What is Brookside Retirement Community's Medicare star rating?

CMS rates Brookside Retirement Community 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Brookside Retirement Community get at its last inspection?

2 health deficiencies at the standard inspection on December 11, 2024. The Kansas average is 9.5.

Does Brookside Retirement Community accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Brookside Retirement Community?

CMS lists 32 owners and managers. Legal business name: ALEGRIA LIVING & HEALTHCARE, INC..

Brookside Retirement Community: Inspections & Ratings

The record in brief

At its most recent standard inspection, on December 11, 2024, inspectors cited 2 health deficiencies (the Kansas average is 9.5, the national average 9.2).

Of 7 health citations since May 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $14,069 in the last three years; the largest was $14,069, and the latest is dated February 11, 2026.

Nurses and nurse aides worked 3.82 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.

44.9% of nursing staff left within the year CMS measured (Kansas average 48.1%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

005/21

401/23

212/24

102/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 11, 2026Complaint inspection · 1 citation

J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteThe facility identified a census of 47 residents. The sample included three residents. Based on observation, interview, and record review, the facility failed to ensure Resident (R) 1 remained free from accidents when Activity Staff Z did not utilize the seatbelt to secure R1 in the facility transportation van before transporting. On 02/02/26 at approximately 03:25 PM, Activity Staff Z pressed on the brakes quickly upon seeing a stopped school bus and cars in their lane of the highway. The sudden braking, with no seatbelt applied, caused R1 to fall forward onto the floor of the facility van. Activity Staff Z stated there was no place to pull over, so Activity Staff Z continued to drive R1 back to the facility, about a mile and half away, with R1 on the floor of the vehicle. [...]

December 11, 2024Standard inspection · 2 citations

F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 23, 2024

Inspectors wroteThe facility had a census of 49 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to handle all soiled linen as contaminated and use appropriate barriers while sorting soiled laundry to prevent contamination of clean linens. This placed the residents at increased risk for infectious diseases.
D

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 23, 2024

Inspectors wroteThe facility had a census of 49 residents. The sample included 13 residents with one resident reviewed for discharge. Based on observation, record review, and interview, the facility failed to provide Resident (R)25 with written information regarding the facility's bed hold policy when they were transferred to the hospital. This placed the resident at risk of not being permitted to return and resume residence in the nursing facility.

January 4, 2023Standard inspection · 4 citations

D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2023

Inspectors wroteThe facility had a census of 49 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to notify the physician and seek treatment for Resident (R)11, who's genitals were red and swollen. This placed the resident at risk for pain and infection. Findings Included: - The Electronic Medical Record (EMR)for R11 documented diagnoses of dementia without behavioral disturbance (progressive mental disorder characterized by failing memory, confusion), overactive bladder (the muscles of the bladder start to contract on their own even when the volume of urine in the bladder was low), and chronic kidney disease, stage three (mild to moderate kidney damage). [...]
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2023

Inspectors wroteThe facility had a census of 49 residents. The sample included 13 residents, with three reviewed for non-pressure related skin conditions. Based on observation, record review, and interview, the facility failed to treat Resident (R) 11's male genitalia which was swollen and red. The facility further failed to implement interventions to prevent skin tears for R36, who received four skin tears during transfers and cares. This placed the residents at risk for infection and further injury.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2023

Inspectors wroteThe facility had a census of 49 residents. The sample included 13 residents with two reviewed for accidents. Based on observation, record review, and interview the facility failed to ensure Resident (R) 26's environment remained free of accident hazards, when staff failed to include an air mattress and grab bar on R26's side rail assessment in order to identify risk factors. This placed the resident at risk for accidents and related injuries.
D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2023

Inspectors wroteThe facility had a census of 49 residents. The sample included 13 residents, with five reviewed for unnecessary medications. Based on observation, record review, and interview the facility failed to follow physician orders to treat and report elevated blood sugars for one sampled resident, Resident (R) 13. This placed the resident at risk for continued elevated blood sugars and adverse side effects.

May 18, 2021Standard inspection · 0 citations

Fire safety inspections

26 fire safety citations on file: 7 on December 11, 2024, 9 on January 4, 2023, 10 on May 18, 2021.

