GoodStanding

Nursing home report

Tanglewood Health & Rehabilitation

Registered name: TANGLEWOOD NURSING & REHABILITATION

TOPEKA, KS · Medicare-certified · 54 beds

Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

2.7807 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal payment denial was recorded.

  3. PENALTY

    A federal fine of $86,141 was recorded.

  4. INSPECTION

    Health inspection found 25 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $141,299 was recorded.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found

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.