiotics) for Resident (R) 4, who had an indwelling urinary catheter (tube placed in the bladder to drain urine into a collection bag). The facility also failed to implement a water management program for Legionella disease (Legionella is a bacterium spread through mist, such as air-conditioning units in large buildings. […]

  • No harm, potential for more than minimal, widespreadF801Feb 22, 2024

    The facility had a census of 33 residents. The facility had one kitchen. Based on observation, record review, and interview, the facility failed to employ a full-time certified dietary manager for the 32 residents who resided in the facility and received meals from the facility kitchen. This placed the residents at risk for inadequate nutrition. Findings included: - On 02/20/24 at 10:30 AM, a review of the noon meal consisted of spaghetti and noodles, lettuce salad, and peach cobbler. On 02/20/24 at 11:00 AM, observation revealed Dietary Staff (DS) BB in the kitchen overseeing the preparation of the noon meal. […]

  • No harm, potential for more than minimal, widespreadF851Feb 22, 2024

    The facility had a census of 33 residents. Based on observation, interview, and record review, the facility failed to submit complete and accurate staffing information through Payroll Based Journaling (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing. Findings included: - The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) 2023 Quarter 1 and FY 2023 Quarter 2 indicated the facility did not have licensed nurse coverage 24 hours a day, seven days a week on multiple (10) dates. A review of the facility licensed nurse timeclock data for the dates listed on the PBJ revealed a licensed nurse was on duty for 24 hours a day seven days a week. […]

Read 20 findings in full →The most serious and the most recent: 20 of 75 on record.

Every survey on record

FindingsAt actual harm or above

  • Oct 15, 2025Standard9 findings
  • Feb 22, 2024Standard7 findings
  • Oct 20, 2022Standard and complaint3 findings
  • Jul 7, 2021Standard7 findings
  • Nov 18, 2019Standard7 findings
  • Nov 15, 2018Standard10 findings
  • Jul 25, 2017Standard4 findings
  • Jul 24, 2014Standard and complaint18 findings
Show the 2 earlier surveys
  • Apr 10, 2013—2 findings
  • Mar 22, 2011—8 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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