Every fire safety citation26 citations

F
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

K 111 · December 11, 2024 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · December 11, 2024 · Corrected (the home has a date of correction)
F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

K 354 · December 11, 2024 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · December 11, 2024 · Corrected (the home has a date of correction)
F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

K 901 · December 11, 2024 · Corrected (the home has a date of correction)
E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K 223 · December 11, 2024 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · December 11, 2024 · Corrected (the home has a date of correction)
F
Use approved construction type or materials.

K 161 · January 4, 2023 · Corrected (the home has a date of correction)
F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · January 4, 2023 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · January 4, 2023 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · January 4, 2023 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · January 4, 2023 · Corrected (the home has a date of correction)
F
Install corridor and hallway doors that block smoke.

K 363 · January 4, 2023 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · January 4, 2023 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · January 4, 2023 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · January 4, 2023 · Corrected (the home has a date of correction)
F
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.

K 222 · May 18, 2021 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · May 18, 2021 · Waiver
F
Properly provide smoke detection systems in areas open to corridors.

K 347 · May 18, 2021 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · May 18, 2021 · Waiver
F
Install corridor and hallway doors that block smoke.

K 363 · May 18, 2021 · Corrected (the home has a date of correction)
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · May 18, 2021 · Corrected (the home has a date of correction)
F
Ensure proper usage of power strips and extension cords.

K 920 · May 18, 2021 · Corrected (the home has a date of correction)
F
Have proper medical gas storage and administration areas.

K 923 · May 18, 2021 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · May 18, 2021 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · May 18, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
February 11, 2026	Fine	$14,069

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Kansas	United States
All nursing staff (RN, LPN and aides)	3.82	4.07	3.86
Registered nurses	0.46	0.71	0.69
All nursing staff on weekends	3.47	3.60	3.42
Nurse aides	2.67
Licensed practical nurses	0.69
Nursing staff turnover (share who left in a year)	44.9%	48.1%	45.8%
Registered nurse turnover	40.0%	42.0%	42.9%
Administrators who left	not reported

CMS expects 3.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.96 on weekdays and 3.47 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.58 in April to June 2025 to 3.82 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.82	0.46	3.96	3.47	0.0%	0 of 90	48
Oct to Dec 2025	7.26	0.94	7.47	6.74	0.4%	0 of 92	48
Jul to Sep 2025	3.52	0.45	3.67	3.15	0.0%	0 of 92	49
Apr to Jun 2025	3.58	0.41	3.81	3.00	0.0%	0 of 91	51
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Kansas, Jan to Mar 2026	4.01	0.67	4.19	3.56	4.8%	0.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Kansas

Job	Median	Middle half	Employed
Kansas, all employers
CNAs (nursing assistants)	$18.27	$17.41 to $21.24	24,610
LPNs and LVNs	$29.69	$27.05 to $33.40	7,530
Registered nurses	$38.14	$35.24 to $45.53	33,800
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Kansas	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	24.3	17.9	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.0	1.6	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	8.1	2.9	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.8	4.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.6	1.9	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	17.8	16.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.0	4.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	15.2	18.1	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	24.0	22.4	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	0.0	11.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.9	1.8	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.3	2.1	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Brookside Retirement Community's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (61.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

61.6% this home

Better than the national rate

US median of homes 51.5% · Kansas: 42 better, 17 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 67 eligible stays.

Potentially preventable readmissions

11.2% this home

No different from the national rate

US median of homes 10.7% · Kansas: 3 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 80 eligible stays.

Infections that led to a hospital stay

6.4% this home

No different from the national rate

US median of homes 7.1% · Kansas: 3 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 44 eligible stays.

Self-care and mobility at discharge

69.0% this home

Median of homes: Kansas55.7% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 42 residents counted.

Falls with major injury

0.0% this home

Median of homes: Kansas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 49 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Kansas2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 49 residents counted.

Medication list given at discharge

62.5% this home

Median of homes: Kansas99.3% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 24 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ALEGRIA LIVING & HEALTHCARE, INC..

