01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-07 | 20 | 2026-01-07 | 15 |
| Cycle 2 | 2024-02-22 | 27 | 2024-02-22 | 17 |
| Cycle 3 | 2022-08-18 | 11 | 2022-08-18 | 8 |
CMS CCN 1753402026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Gardens At Aldersgate
3220 Sw Albright Drive · Topeka, KS 66614 · Shawnee County
Certified beds175CMS provider file
Recent citation rows98current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
98 rows in the current release
4 rows carry G–L scope/severity codes; 1 carry J–L. 27 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-29 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Deficient, Provider has date of correction · 2026-07-20 · complaint2026-06-29 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-07-20 · complaint2026-06-29 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-07-20 · complaint2026-04-01 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaint2026-01-07 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2026-03-242026-01-07 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0576Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0805Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · HEALTHF0908Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-07 · FIREK0161Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2026-03-242026-01-07 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-03-242026-01-07 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-2403 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-10-02 | Fine | $23,520 | 0 |
| 2024-05-09 | Fine | $17,965 | 0 |
| 2024-02-22 | Fine | $15,132 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MIDWEST SNF HOLDINGS LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- MRCMM II LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- BHNV 2 LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- KAMNA HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- KANSAS SNF HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- MAD FAMILY HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- NATR TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- NZM HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- RARMNA HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- RATR TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- RECOVER-CARE HEALTHCARE LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- RNR HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- WETR TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- GOLDSTEIN, AVROHOMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- HALBERSTAM, MIRIAMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- HALBERSTAM, MOSHEIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- MARGULIES, ZISHAIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/28/2025
- MRC SNF MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.01per resident day
RN hours0.68per resident day
Weekend nurse hours3.71per resident day
Staff turnover64.2%CMS reported field
06 / LOCAL RECORDS
Open the Topeka ledger →Other published facilities nearby
Brewster Health Center97 beds · CMS overall 5/548 citation rowsBrighton Place North34 beds · CMS overall 4/536 citation rowsBrighton Place West50 beds · CMS overall 2/576 citation rowsCountryside Health Center97 beds · CMS overall 4/549 citation rowsHeritage Grove Estates80 beds · CMS overall 4/554 citation rowsLegacy On 10Th Avenue60 beds · CMS overall 1/599 citation rowsLexington Park Nursing & Post Acute Center90 beds · CMS overall 5/545 citation rowsPlaza West Healthcare And Rehab151 beds · CMS overall 1/5133 citation rows