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

THE GARDENS AT ALDERSGATE

TOPEKA, KS · 175 certified beds · Last Life Safety survey January 7, 2026

CMS Certification Number 175340 · first certified February 1995

Ownership

Operated by RECOVER-CARE HEALTHCARE · For profit - Limited Liability company

Ownership changed July 1, 2021 (change of ownership)from UNITED METHODIST HOMES, INC.

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

40 citations — more than 85% 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 15 citations; the earlier surveys in the window averaged 8.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 11 months from now. This facility’s last Life Safety survey was January 2026. 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

Get an email about THE GARDENS AT ALDERSGATE

One email when it happens. No account; stop it any time with one click.

7 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

5 of the 40 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)

9 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 40 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.
F-0908 Keep all essential equipment working safely.

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	40
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
August 18, 2022	8
February 22, 2024	16
January 27, 2025	1
January 7, 2026	15

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-0712	Have simulated fire drills held at unexpected times.	3	2026-01-07
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	3	2026-01-07
K-0363	Install corridor and hallway doors that block smoke.	3	2026-01-07
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	3	2026-01-07
K-0161	Use approved construction type or materials.	2	2026-01-07
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.	2	2026-01-07
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2026-01-07
K-0920	Ensure proper usage of power strips and extension cords.	2	2024-02-22

What the citations cover

Citations by CMS category

Smoke Deficiencies 10
Egress Deficiencies 8
Gas, Vacuum, and Electrical Systems Deficiencies 8
Emergency Preparedness Deficiencies 5
Other 9

Citations by CMS category
Category	Citations
Smoke Deficiencies	10
Egress Deficiencies	8
Gas, Vacuum, and Electrical Systems Deficiencies	8
Emergency Preparedness Deficiencies	5
Miscellaneous Deficiencies	4
Services Deficiencies	2
Construction Deficiencies	2
Electrical Deficiencies	1

Every citation on file

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

January 7, 2026 — 15 citations

Citations issued on January 7, 2026
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 24, 2026)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (March 24, 2026)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 24, 2026)
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 (March 24, 2026)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (March 24, 2026)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (March 24, 2026)
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 (March 24, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 24, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 24, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 24, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (March 24, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 24, 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 date of correction (March 24, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 24, 2026)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (March 24, 2026)

January 27, 2025 — 1 citation

Citations issued on January 27, 2025
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (February 19, 2025)

February 22, 2024 — 16 citations

Citations issued on February 22, 2024
Tag	What the surveyor checks	Status
E-0001	Establish an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (May 2, 2024)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (April 26, 2024)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (April 26, 2024)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (April 26, 2024)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (April 26, 2024)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (April 26, 2024)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (April 26, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (April 26, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 26, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 26, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (April 26, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 2, 2024)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (April 26, 2024)
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	Deficient, Provider has date of correction (April 26, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 2, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (April 26, 2024)

August 18, 2022 — 8 citations

Citations issued on August 18, 2022
Tag	What the surveyor checks	Status
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 (November 17, 2022)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (November 17, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 17, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (November 17, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 17, 2022)
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 (November 17, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 17, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 17, 2022)

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