THE GARDENS AT ALDERSGATE (TOPEKA, KS) has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating, 3-star staffing and quality ratings, and reported nurse staffing of 4.00 hours per resident per day, slightly below the federal benchmark of 4.1. It also had $41,485 in fines in the last 24 months and a recent federal penalty, with recent citations for accident hazards/supervision, pressure ulcer care, and resident communication privacy.
Last inspection: January 7, 2026Penalties, last 24 months: $41,485recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9954.
Staffing detail
Registered nurses
0.64
Licensed practical nurses
0.87
Nurse aides
2.49
Weekend nursing
3.75
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 46%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
23.5%21.8%Improving
Residents with a fall causing major injury
3.1%3.6%Worsening
Residents with pressure ulcers (bedsores)
8.9%3.6%Improving
Residents with a urinary tract infection
2.4%0.8%Improving
Residents who lost too much weight
7.5%2.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.2%15.1%Worsening
Residents whose ability to walk got worse
23.2%21%Improving
Long-stay residents on antianxiety or sleep medication
19.8%23%Worsening
Short-stay residents newly given an antipsychotic
1.4%0%Improving
Residents with a long-term catheter
4.4%1.5%Improving
Residents with new or worsening incontinence
7.5%22.6%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—93.7%—
Long-stay residents given the pneumonia vaccine
100%97.1%Worsening
Short-stay residents given the seasonal flu vaccine
—84.6%—
Short-stay residents given the pneumonia vaccine
97%80%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $23,520 was recorded.
PENALTY
A federal fine of $17,965 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $56,617 in total fines.
Federal fine
Oct 2, 2024
$23,520
Federal fine
May 9, 2024
$17,965
Federal fine
Feb 22, 2024
$15,132
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of RECOVER-CARE HEALTHCARE · 27 homes · 2.4 stars avg
Occupancy
162.6 residents on an average day (93% of 175 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 31 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.