Deficiencies (last 9 years)
Deficiencies (over 9 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
90% occupied
Based on a February 2024 inspection.
Occupancy rate over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Sep 9, 2025
Visit Reason
The visit was a resurvey of Lexington Park Assisted Living conducted on 09/08/2025 and 09/09/2025 to verify compliance following a prior inspection.
Findings
The resurvey resulted in no citations or deficiencies at the assisted living facility.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 8, 2025
Visit Reason
This document represents the provider's plan of correction following a resurvey of the assisted living facility conducted on September 8 and 9, 2025.
Findings
The resurvey conducted on September 8 and 9, 2025, resulted in no citations.
Inspection Report
Follow-Up
Deficiencies: 2
Date: Mar 19, 2024
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected.
Findings
The report confirms that the deficiencies identified in the prior survey were corrected as of 03/18/2024.
Deficiencies (2)
Regulation 26-41-101 (f)(1) deficiency was corrected by 03/18/2024.
Regulation 26-41-204 (a) deficiency was corrected by 03/18/2024.
Inspection Report
Re-Inspection
Census: 54
Deficiencies: 2
Date: Feb 29, 2024
Visit Reason
The inspection was a resurvey with attached complaints to evaluate compliance with regulatory requirements at Lexington Park Assisted Living.
Complaint Details
The visit was triggered by multiple complaints (#184586, #184539, #184561, #182482, #180042, #178386, and #177167) related to resident care and safety.
Findings
The facility failed to protect residents by not following required procedures for mechanical sling lifts and health care services. One resident was injured due to improper transfer, and another resident's care plan lacked documentation of necessary assistive devices.
Deficiencies (2)
KAR 26-41-101(f)(1)(B) Staff Treatment of Residents: The operator failed to protect Resident 1 from neglect by not ensuring two-person assist during mechanical sling lift transfers, resulting in injury from contact with the bed frame.
KAR 26-41-204(a) Health Care Services: The operator failed to ensure a licensed nurse provided necessary health care services for Resident 5 by not including a bed assist device in the negotiated service agreement for transfers.
Report Facts
Resident census: 54
Staff in-service attendance: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA C | Certified Nurse Aide | Named in neglect finding for transferring Resident 1 alone with mechanical sling lift |
| Administrative Staff A | Confirmed improper transfer by CNA C and facility policies | |
| Administrative Nurse B | Confirmed lack of documentation for bed assist device in Resident 5's negotiated service agreement | |
| APRN D | Advanced Practice Registered Nurse | Documented Resident 1's fracture and pain |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 28, 2024
Visit Reason
This document represents the provider's plan of correction following a resurvey with attached complaints conducted on 02/28/24 and 02/29/24 at the assisted living facility.
Findings
The plan of correction addresses findings from a resurvey and multiple attached complaints at the assisted living facility conducted on the specified dates.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Sep 20, 2022
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-08-25.
Findings
All deficiencies have been corrected as of the compliance date of 2022-09-13, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 4
Date: Aug 25, 2022
Visit Reason
The inspection was a resurvey with complaint investigations #161997, #167190, and #167224 conducted at Lexington Park Assisted Living.
Complaint Details
The visit was complaint-related involving investigations #161997, #167190, and #167224. The complaints included issues with negotiated service agreements, emergency preparedness, infection control, and electronic monitoring paperwork. The findings substantiated failures in these areas.
Findings
The facility failed to ensure negotiated service agreements accurately described services and providers, failed to conduct quarterly emergency management plan reviews with residents, failed to implement proper infection control procedures, and failed to complete required paperwork for authorized electronic monitoring in resident rooms.
Deficiencies (4)
KAR 26-41-202 (a)(1)(2) The facility failed to ensure negotiated service agreements included descriptions of services and identification of providers, specifically regarding G-tube feedings and electronic monitoring.
KAR 26-41-104(d)(3) The facility failed to ensure quarterly review of the emergency management plan with all residents.
KAR 26-41-207 (b)(4) The facility failed to ensure staff used proper glove techniques to prevent infection spread when handling glasses and coffee cups.
Kansas Statute 39-981 The facility failed to ensure proper paperwork was completed for authorized electronic monitoring in resident rooms.
Report Facts
Census: 55
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 23, 2022
Visit Reason
The document is a plan of correction responding to findings from a resurvey with complaint investigations conducted on 08/23/22, 08/24/22, and 08/25/22 at an assisted living facility.
Findings
The plan of correction addresses citations found during the resurvey and complaint investigations numbered #161997, #167190, and #167224.
Inspection Report
Follow-Up
Deficiencies: 3
Date: Apr 29, 2021
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to confirm the date such corrective actions were accomplished.
Findings
All previously cited deficiencies identified by regulation numbers 26-41-202 (h), 26-41-204 (d), and 26-41-206 (a)(b) were corrected as of the revisit date.
Deficiencies (3)
Regulation 26-41-202 (h) deficiency was corrected by the revisit date.
Regulation 26-41-204 (d) deficiency was corrected by the revisit date.
