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

BREWSTER HEALTH CENTER

TOPEKA, KS · 97 certified beds · Last Life Safety survey June 11, 2025

CMS Certification Number 175044 · first certified January 1967

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within KS

29 citations — more than 56% 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

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

The latest survey found 6 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was June 2025. 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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1 inspection-and-testing tag has 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

12 of the 29 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)

2 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 29 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-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.

Citations on file over three years, compared
Measure	Citations
This facility	29
Median facility in KS	27
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
April 21, 2022	5
October 9, 2023	18
June 11, 2025	6

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0920	Ensure proper usage of power strips and extension cords.	2	2023-10-09
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2025-06-11
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	2	2025-06-11
E-0032	Provide primary/alternate means for communication.	1	2023-10-09
K-0712	Have simulated fire drills held at unexpected times.	1	2022-04-21
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	1	2023-10-09
E-0026	Establish roles under a Waiver declared by secretary.	1	2023-10-09
K-0324	Provide properly protected cooking facilities.	1	2025-06-11

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 12
Smoke Deficiencies 6
Gas, Vacuum, and Electrical Systems Deficiencies 5
Miscellaneous Deficiencies 2
Other 4

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	12
Smoke Deficiencies	6
Gas, Vacuum, and Electrical Systems Deficiencies	5
Miscellaneous Deficiencies	2
Electrical Deficiencies	1
Services Deficiencies	1
Egress Deficiencies	1
Construction Deficiencies	1

Every citation on file

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

June 11, 2025 — 6 citations

Citations issued on June 11, 2025
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (August 1, 2025)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (August 1, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 18, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 18, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 1, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 1, 2025)

October 9, 2023 — 18 citations

Citations issued on October 9, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (December 7, 2023)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (December 7, 2023)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (December 7, 2023)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (December 7, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (December 7, 2023)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (December 7, 2023)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (December 7, 2023)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (December 7, 2023)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (December 7, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (December 7, 2023)
K-0222	Add 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 (December 7, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (December 7, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (December 7, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (December 7, 2023)
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	Deficient, Provider has date of correction (December 7, 2023)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (December 7, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 7, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (December 7, 2023)

April 21, 2022 — 5 citations

Citations issued on April 21, 2022
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (May 13, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 13, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 13, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (May 13, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 13, 2022)

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