Plaza West Healthcare and RehabCMS ratings, inspections and fines
- Address
- 1570 SW Westport Drive, Topeka, KS 66604
- CCN
- 175255
- Ownership type
- For-profit, limited liability company
- Certified beds
- 151
- Residents per day
- 128
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Plaza West Healthcare and Rehab an overall rating of 1 of 5 stars. The last standard survey was on 19 Mar 2025. The latest survey cycle has 21 health citations. The median for nursing homes in Kansas is 8. CMS lists 10 fines with a total of $93,073 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Shawnee County median | Kansas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 15 homes in the county, 296 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Kansas median |
|---|---|---|---|
| Cycle 1 (latest) | 19 Mar 2025 | 21 | 8 |
| Cycle 2 | 9 Oct 2023 | 27 | 8 |
| Cycle 3 | No date | 15 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0761 | 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. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0849 | 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. | D | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 9 May 2025 |
| 19 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 May 2025 |
Survey cycle 2: 27 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 21 Feb 2025 |
| 30 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 29 Oct 2024 |
| 30 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Oct 2024 |
| 30 Sep 2024 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Complaint investigation | 29 Oct 2024 |
| 30 Sep 2024 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Complaint investigation | 29 Oct 2024 |
| 9 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0679 | Provide activities to meet all resident's needs. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 6 Nov 2023 |
| 9 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0758 | 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. | D | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0761 | 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. | E | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 6 Nov 2023 |
| 9 Oct 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 6 Nov 2023 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Dec 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 26 Jan 2024 |
| 28 Dec 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint investigation | 26 Jan 2024 |
| 28 Dec 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 26 Jan 2024 |
| 21 Apr 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 2 Jun 2022 |
| 21 Apr 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 Jun 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 Feb 2024 | Fine | $4,893 | |
| 12 Feb 2024 | Fine | $4,893 | |
| 22 Jan 2024 | Fine | $14,679 | |
| 8 Jan 2024 | Fine | $4,516 | |
| 2 Jan 2024 | Fine | $3,846 | |
| 11 Dec 2023 | Fine | $9,440 | |
| 20 Nov 2023 | Fine | $2,470 | |
| 13 Nov 2023 | Fine | $2,117 | |
| 23 Oct 2023 | Fine | $4,233 | |
| 9 Oct 2023 | Fine | $41,986 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Kansas median | Kansas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.70 | 3.90 | 4.07 |
| Registered nurses (RN) | 0.43 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.60 | 0.65 | |
| Nurse aides | 2.66 | 2.70 | |
| All nurse staff, weekends | 2.87 | 3.50 | 3.60 |
- Nurse staff turnover in a year
- 58.7%
- Nurse staff turnover, Kansas median
- 47.4%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.3% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.8% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.3% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.2% | 15.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Setting
- Continuing care retirement community
- Legal business name
- Recover-Care Plaza West Care Center LLC
- Chain
- Recover-Care Healthcare (27 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Midwest SNF Holdings LLC | Direct ownership interest | 28 Feb 2025 | |
| BHNV 2 LLC | Indirect ownership interest | 28 Feb 2025 | |
| Kamna Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| Kansas SNF Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| NZM Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| Rarmna Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| Recover-Care Healthcare LLC | Indirect ownership interest | 28 Feb 2025 | |
| RNR Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| MRC SNF Management LLC | Operational/managerial control | 26 Jun 2019 | |
| BHNV Property Holdings 2 LLC | Adp of the snf | 28 Feb 2025 | |
| Kansas SNF Holdings LLC | Adp of the snf | 28 Feb 2025 | |
| MRC SNF Management LLC | Adp of the snf | 10 Feb 2025 | |
| NZM Property Holdings 2 LLC | Adp of the snf | 28 Feb 2025 | |
| Rarmna Holdings LLC | Adp of the snf | 28 Feb 2025 | |
| RNR Holdings LLC | Adp of the snf | 28 Feb 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Shawnee County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Healthcare Resort of Topeka | Topeka | 5 of 5 | 2 | $0 | 18 Dec 2025 | |
| Rolling Hills Health Center | Topeka | 2 of 5 | 10 | $14,186 | 29 Jul 2025 | |
| Topeka Presbyterian Manor | Topeka | 1 of 5 | 15 | $56,260 | 11 Dec 2024 | |
| Tanglewood Nursing & RehabilitationSpecial Focus candidate | Topeka | 1 of 5 | 25 | $227,440 | 17 Oct 2024 | |
| Lexington Park Nursing & Post Acute Center | Topeka | 5 of 5 | 3 | $0 | 29 Apr 2026 | |
| The Gardens at Aldersgate | Topeka | 1 of 5 | 20 | $56,617 | 7 Jan 2026 | |
| Brighton Place West | Topeka | 2 of 5 | 5 | $10,933 | 17 Oct 2024 | |
| Brewster Health Center | Topeka | 5 of 5 | 8 | $0 | 11 Jun 2025 | |
| Heritage Grove Estates | Topeka | 4 of 5 | 5 | $9,113 | 7 Aug 2024 | |
| Brighton Place North | Topeka | 4 of 5 | 9 | $9,408 | 15 Oct 2025 | |
| Legacy on 10th Avenue | Topeka | 1 of 5 | 14 | $0 | 31 Mar 2026 | |
| Providence Living CenterSpecial Focus candidate | Topeka | 1 of 5 | 27 | $22,925 | 18 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Plaza West Healthcare and Rehab (CCN 175255). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/plaza-west-healthcare-and-rehab-topeka-ks-175255/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Plaza West Healthcare and Rehab last inspected?
- The latest inspection with a citation in the CMS record was on 19 Mar 2025. It was a complaint investigation. It gave 21 citations. The standard survey before the last one was on 9 Oct 2023.
- Who operates Plaza West Healthcare and Rehab?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Recover-Care Healthcare. The CMS ownership file names MRC SNF Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Plaza West Healthcare and Rehab a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Kansas as a Special Focus Facility and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.