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Public Record

The Gardens at Aldersgate

Nursing HomeTopeka, KSCMS 175340
95 citations on record

From CMS

Facility profile

CMS overall rating
1 / 5

*CMS Five-Star

Certified beds
175

*CMS

Avg. residents per day
162.6

*CMS

Inspection record

On record from CMS

Citations on record
95

*CMS

Inspections on file
13

*CMS

Last inspection
2026-01-07

*CMS

Citations

95 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0812Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0883Generalpotential for harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

  • 0908Generalpotential for harm

    Keep all essential equipment working safely.

  • 0211Generalpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0222Generalpotential for harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  • 0550Generalpotential for harm

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

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0576Generalpotential for harm

    Ensure residents have reasonable access to and privacy in their use of communication methods.

  • 0583Generalpotential for harm

    Keep residents' personal and medical records private and confidential.

  • 0605Generalpotential for harm

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

  • 0628Generalpotential for harm

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

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0690Generalpotential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • 0698Generalpotential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0914Generalpotential for harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0321Generalpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0293Generalpotential for harm

    Have properly located and lighted "Exit" signs.

  • 0291Generalpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0161Generalpotential for harm

    Use approved construction type or materials.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0761Generalpotential for harm

    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.

  • 0805Generalpotential for harm

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  • 0600Generalpotential for harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • 0211Generalpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0744Generalpotential for harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  • 0689Seriousactual harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0689Seriousactual harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0689Seriousimmediate jeopardy

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0363Generalno actual harm

    Install corridor and hallway doors that block smoke.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0761Generalpotential for harm

    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.

  • 0550Generalpotential for harm

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

  • 0211Generalpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0580Generalpotential for harm

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

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0686Seriousactual harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0690Generalpotential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • 0692Generalpotential for harm

    Provide enough food/fluids to maintain a resident's health.

  • 0698Generalpotential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0730Generalpotential for harm

    Observe each nurse aide's job performance and give regular training.

  • 0742Generalpotential for harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

  • 0744Generalpotential for harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  • 0745Generalpotential for harm

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

  • 0756Generalpotential for harm

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

  • 0758Generalpotential for harm

    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.

  • 0812Generalpotential for harm

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

  • 0867Generalpotential for harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0883Generalpotential for harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

  • 0001Generalpotential for harm

    Establish an Emergency Preparedness Program (EP).

  • 0007Generalpotential for harm

    Address patient/client population and determine types of services needed.

  • 0030Generalpotential for harm

    List the names and contact information of those in the facility.

  • 0034Generalpotential for harm

    Provide a means of sharing information on occupancy/needs.

  • 0161Generalno actual harm

    Use approved construction type or materials.

  • 0223Generalno actual harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

  • 0345Generalno actual harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0757Generalpotential for harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0753Generalno actual harm

    Have restrictions on the use of highly flammable decorations.

  • 0901Generalpotential for harm

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0923Generalno actual harm

    Have proper medical gas storage and administration areas.

  • 0744Generalpotential for harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  • 0372Generalpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0849Generalpotential for harm

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  • 0758Generalpotential for harm

    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.

  • 0756Generalpotential for harm

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

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0692Generalpotential for harm

    Provide enough food/fluids to maintain a resident's health.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0580Generalpotential for harm

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

  • 0550Generalpotential for harm

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

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0914Generalpotential for harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0222Generalpotential for harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

Showing the 10 most recent inspections. 3 earlier inspections are also on record.

FAQ

Questions and answers

What is The Gardens at Aldersgate?
The Gardens at Aldersgate is a Medicare- and Medicaid-certified nursing home in Topeka, KS, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 175340.
What is the CMS rating for The Gardens at Aldersgate?
The Gardens at Aldersgate has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does The Gardens at Aldersgate have?
The Gardens at Aldersgate is certified for 175 beds. It serves an average of 162.6 residents per day.
How many citations does The Gardens at Aldersgate have?
The Gardens at Aldersgate has 95 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was The Gardens at Aldersgate last inspected?
The Gardens at Aldersgate was last inspected on January 7, 2026. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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