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Nursing Home in Topeka

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Gardens at Aldersgate LLC

Nursing Home in Topeka

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Gardens at Aldersgate LLC

Overview of The Gardens at Aldersgate LLC
The Gardens at Aldersgate is a senior living facility located in Topeka, KS. It offers a range of services including short stay and long-term care, rehabilitation therapy, and personal care. The facility is equipped with state-of-the-art medical equipment and provides a comfortable environment for residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5
Kansas average: 2.8/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5
Kansas average: 2.7/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5
Kansas average: 3.6/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5
Kansas average: 3.2/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 43m per day

This home provides 21% less nursing time per resident than the Kansas average.

Kansas average: 4h 43m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 35m per day 43m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 37m per day 2h 42m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 48m per day 3h 35m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 3m per day 2m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 24m per day 29m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 175

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Kansas average: 79.5%
Occupancy rate 65.1%
Residents per day 114
Occupancy rate
65.1%
Residents per day
114

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

59% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

38% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

3% of new residents, often for long-term daily care.

Typical stay 5 - 6 years

Finances and operations

Privately-owned community
Home revenue
$18.1M
Profit
$2.6M
Privately-owned community
Home revenue
$18.1M
Profit
$2.6M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.7M
36.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.8M
Total costs $15.5M
Bed community size
175-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
5 years in operation
An established community with some operational experience and growing routines.
BBB Rating
BBB Rating: B- (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
65%
In line with Kansas average
Occupied beds
114 / 175
Average residents 50 per day

License Details

Facility TypeNursing Facility
StatusActive
CountyShawnee

Additional Licensing Details

License Number175340
CMS Certification Number175340

Ownership & Operating Entity

The Gardens at Aldersgate LLC is administrated by Morgan Morris.

Owner NameBETTEN END SNF REALTY LLC

Safety & Compliance

Safety Features24 Hour Security

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMoshe Halberstam

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

9 services
Short Stay & Long Term Care
Medical Care
Rehabilitation Therapy
Personal Care
Mental Health & Recovery
Palliative & Hospice Care
Total Parenteral Nutrition (Tpn)
Discharge Planning
Additional Care

Amenities & Lifestyle

25 amenities
High-Tech Rehab Equipment
Three Chef-Prepared Daily Meals
Onsite Physicians
Onsite Dieticians
Whirlpool Tub
Medication Administration
Bathing Assistance
Housekeeping And Laundry Services
Social Work Services
Enriching Programs And Recreation
Engaging Activities For All Levels Of Care
42” Smart Tvs
Wifi
Cable Television
Dining And Living Areas
Emergency Nurse On Call
24 Hour Security
Beauty Salon And Barber Shop
Transportation
Dental Office
Podiatry Services
Audiology Services
Medical Care
Psychiatric Care
Radiology And Laboratory Services Onsite
Specific ProgramsShort Stay & Long Term Care, Medical Care, Rehabilitation Therapy, Personal Care, Mental Health & Recovery, Palliative & Hospice Care, Respite Care, Total Parenteral Nutrition (TPN), Discharge Planning, Additional Care

Dining & Nutrition

Food DescriptionThree chef-prepared daily meals are provided.
Meals IncludedYes

Contact The Gardens at Aldersgate LLC

Inspection History

In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.

78 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date August 5, 2025

264 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Kansas average: 100 deficiencies

Inspection Report Summary for The Gardens at Aldersgate LLC

The most recent inspection on May 7, 2021, found no deficiencies, confirming the facility was in compliance with all surveyed regulations. Prior inspections showed a pattern of deficiencies primarily related to medication management, including issues with insulin pen dating and storage, as well as infection control practices such as proper PPE use and cleaning protocols. Complaint investigations occasionally substantiated medication errors and care planning concerns, including a notable medication transcription error that led to emergency hospitalization in 2017. Enforcement actions included denial of payment for new Medicare and Medicaid admissions in 2015 and 2016 due to deficiencies involving pressure ulcer care and quality of care issues, but no fines or license suspensions were listed in the available reports. The facility’s record indicates improvement over time, with recent inspections showing correction of earlier deficiencies and compliance with regulatory requirements.

Health Inspection History

Inspections
Total health inspections 9

Kansas average 4.5


Last Health inspection on Jul 2025

Total health citations 40

Kansas average 26.9

Citations per inspection
4.44

Kansas average 6.07


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

10 of 40 citations resulted from standard inspections; 6 of 40 resulted from complaint investigations; and 24 of 40 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
11% worse than Kansas average

Kansas average: 0.9


Serious Health citations More info 3
233% worse than Kansas average

Kansas average: 0.9

1 critical citation More info Kansas average: 0.9

3 serious citations More info Kansas average: 0.9

36 moderate citations More info Kansas average: 24.6

0 minor citations More info Kansas average: 0.5
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jul 16, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Dec 30, 2024
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 02, 2024
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. May 09, 2024
Corrected

Compare Nursing Homes around Topeka The information below is reported by the Kansas Department for Aging and Disability Services.

