With a score of 12/100, Legacy On 10th Avenue ranks in the bottom tier of Kansas nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
With 3.03 total nurse hours per resident per day, Legacy On 10th Avenue falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 45 deficiencies at Legacy On 10th Avenue, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.03 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.45 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.68 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.90 | 2.4 | Below Average |
| Weekend Total Nursing | 2.69 | 3.8 | Below Average |
| Weekend RN Hours | 0.39 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jul 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0838 Severity FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day opeOct 8, 2024 · Administration Deficiencies
- Tag 0567 Severity EHonor the resident's right to manage his or her financial affairs.Oct 8, 2024 · Resident Rights Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dOct 8, 2024 · Resident Rights Deficiencies
- Tag 0585 Severity EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eOct 8, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.4% | 4.5% | Better |
| Falls with major injury | 1.4% | 3.0% | Better |
| On antipsychotic medication | 35.0% | 14.5% | Worse |
| Urinary tract infections | 7.0% | 2.5% | Worse |
| ADL decline (daily activities) | 19.5% | 14.0% | Worse |
| Excessive weight loss | 7.2% | 7.5% | Average |
| New/worsened incontinence | 13.7% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $103,737
How This Grade Was Calculated
This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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