GoodStanding

Nursing home report

Advena Living on Tenth

Registered name: LEGACY ON 10TH AVENUE

TOPEKA, KS · Medicare-certified · 60 beds

Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall

Overall rating: 1 of 5 stars. Advena Living on Tenth has the lowest overall rating, with a 1-star health inspection rating, 3-star staffing, and 2-star quality measures; reported nurse staffing is 3.01 hours per resident per day versus the 4.1 federal benchmark, and there were $0 fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.0071 hrs/resident/day

Quality measures

Last inspection: March 31, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0071.

Staffing detail

Registered nurses
0.51
Licensed practical nurses
0.60
Nurse aides
1.90
Weekend nursing
2.70

Hours per resident per day.

Total staff turnover: 65%
Registered nurse turnover: 33%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

—40.9%—

Residents with a fall causing major injury

0%1.9%Worsening

Residents with pressure ulcers (bedsores)

2.8%1.9%Improving

Residents with a urinary tract infection

6.1%7.4%Worsening

Residents who lost too much weight

9.1%10.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

17%57.1%Worsening

Residents whose ability to walk got worse

4.1%11%Worsening

Long-stay residents on antianxiety or sleep medication

42.6%44.9%Worsening

Short-stay residents newly given an antipsychotic

—0%—

Residents with a long-term catheter

5.1%0%Improving

Residents with new or worsening incontinence

20.8%23.1%Worsening

Residents with depressive symptoms

0%4.2%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—98.1%—

Long-stay residents given the pneumonia vaccine

100%96.3%Worsening

Short-stay residents given the pneumonia vaccine

—95.2%—

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited March 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to ensure its staff were properly licensed, certified, or registered as required by state law. Cited March 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 839 — 42 CFR §483.70 — S/S: F

The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited March 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 925 — 42 CFR §483.90 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 17 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of ADVENA LIVING COMMUNITIES · 6 homes · 1.3 stars avg
Occupancy
53 residents on an average day (88% of 60 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 49 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.