Name	Role	Type	Share	Since
Alegria Living & Healthcare, Inc.	5% or greater direct ownership interest	Organization	100%	07/01/2014
Averill, Scott	Direct ownership interest	Individual		07/01/2004
Averill, Susan	Indirect ownership interest	Individual		07/01/2004
Averill, Nathan	Contracted managing employee	Individual		10/15/2022
Averill, Scott	Contracted managing employee	Individual		01/01/2024
Averill, Susan	Contracted managing employee	Individual		01/01/2018
Hoback, Denise	Contracted managing employee	Individual		01/01/2018
Conklin, Tammy	W-2 managing employee	Individual		07/13/2004
Davidson, Sharrell	W-2 managing employee	Individual		06/20/2016
Jones, Ciara	W-2 managing employee	Individual		10/13/2024
Jones, Tracy	W-2 managing employee	Individual		07/22/2024
Wessel, Peggy	W-2 managing employee	Individual		06/03/2024
Averill, Scott	Corporate officer	Individual		01/01/2018
Averill, Susan	Corporate officer	Individual		01/01/2018
Hoback, Denise	Corporate officer	Individual		01/01/2018
Joya Living & Healthcare Inc	Operational/managerial control	Organization		11/13/2024
Averill, Nathan	Operational/managerial control	Individual		11/19/2024
Averill, Scott	Operational/managerial control	Individual		11/13/2024
Averill, Susan	Operational/managerial control	Individual		11/19/2024
Conklin, Tammy	Operational/managerial control	Individual		11/19/2024
Davidson, Sharrell	Operational/managerial control	Individual		11/19/2024
Hoback, Denise	Operational/managerial control	Individual		11/13/2024
Jones, Ciara	Operational/managerial control	Individual		11/19/2024
Jones, Tracy	Operational/managerial control	Individual		11/19/2024
Wessel, Peggy	Operational/managerial control	Individual		11/13/2024
Joya Living & Healthcare Inc	Adp of the SNF	Organization		11/22/2024
Averill, Scott	Adp of the SNF	Individual		11/22/2024
Averill, Susan	Adp of the SNF	Individual		11/22/2024
Conklin, Tammy	Adp of the SNF	Individual		11/22/2024
Hoback, Denise	Adp of the SNF	Individual		11/22/2024
Jones, Tracy	Adp of the SNF	Individual		11/22/2024
Wessel, Peggy	Adp of the SNF	Individual		11/22/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 11, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on December 11, 2024: "Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on December 11, 2024: "Provide and implement an infection prevention and control program."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on January 4, 2023: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.47 hours per resident per day, below the Kansas average of 3.60.

Other nursing homes nearby

Heritage Grove Estates
Topeka, 16.8 mi · 2 of 5 stars · 25 citations
Osage Nursing & Rehabilitation Center
Osage City, 17.2 mi · 4 of 5 stars · 27 citations
Brewster Health Center
Topeka, 17.6 mi · 5 of 5 stars · 19 citations
Providence Living Center
Topeka, 18.4 mi · 1 of 5 stars · 38 citations
Legacy on 10th Avenue
Topeka, 18.8 mi · 1 of 5 stars · 52 citations
Pioneer Ridge Retirement Community
Lawrence, 18.8 mi · 1 of 5 stars · 53 citations
Countryside Health Center
Topeka, 18.8 mi · 4 of 5 stars · 16 citations
Tanglewood Nursing & Rehabilitation
Topeka, 18.9 mi · 1 of 5 stars · 45 citations

Common questions

What is Brookside Retirement Community's Medicare star rating?: CMS rates Brookside Retirement Community 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Brookside Retirement Community get at its last inspection?: 2 health deficiencies at the standard inspection on December 11, 2024. The Kansas average is 9.5.
Has Brookside Retirement Community been fined?: Yes. CMS lists 1 fine totaling $14,069 in the last three years.
Does Brookside Retirement Community accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Brookside Retirement Community?: CMS lists 32 owners and managers. Legal business name: ALEGRIA LIVING & HEALTHCARE, INC..

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.