TOPEKA PRESBYTERIAN MANOR in TOPEKA, KS was fined $39,105 by CMS across 3 separate penalties following 32 deficiency citations identified during federal surveys.

TOPEKA PRESBYTERIAN MANOR (TOPEKA, KS) — $39,105 in CMS Fines

Outcome: TOPEKA PRESBYTERIAN MANOR in TOPEKA, KS was fined $39,105 by CMS across 3 separate penalties following 32 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.


• Reasonably accommodate the needs and preferences of each resident.


• Provide care and assistance to perform activities of daily living for any resident who is unable.


• Provide activities to meet all resident's needs.


• Provide appropriate pressure ulcer care and prevent new ulcers from developing.


• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.


• Observe each nurse aide's job performance and give regular training.


• 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.