Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

TOPSIDE MANOR INC

GOODLAND, KS · 45 certified beds · Last Life Safety survey August 29, 2024

CMS Certification Number 175361 · first certified April 1996

Ownership

Operated by GRACE TEAM SERVICES · For profit - Corporation

  • Ownership changed August 1, 2019 (change of ownership)from THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
26
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within KS

26 citations — more than 44% of the 296 certified nursing homes in KS. Compared within KS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2026 to July 2026), and past the point by which nine in ten KS facilities have been surveyed. This facility’s last Life Safety survey was August 2024. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 298 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

8 of the 26 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 26 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0908 Keep all essential equipment working safely.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in KS, and nationally. Surveyors differ markedly between states, so the KS figure is the meaningful one.

This facility26KS median27National median11
Citations on file over three years, compared
MeasureCitations
This facility26
Median facility in KS27
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-03132023-08102024-08
Citations at each Life Safety survey
Survey dateCitations
March 17, 20223
August 31, 202313
August 29, 202410

Most-cited tags

Most-cited tags at this facility
E-00012E-00292K-09232E-00132K-07122E-00362K-07612K-03451
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0001Establish an Emergency Preparedness Program (EP).22024-08-29
E-0029Develop a communication plan.22024-08-29
K-0923Have proper medical gas storage and administration areas.22024-08-29
E-0013Develop Emergency Preparedness policies and procedures.22024-08-29
K-0712Have simulated fire drills held at unexpected times.22023-08-31
E-0036Establish emergency prep training and testing.22024-08-29
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22024-08-29
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-08-31

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 8
  • Miscellaneous Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Smoke Deficiencies 4
  • Other 4
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies8
Miscellaneous Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies4
Smoke Deficiencies4
Egress Deficiencies3
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 29, 2024 — 10 citations

Citations issued on August 29, 2024
TagWhat the surveyor checksStatus
E-0001Establish an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (November 6, 2024)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (November 6, 2024)
E-0029Develop a communication plan.Deficient, Provider has date of correction (November 6, 2024)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (November 6, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 6, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 6, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 6, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 6, 2024)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (November 15, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 15, 2024)

August 31, 2023 — 13 citations

Citations issued on August 31, 2023
TagWhat the surveyor checksStatus
E-0001Establish an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (November 2, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (November 2, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (November 2, 2023)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (November 2, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (November 2, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (November 2, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 2, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 2, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 2, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (November 2, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 2, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 2, 2023)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (November 2, 2023)

March 17, 2022 — 3 citations

Citations issued on March 17, 2022
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (April 26, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 26, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 26, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.