Deficiency Index

The Healthcare Resort of Topeka

Topeka, Kansas · CCN 175555

10 surveys since 2016, 1 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
35
Surveys
10
Harm or worse
1
Immediate jeopardy
0
The record, 2016–2025
’16’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

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
70
Ownership
For profit - Corporation
Chain
THE ENSIGN GROUP
County
Shawnee
Medicare-certified since
2016

CMS ratings

Overall
5
Health inspection
5
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 43 for-profit facilities of 66–99 beds in Kansas.

Last survey on record

Dec 18, 2025

326 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 day3.733.56
Registered-nurse hours per resident day0.62—
Annual nurse turnover40.5%52.1%

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

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 minimalD1583.3%E211.1%F15.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 18 of the 35 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F5611×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

In the surveyor’s words

From the most serious findings on record at The Healthcare Resort of Topeka, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Dec 18, 2025

    The facility reported a census of 67 residents. Based on observation, interview, and record review, the facility failed to prepare food under sanitary conditions, related to the use of unsanitary pots and pans used to prepare food in the main kitchen, where all residents meals are prepared prior to distribution to two satellite kitchens, which include the east kitchenette that served the residents of the long-term care and skilled residents of the facility.Findings included: - On 12/15/2025 at 10:45 AM, observations during the main kitchen tour with Dietary Staff CC revealed the following concerns: Three pots had a black and brown substance built up on the outside and inside of the pots in areas that would come in contact with the food items prepared in the pots. […]

  • No harm, potential for more than minimal, patternF812Feb 13, 2024

    The facility had a census of 70 residents. The sample included 19 residents. Based on observation, record review, and interview, the facility failed to measure and record food temperatures for pureed food items at mealtimes, placing the two residents who received a pureed diet at risk for foodborne illness. Findings included: - On 02/08/24 at 11:40 AM, during the preparation of the two pureed diets, observation revealed Dietary Staff (DS) CC prepared the pureed diet food items. DS CC placed the servings of each food item into bowls and then placed the uncovered bowls on the lid of a compartment on the steam table. At 12:20 PM, DS CC served the pureed diets to the residents without checking the food items' temperatures before serving them. […]

  • No harm, potential for more than minimal, patternF883Feb 13, 2024

    The facility had a census of 70 residents. The sample included 19 residents with five residents reviewed for immunizations to include pneumococcal (a disease that refers to a range of illnesses that affect various parts of the body and are caused by infection) vaccinations. Based on record review and interview, the facility failed to follow the latest guidance from the Centers for Disease Control and Prevention (CDC) when they failed to offer, obtain an informed declination, or a physician-documented contraindication for pneumococcal PCV20 vaccination. […]

  • No harm, potential for more than minimal, isolatedF658Dec 18, 2025

    The facility reported a census of 67 residents; there were 18 residents sampled, which included two residents selected for closed record review. Based on observation, interview, and record review, the facility failed to ensure nursing documentation in Resident (R) 27's health record met the professional standards of care when staff repeatedly documented application of a brace or splint even when they did not apply the device, inaccurately representing the provision of treatments.Findings included:- R27's Electronic Medical Record (EMR) documented diagnosis of hemiplegia and hemiparesis following cerebral infarction (stroke) affecting the left non-dominant side (weakness and paralysis on one side of the body), other lack of coordination (a neurological sign characterized by a loss of muscle… […]

  • No harm, potential for more than minimal, isolatedF550Feb 13, 2024

    - On 02/07/24 at 12:05 PM, observation of the [NAME] dining room revealed residents sat at the dining room tables and ate lunch. Continued observation revealed Dietary Staff BB asked the surveyor to relocate to a different table in the dining room because the staff needed the feeders to sit at that table so staff could assist them with their meals. Dietary Staff BB again stated the other table where the feeders normally sat was filled up, so staff needed to use the table. On 02/13/24 at 09:30 AM, Administrative Nurse D verified staff were to not call residents feeders, the term was unacceptable. […]

Read 21 findings in full →The most serious and the most recent: 21 of 35 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 18, 2025Standard2 findings
  • Feb 13, 2024Standard and complaint9 findings
  • Aug 31, 2022Standard and complaint7 findings
  • Jun 2, 2021Standard2 findings
  • Nov 6, 2019Standard3 findings
  • Sep 19, 2018Standard4 findings
  • Jan 16, 2018Complaint1 finding · 1 harm
  • Jul 12, 2017Complaint1 finding
Show the 2 earlier surveys
  • Jan 23, 2017Complaint2 findings
  • Nov 10, 2016Complaint4 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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