Regulation 26-41-206 (a)(b) deficiency was corrected by the revisit date.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 8, 2021
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified during a prior inspection.
Findings
No specific deficiencies or findings are detailed in this document. It serves solely as a record of the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 10, 2021
Visit Reason
This document is a Plan of Correction related to deficiencies cited in a prior inspection of Lexington Park Assisted Living.
Findings
No specific findings or deficiencies are detailed in this Plan of Correction document.
Inspection Report
Renewal
Census: 44
Deficiencies: 3
Date: Mar 10, 2021
Visit Reason
The inspection was conducted as a survey for re-licensure with an attached complaint at Lexington Park Assisted Living in Topeka, KS.
Complaint Details
The inspection included an attached complaint investigation as part of the re-licensure survey.
Findings
The operator failed to ensure that negotiated service agreements (NSA) were properly signed by all involved individuals and that copies were provided to residents or their legal representatives. Additionally, NSAs lacked descriptions of health care services and the name of the licensed nurse responsible for plan implementation and supervision. The facility also failed to maintain a medical care provider's order for a resident on a mechanically altered diet and did not prepare the diet according to professional instructions.
Deficiencies (3)
KAR 26-41-202(h) NSA Signatures: The operator failed to ensure that each individual involved in the development of the negotiated service agreement signed the agreement and failed to provide copies to residents or their legal representatives.
KAR 26-41-204(d) Health Care Services: The negotiated service agreement lacked a description of the health care services to be provided and the name of the licensed nurse responsible for implementation and supervision.
KAR 26-42-206(a)(2) Dietary Services: The operator failed to ensure a medical care provider's order was on file for a resident receiving a mechanically altered diet and failed to prepare the diet according to instructions from a medical care provider or licensed dietitian.
Report Facts
Census: 44
Inspection Report
Routine
Deficiencies: 0
Date: Jun 22, 2020
Visit Reason
The facility underwent a special infection control survey for COVID-19 conducted on June 22, 2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 23, 2018
Visit Reason
This document is a Plan of Correction related to deficiencies identified during an inspection of Lexington Park Assisted Living on August 23, 2018.
Findings
No specific deficiencies or findings are detailed in this Plan of Correction document. It serves as a corrective action response to prior inspection findings.
Inspection Report
Renewal
Deficiencies: 0
Date: Aug 23, 2018
Visit Reason
A survey for re-licensure was conducted at the assisted living facility to assess compliance for license renewal.
Findings
The inspection resulted in a finding of no deficiency citations.
Inspection Report
Re-Inspection
Census: 51
Deficiencies: 1
Date: Sep 23, 2016
Visit Reason
The inspection was a licensure re-survey with complaints conducted at the assisted living facility on 9/21/16, 9/22/16, and 9/23/16.
Complaint Details
The visit was complaint-related as it was a licensure re-survey with complaints. Specific substantiation status is not stated.
Findings
The facility failed to provide health care services to resident #923 by qualified staff in accordance with acceptable standards of practice. Specifically, the facility did not follow a physician's order for a mechanical soft diet for the resident.
Deficiencies (1)
KAR 26-41-204(i) Health Care Services Standards of Practice. The facility failed to provide health care services to resident #923 by qualified staff in accordance with acceptable standards of practice, including failure to provide a physician-ordered mechanical soft diet.
Report Facts
Census: 51
Inspection Report
Re-Inspection
Deficiencies: 1
Date: Sep 23, 2015
Visit Reason
This is a revisit inspection to verify correction of previously reported deficiencies at Lexington Park Assisted Living.
Findings
The report confirms that the previously cited deficiency under regulation 26-41-101 (f) (1) was corrected as of the revisit date.
Deficiencies (1)
Regulation 26-41-101 (f) (1) deficiency was corrected by the revisit date of 09/23/2015.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 20, 2015
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies cited in an abbreviated survey conducted at Lexington Park.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission and modification dates.
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 1
Date: Aug 20, 2015
Visit Reason
The inspection was an abbreviated survey combined with a complaint investigation triggered by a missing resident incident at Lexington Park Assisted Living.
Complaint Details
The complaint investigation involved a resident who left the facility unnoticed on 2015-08-13 around 12:30 pm and was not discovered missing until approximately 5:20 pm. The resident was found deceased on 2015-08-20 in a wooded area adjacent to the facility. The investigation found failures in risk assessment, supervision, and policy enforcement.
Findings
The facility failed to ensure a cognitively impaired resident was protected from neglect related to elopement risk. The resident left the facility without staff knowledge or signing out, was missing for several hours, and was later found deceased. The facility also failed to enforce its sign in/out policy and adequately assess elopement risk.
Deficiencies (1)
KAR 26-41-101 (f) (1) (B) Staff Treatment of Residents: The facility neglected a resident by failing to provide or coordinate health care services to address elopement risk and failed to enforce sign in/out policies when residents left the building.
Report Facts
Resident census: 58
Elopement risk score: 14
Elopement risk score (adjusted): 17
Inspection Report
Re-Inspection
Deficiencies: 1
Date: Jul 6, 2015
Visit Reason
This is a follow-up visit to verify correction of previously reported deficiencies at Lexington Park Assisted Living.
