Tanglewood Nursing & Rehabilitation
Topeka, Kansas · CCN 175463
31 surveys since 2010, 27 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 261
- Surveys
- 31
- Harm or worse
- 27
- Immediate jeopardy
- 9
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 54
- Ownership
- For profit - Corporation
- Chain
- HMG HEALTHCARE
- County
- Shawnee
- Medicare-certified since
- 2003
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 108 for-profit facilities with fewer than 66 beds in Kansas.
Last survey on record
Oct 17, 2024
753 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.78 | 3.78 |
| Registered-nurse hours per resident day | 0.39 | — |
| Annual nurse turnover | 71.2% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $227,440 across 2 penalties
- Payment denials
- 1
- Special focus
- SFF Candidate
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J12.2% | K12.2% | L— |
| Actual harm | G12.2% | H— | I— |
| No harm, potential for more than minimal | D2760.0% | E817.8% | F613.3% |
| No harm, potential for minimal | A— | B— | C12.2% |
Most frequently cited here
In CMS’s current monthly file.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6982×
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- F7272×
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
In the surveyor’s words
From the most serious findings on record at Tanglewood Nursing & Rehabilitation, in the surveyor’s own words.
- Immediate jeopardy, patternF584Oct 17, 2024
The facility identified a census of 46 residents. The sample included 15 residents. Based on observation, record review, and interviews, the facility failed to maintain safe and comfortable temperature levels for residents in the facility. On 11/22/24, Administrative Staff B received reports that one of the halls was cold. Administrative Staff B arranged for a maintenance company to assess the problem and a part was required for repair. The part was set to come in on 11/26/24. The facility supplied extra blankets and residents wore their coats inside but reported being extremely cold and experiencing physical discomfort over the weekend and on 11/25/24. […]
- Immediate jeopardy, patternF584Oct 17, 2024
The facility identified a census of 46 residents. The sample included 15 residents. Based on observation, record review, and interviews, the facility failed to maintain safe and comfortable temperature levels for residents in the facility. On 11/22/24, Administrative Staff B received reports that one of the halls was cold. Administrative Staff B arranged for a maintenance company to assess the problem and a part was required for repair. The part was set to come in on 11/26/24. The facility supplied extra blankets and residents wore their coats inside but reported being extremely cold and experiencing physical discomfort over the weekend and on 11/25/24. […]
- Immediate jeopardy, isolatedF684Jun 17, 2024
The facility identified a census of 43 residents. The sample included five residents. Based on record review and interviews, the facility failed to ensure Resident (R) 1 received care consistent with the standards of practice when staff failed to notify and obtain physician involvement regarding R1's multiple medication refusals including medications used to control seizures (violent involuntary series of contractions of a group of muscles). R1 refused all morning doses for his twice-daily Keppra (medication used to treat seizures) from [DATE] through [DATE]. R1's clinical record lacked evidence the staff reported the refusals to the physician for medical evaluation. On [DATE] at 04:02 PM, R1 sat in the dining room, talking to staff, when his legs began to shake and extend outward. […]
- Actual harm, isolatedF689Oct 17, 2024
The facility had a census of 49 residents. The sample included 13 residents of which seven were reviewed for accidents. Based on observation, record review, and interview, the facility failed to ensure fall prevention interventions, including a floor mat, were utilized for Resident (R) 45. R45 subsequently had a fall, which resulted in a right femur non-displaced femoral (thigh bone) neck fracture. The facility further failed to ensure R17's WanderGuard (a bracelet that helps monitor residents who are at risk of wandering) was in place and functioning. These deficient practices placed the resident at risk of accidents and related injuries. […]
- No harm, potential for more than minimal, widespreadF727Oct 17, 2024
The facility had a census of 49 residents. The sample included 13 residents. Based on observation, interview, and record review, the facility failed to provide Registered Nurse (RN) coverage eight consecutive hours a day, seven days a week. This placed all residents who reside at the facility at risk of decreased quality of care. Findings included: - The Payroll-Based Journal [PBJ-a required detail of staffing information submitted by nursing homes) provided by the Centers for Medicare and Medicaid Services (CMS) documented the facility lacked RN eight-hour coverage for the following months: July 2023- five days August 2023- six days September 2023- two days October 2023- five days November 2023- two days December 2023- five days January 2024- seven days February 2024- four days April… […]
Read 42 findings in full →The most serious and the most recent: 42 of 261 on record.
Every survey on record
FindingsAt actual harm or above
- Oct 17, 2024Standard and complaint26 findings · 3 harm
- Jun 17, 2024Complaint1 finding · 1 harm
- Apr 18, 2023Standard14 findings
- Jan 4, 2023Complaint1 finding
- Apr 14, 2022Complaint2 findings
- Dec 8, 2021Standard and complaint5 findings
- Jan 29, 2020Standard and complaint5 findings
- Dec 19, 2018Standard and complaint5 findings
Show the 23 earlier surveys
- Aug 30, 2017Standard4 findings
- Feb 23, 2017Standard8 findings
- Aug 9, 2016Standard and complaint6 findings
- May 18, 2016Complaint2 findings · 1 harm
- Mar 22, 2016Standard and complaint18 findings
- Oct 1, 2015Standard and complaint22 findings
- Jun 15, 2015Complaint6 findings · 2 harm
- Oct 7, 2014Standard18 findings · 2 harm
- Apr 23, 2014Complaint1 finding · 1 harm
- Apr 21, 2014Complaint3 findings · 2 harm
- Mar 24, 2014Complaint8 findings · 6 harm
- Oct 23, 2013Complaint2 findings
- Sep 5, 2013Standard and complaint13 findings · 2 harm
- Jul 2, 2013Standard and complaint30 findings · 4 harm
- Oct 19, 2012—3 findings
- May 10, 2012—2 findings
- Mar 14, 2012Standard16 findings · 1 harm
- Jan 11, 2012—4 findings · 2 harm
- Nov 17, 2011—5 findings
- Oct 3, 2011—3 findings
- Jun 23, 2011—1 finding
- Jan 13, 2011—3 findings
- Nov 24, 2010—24 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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