Tanglewood Health & Rehabilitation in Topeka, KS has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings despite a 4-star quality measures rating. It is a Special Focus Facility candidate/flag, has $86,141 in fines in the last 24 months, and reported nurse staffing of 2.78 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: October 17, 2024Penalties, last 24 months: $86,141special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7807.
Staffing detail
Registered nurses
0.39
Licensed practical nurses
0.41
Nurse aides
1.98
Weekend nursing
2.50
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
4.5%11.5%Worsening
Residents with a fall causing major injury
2.6%0%Improving
Residents with pressure ulcers (bedsores)
2.5%5.7%Worsening
Residents with a urinary tract infection
0%2.3%Worsening
Residents who lost too much weight
2.9%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.1%22%Worsening
Residents whose ability to walk got worse
15.2%20.1%Worsening
Long-stay residents on antianxiety or sleep medication
17.1%16.7%No change
Short-stay residents newly given an antipsychotic
3.6%0%Improving
Residents with a long-term catheter
2.6%0%Improving
Residents with new or worsening incontinence
27%17.4%Improving
Residents with depressive symptoms
11.4%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—97.5%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited October 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $86,141 was recorded.
INSPECTION
Health inspection found 25 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $141,299 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 14 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $227,440 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Oct 17, 2024
20 days
Federal fine
Oct 17, 2024
$86,141
Federal fine
Jun 17, 2024
$141,299
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of HMG HEALTHCARE · 33 homes · 3.2 stars avg
Occupancy
46.9 residents on an average day (87% of 54 beds)
Resident voice
Resident council
Medicare history
Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.