5 facilities compared · CMS & KS Dept. of Health data · Updated Apr 2026

Filter by care type
Brighton Place West Health Center LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Topeka50 96.0% +21%2.68 +30%-42%1205.0249---$3.2M$1.0M31.9%175547
The Gardens at Aldersgate LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Topeka175 81.6% +3%3.72 +5%-20%3404.44143B---$18.1M$6.7M36.9%175340
Tanglewood Nursing and Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Topeka54 87.3% +10%3.12 +3%-33%4469.2347---$4.8M$1.8M38.1%175463
Plaza West Healthcare and Rehab Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Topeka (Southwest Topeka)151 81.3% +2%3.09 -35%-33%12757.55126- 52 -$12.9M$5.9M45.7%175255
Topeka Center for Rehabilitation and Nursing -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Topeka (Southwest Topeka)120 86.9% +9%------000.00-- 62 -$7.4M$1.6M21.1%175172

Places of interest near The Gardens at Aldersgate LLC

Address 0.0 miles from city center Info Estimated distance in miles from TOPEKA's city center to The Gardens at Aldersgate LLC's address, calculated via Google Maps.

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 434
Employees 268
Contractors 166
Staff to resident ratio 2.93:1
29% better than Kansas average

Kansas average ratio: 2.27:1

Avg staff/day 85
Average shift 8 hours
0% compared with Kansas average

Kansas average: 7.7 hours

Total staff hours (quarter) 61,847
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 46
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 62
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 240
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

15.2%

9,396 contractor hours this quarter

Certified Nursing Assistant: 83 Licensed Practical Nurse: 24 Medication Aide/Technician: 21 Registered Nurse: 13 Physical Therapy Aide: 10 Speech Language Pathologist: 7 Physical Therapy Assistant: 5 Respiratory Therapy Technician: 2 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant1578324029,98891100%7.9
Licensed Practical Nurse38246210,77891100%8.8
Registered Nurse3313465,80391100%9.2
Medication Aide/Technician2821495,66591100%8.4
Speech Language Pathologist0771,8247077%5.9
Other Dietary Services Staff3031,2788796%7.7
Clinical Nurse Specialist2021,1236571%9
Administrator2021,0406571%8
Mental Health Service Worker3039796976%7.5
Physical Therapy Aide010109747178%5.9
Physical Therapy Assistant0555696673%5.9
Nurse Practitioner1015206571%8
Dietitian1015126470%8
Qualified Social Worker0114116369%6.5
Respiratory Therapy Technician0223845965%6.5
240 Certified Nursing Assistant
% of Days 100%
62 Licensed Practical Nurse
% of Days 100%
46 Registered Nurse
% of Days 100%
49 Medication Aide/Technician
% of Days 100%
7 Speech Language Pathologist
% of Days 77%
3 Other Dietary Services Staff
% of Days 96%
2 Clinical Nurse Specialist
% of Days 71%
2 Administrator
% of Days 71%
3 Mental Health Service Worker
% of Days 76%
10 Physical Therapy Aide
% of Days 78%
5 Physical Therapy Assistant
% of Days 73%
1 Nurse Practitioner
% of Days 71%
1 Dietitian
% of Days 70%
1 Qualified Social Worker
% of Days 69%
2 Respiratory Therapy Technician
% of Days 65%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 148
Medicare
22
14.9% of residents
Medicaid
69
46.6% of residents
Private pay or other
57
38.5% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.4
10% better than Kansas average

Kansas average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.6
25% better than Kansas average

Kansas average: 20.7

Long-stay resident measures
Below average Kansas avg: 2.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 10.4%
45% better than Kansas average

Kansas average: 19.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.5%
6% worse than Kansas average

Kansas average: 19.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.9%
33% better than Kansas average

Kansas average: 23.8%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.9%
11% worse than Kansas average

Kansas average: 4.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.9%
48% worse than Kansas average

Kansas average: 4.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.6%
49% better than Kansas average

Kansas average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.4%
14% better than Kansas average

Kansas average: 5.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Kansas average

Kansas average: 5.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.5%
33% worse than Kansas average

Kansas average: 16.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.9%
5% better than Kansas average

Kansas average: 91.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.7%
In line with Kansas average

Kansas average: 95.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.38
25% better than Kansas average

Kansas average: 1.84

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.45
33% better than Kansas average

Kansas average: 2.16

Short-stay resident measures
Average Kansas avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.5%
25% better than Kansas average

Kansas average: 75.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
20% better than Kansas average

Kansas average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 84.6%
15% better than Kansas average

Kansas average: 73.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.8%
17% worse than Kansas average

Kansas average: 23.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.4%
In line with Kansas average

Kansas average: 11.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.9%
16% worse than Kansas average

Kansas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 67.8%
26% better than Kansas average

Kansas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 64.1%
27% better than Kansas average

Kansas average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $57K
29% higher than Kansas average

Kansas average: $44K

Number of fines 3
24% more fines than Kansas average

Kansas average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Kansas average

Kansas average: 0.3

Fines amount comparison
Fines amount comparison
This facility $57K
Kansas average $44K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 2, 2024
$24K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 9, 2024
$18K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 22, 2024
$15K

Last updated: Jan 2026

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Financial Aid for Kansas Seniors

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Frail Elderly Waiver

Kansas Medicaid FE Waiver

Age 65+, Kansas resident, Medicaid-eligible, nursing home- level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Requires care level assessment.

Senior Care Act

Kansas SCA

Age 60+, Kansas resident, at risk of nursing home.

~$1,800/month (individual, varies).

$2,000 (individual).

Limited funding; waitlists common.

Medicare Savings Program (MSP)

Kansas Medicare Savings Program

Age 65+ or disabled, Kansas resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

National Family Caregiver Support Program (NFCSP) Respite

Kansas NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Kansas resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

11 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Kansas SCSEP

Age 55+, unemployed, low-income, Kansas resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Kansas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Kansas resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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