Findings
The report documents that the previously cited deficiency under regulation 26-41-205 (h) has been corrected as of the revisit date.
Deficiencies (1)
Regulation 26-41-205 (h) deficiency was corrected by the revisit date of 07/06/2015.
Inspection Report
Renewal
Census: 51
Deficiencies: 1
Date: Jun 9, 2015
Visit Reason
Licensure Resurvey at Lexington Park Assisted Living on 6/08/15 and 6/09/15, including investigation of Complaints #76608 and #82625.
Complaint Details
Complaints #76608 and #82625 were investigated during this licensure resurvey.
Findings
Licensed nurses and medication aides failed to ensure insulin pens were stored according to manufacturer's recommendations. Open and in use insulin pens were improperly stored in the refrigerator instead of at room temperature as directed.
Deficiencies (1)
KAR 26-41-205(h) Medication Storage: Licensed nurses and medication aides failed to store insulin pens according to manufacturer's recommendations, keeping open and in use pens in the refrigerator instead of at room temperature.
Report Facts
Resident census: 51
Residents using insulin: 8
Sampled residents using insulin: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator (RCC)/Registered Nurse (RN) | Confirmed insulin pen storage practices and reviewed manufacturer's package insert. | |
| Operator | Stated nurses administer insulin to residents. |
Inspection Report
Follow-Up
Deficiencies: 3
Date: Jul 7, 2014
Visit Reason
This visit was conducted as a follow-up to verify correction of previously reported deficiencies at Lexington Park Assisted Living.
Findings
The report documents that all previously cited deficiencies identified by regulation numbers 26-41-204 (a), 26-41-205 (d) (1-2), and 28-39-255 were corrected as of the revisit date.
Deficiencies (3)
Regulation 26-41-204 (a): Previously cited deficiency corrected as of 07/07/2014.
Regulation 26-41-205 (d) (1-2): Previously cited deficiency corrected as of 07/07/2014.
Regulation 28-39-255: Previously cited deficiency corrected as of 07/07/2014.
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 3
Date: Jun 17, 2014
Visit Reason
The inspection was a resurvey and investigation of complaints #67101 and #75530 at Lexington Park Assisted Living conducted over multiple days in June 2014.
Complaint Details
The visit was triggered by complaints #67101 and #75530. The investigation substantiated that the facility failed to prevent elopement of a cognitively impaired resident, resulting in injury and hospitalization.
Findings
The facility failed to ensure a licensed nurse accurately assessed and coordinated necessary health care services for a cognitively impaired resident with wandering behaviors, resulting in the resident eloping, falling, fracturing an arm, and requiring hospitalization. Additionally, medication administration did not comply with medical orders, and the dietary area was found unsanitary with multiple cleanliness issues.
Deficiencies (3)
KAR 26-41-204(a) The licensed nurse failed to prevent a cognitively impaired resident with wandering and exit-seeking behaviors from eloping, resulting in injury and hospitalization.
KAR 26-41-205(d) The facility failed to administer medications according to medical orders, including improper timing of clonazepam and lack of documentation for missed Seroquel doses.
KAR 28-39-255(d) The dietary area was unsanitary with dust buildup, dead bugs, water damage, and lack of cleaning schedules, failing to provide sanitary meal preparation and service.
Report Facts
Census: 50
Deficiencies cited: 3
Distance walked by resident: 1.3
Medication dose: 0.5
Medication dose: 10
Medication dose: 28
Medication dose: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed nurse #B | Named in findings related to failure to assess resident and respond to door alarms | |
| Certified medication aide #C | Named in medication administration at unapproved time | |
| Certified medication aide #E | Named in observation and redirection of resident attempting to exit | |
| Certified nursing assistant #D | Named in resetting door alarm without checking outside |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089041 POC N6TM12
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as N6TM12 for facility State ID N089041 ASPEN.
Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089041 POC X8M211
Visit Reason
This document is a Plan of Correction related to a previous deficiency report for Lexington Park Assisted Living's COVID-19 inspection dated 6.22.2020.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a corrective action plan following the referenced deficiency report.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089041 POC 2XGB11
Visit Reason
This document is a Plan of Correction related to a prior inspection or deficiency report for the facility identified by State ID N089041 and Event ID 2XGB11.
Findings
No deficiency details or findings are included in this document. It serves as a placeholder or record for the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089041 POC ZC9N11
Visit Reason
This document is a plan of correction related to a prior inspection report for Lexington Park ALF.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a placeholder or reference for the plan of correction linked to a previous deficiency report.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089041 POC 6RT712
Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.
Findings
No deficiency details or findings are included in this Plan of Correction document. It only references the facility and event IDs with no records found for deficiencies.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089041 POC 9SBP11
Visit Reason
This document is a Plan of Correction related to a prior inspection of Lexington Park Assisted Living.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a record of the Plan of Correction submission and modification dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089041 POC N6TM11
Visit Reason
This document is a Plan of Correction related to a prior inspection or deficiency report for Lexington Park Assisted Living.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission and modification dates.
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