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

HERITAGE GROVE ESTATES

TOPEKA, KS · 80 certified beds · Last Life Safety survey August 6, 2026

CMS Certification Number 175171 · first certified June 1988

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

New ownershipOwnership changed February 1, 2026 (change of ownership)from MCCRITE RETIREMENT ASSOCIATION

Citations on file

CMS's current file

Life Safety surveys

CMS's current file

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 CMS's current file.

The latest survey found 1 citation; the earlier surveys on file averaged 9.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2028 — about 17 months from now. This facility’s last Life Safety survey was August 2026. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 290 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 about three years in Virginia. How the window is measured

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5 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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

7 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)

3 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-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations in CMS's current file

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

Citations in CMS's current file, 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
February 2, 2023	15
August 7, 2024	6
July 22, 2026	7
August 6, 2026	1

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-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2026-07-22
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-07-22
K-0712	Have simulated fire drills held at unexpected times.	2	2026-07-22
K-0511	Have properly installed electrical wiring and gas equipment.	2	2026-08-06
E-0026	Establish roles under a Waiver declared by secretary.	2	2024-08-07
K-0363	Install corridor and hallway doors that block smoke.	2	2026-07-22
E-0039	Conduct testing and exercise requirements.	1	2023-02-02
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	1	2023-02-02

What the citations cover

Citations by CMS category

Smoke Deficiencies 9
Emergency Preparedness Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 5
Miscellaneous Deficiencies 3
Other 5

Citations by CMS category
Category	Citations
Smoke Deficiencies	9
Emergency Preparedness Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	5
Miscellaneous Deficiencies	3
Egress Deficiencies	2
Services Deficiencies	2
Electrical Deficiencies	1

Every citation on file

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

August 6, 2026 — 1 citation

Citations issued on August 6, 2026
Tag	What the surveyor checks	Status
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (August 19, 2026)

July 22, 2026 — 7 citations

Citations issued on July 22, 2026
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	No revisit needed (November 30, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has plan of correction (August 25, 2026)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has plan of correction (August 25, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has plan of correction (August 25, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has plan of correction (August 25, 2026)
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 plan of correction (August 25, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has plan of correction (August 25, 2026)

August 7, 2024 — 6 citations

Citations issued on August 7, 2024
Tag	What the surveyor checks	Status
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (October 17, 2024)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (October 17, 2024)
K-0321	Ensure 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 (October 17, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Waiver has been granted (September 30, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 17, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 17, 2024)

February 2, 2023 — 15 citations

Citations issued on February 2, 2023
Tag	What the surveyor checks	Status
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (April 28, 2023)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (April 28, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (April 28, 2023)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (April 28, 2023)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (April 28, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (April 28, 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 (April 28, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 28, 2023)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (April 28, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (April 28, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 28, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Waiver has been granted (March 22, 2023)
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	Deficient, Provider has date of correction (April 28, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 28, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (April 28, 2023)

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