Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Brighton Place West during CMS and state inspections, most recent first.
The facility did not provide necessary behavioral health care and services to residents who required them, resulting in unmet behavioral health needs.
A resident experienced significant psychosocial distress due to a medication error at the facility. The error occurred when a nurse mistakenly discontinued both the morning and bedtime doses of Clozaril, an antipsychotic medication, instead of just the morning dose as ordered. This led to increased hallucinations and a decline in the resident's mental health. The error was attributed to the EMR system's linking of medication orders and the involvement of agency staff unfamiliar with the resident's routine.
The facility failed to maintain sanitary conditions in the kitchen, affecting food preparation and storage for 48 residents. Observations included undated food items in the refrigerator and unsanitary conditions in the food preparation area, such as cracked light covers and a dirty air conditioning unit. Dietary Staff confirmed these issues, highlighting a lack of maintenance staff to address them.
The facility failed to deliver mail to residents on Saturdays, as required by their policy on residents' right to privacy in communication. A resident reported the issue, and it was confirmed that CMAs were unaware of their responsibility to deliver mail on weekends. The mailbox key was missing from the medication cart, leading to a deficiency in mail delivery.
The facility failed to provide written notice to residents or their representatives for hospital transfers and did not notify the LTCO, affecting three residents. This oversight involved residents with various medical conditions, including anxiety disorder and overactive bladder, who were transferred without proper notification, as confirmed by staff interviews. The facility's Bed Hold Policy was not followed, leading to uninformed care choices and impaired resident rights.
Failure to Provide Necessary Behavioral Health Services
Penalty
Summary
The facility failed to ensure that each resident received necessary behavioral health care and services. This deficiency was identified based on observations and records indicating that the required behavioral health interventions and supports were not provided to residents who needed them. As a result, residents did not receive the behavioral health care and services necessary to address their individual needs, as required by regulations.
Medication Error Leads to Resident's Psychosocial Distress
Penalty
Summary
The facility failed to ensure that a resident, identified as R21, remained free from significant medication errors. The error occurred when a licensed nurse, LN G, mistakenly discontinued both the morning and bedtime doses of Clozaril, an antipsychotic medication, for R21. The order from R21's psychiatric provider was to discontinue only the 25 mg morning dose, but due to an error in the electronic medical record (EMR) system, both the 25 mg morning dose and the 500 mg bedtime dose were discontinued. This abrupt discontinuation led to a significant decline in R21's mental health, resulting in increased auditory and visual hallucinations and significant psychosocial distress. R21 had a history of disorganized schizophrenia and was on a regimen of Clozaril to maintain psychiatric stability. The resident's care plan and medical records indicated that R21 required close monitoring for any changes in mental status and that medications should be administered as ordered. However, due to the EMR system's linking of medication orders and the involvement of agency staff unfamiliar with R21's routine, the error went unnoticed until R21 exhibited severe behavioral changes, including delusions, hallucinations, and a decline in her ability to communicate and function. The facility's failure to maintain accurate medication orders and ensure proper administration led to R21 experiencing significant distress and a decline in her condition. The error was compounded by the lack of familiarity of agency staff with R21's medication regimen and the EMR system's flawed linking of medication orders. This resulted in R21 being sent to the emergency room and subsequently hospitalized due to the exacerbation of her psychiatric symptoms and other medical complications.
Unsanitary Kitchen Conditions in LTC Facility
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, which affected the preparation, storage, distribution, and serving of food to 48 residents. During an initial tour, it was observed that the refrigerator contained undated food items, including a half-full container of deli turkey meat and a peanut butter sandwich. Additionally, shredded lettuce was found with a date indicating it had been stored for 15 days. These observations suggest a lack of adherence to proper food storage protocols, increasing the risk of foodborne illness among residents. Further inspection revealed unsanitary conditions in the food preparation area. Five fluorescent lights were located above the food preparation area, with two covers containing a brownish substance, one fixture not properly adhered to the ceiling, and three covers cracked. An air conditioning unit, mounted on the ceiling, was blowing air directly across the food preparation area, with its grills and pipes covered in a brown greasy and gray fuzzy substance. Dietary Staff BB confirmed these unsanitary conditions and noted the absence of maintenance staff to address these issues, which contravenes the facility's Kitchen Preventative Maintenance policy.
Failure to Deliver Mail on Saturdays
Penalty
Summary
The facility, with a census of 48 residents, failed to deliver mail to residents on Saturdays, as identified during a resident council meeting. A resident reported the lack of mail delivery on Saturdays, which was confirmed by administrative staff. The facility's policy on residents' right to privacy in communication mandates that mail should be delivered to residents within 24 hours of receipt from the postal service. However, it was found that the Certified Medication Aides (CMAs), who were responsible for mail delivery on weekends, were not aware of this duty. During the investigation, it was discovered that the key to the mailbox, which was supposed to be kept in the medication cart for weekend use, was missing. Certified Medication Aide R was unable to locate the key and was unaware of the responsibility to deliver mail on Saturdays. Administrative Staff A acknowledged the oversight and mentioned the need for in-servicing the weekend staff regarding mail delivery responsibilities. This failure to deliver mail on Saturdays resulted in a deficiency in the facility's compliance with its own policy on residents' right to privacy in communication.
Failure to Provide Written Notice for Hospital Transfers
Penalty
Summary
The facility failed to provide timely written notification to residents or their representatives regarding facility-initiated transfers to the hospital, as well as failing to notify the Office of the Long-Term Care Ombudsman (LTCO) of these discharges. This deficiency was identified for three residents, R22, R23, and R20, during a survey. The lack of written notice placed these residents at risk of making uninformed care choices and impaired their rights. Resident R22, who had diagnoses including anxiety disorder, diabetes mellitus, and hypertension, was transferred to the hospital following a physician's order due to symptoms indicating a possible stroke. Despite returning from the hospital the next day, there was no documentation of written notice provided to R22 or their representative. Similarly, Resident R23, with diagnoses such as urinary tract infection and schizoaffective disorder, was transferred to the hospital after a change in condition, but again, no written notice was provided to the resident or their representative. Resident R20, diagnosed with an overactive bladder, was also transferred to the hospital without receiving written notice. The facility's Bed Hold Policy, which should have been communicated at the time of transfer, was not adhered to, as confirmed by staff interviews. Social Services and nursing staff were unaware of their responsibilities regarding notification, contributing to the oversight. This systemic failure to provide required notifications compromised the residents' ability to make informed decisions about their care.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Topeka
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lexington Park Nursing & Post Acute Center | 1.2 mi | ★★★★★ | 10 | 0 |
| Topeka Presbyterian Manor | 1.4 mi | ★★★★★ | 2 | 0 |
| The Healthcare Resort Of Topeka | 2.9 mi | ★★★★★ | 8 | 0 |
| Plaza West Healthcare And Rehab | 2.9 mi | ★★★★★ | 0 | 0 |
| Brighton Place North | 3.1 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.