GoodStanding

Nursing home report

TONGANOXIE TERRACE

TONGANOXIE, KS · Medicare-certified · 90 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

Tonganoxie Terrace has a 1-star overall rating, with 1-star health inspection, staffing, and quality ratings. It also has recent federal penalties, $33,920 in fines over the last 24 months, and reported nurse staffing of 3.00 hours per resident per day, below the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

2.9969 hrs/resident/day

Quality measures

Last inspection: January 29, 2026Penalties, last 24 months: $33,920recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9969.

Staffing detail

Registered nurses
0.42
Licensed practical nurses
0.51
Nurse aides
2.07
Weekend nursing
2.71

Hours per resident per day.

Total staff turnover: 69%
Registered nurse turnover: 56%

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

2.3%11.4%Worsening

Residents with a fall causing major injury

2.8%1.7%Improving

Residents with pressure ulcers (bedsores)

3.1%7%Worsening

Residents with a urinary tract infection

8.8%3.5%Improving

Residents who lost too much weight

11.1%5.8%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

10.5%15.4%Worsening

Residents whose ability to walk got worse

5.5%20.4%Worsening

Long-stay residents on antianxiety or sleep medication

20.7%18.2%Improving

Short-stay residents newly given an antipsychotic

12%7.7%Improving

Residents with a long-term catheter

2.1%6.1%Worsening

Residents with new or worsening incontinence

8.7%8%Improving

Residents with depressive symptoms

23.8%7.4%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

95.3%

Long-stay residents given the pneumonia vaccine

88.9%76.3%Worsening

Short-stay residents given the seasonal flu vaccine

82.4%

Short-stay residents given the pneumonia vaccine

52.5%23.8%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2023 — 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 provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to make notices available in a format and language the resident could understand. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 574 — 42 CFR §483.10 — S/S: F

The nursing home failed to make survey results easy for residents to see and to help them contact advocate agencies. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 577 — 42 CFR §483.10 — S/S: F

The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 838 — 42 CFR §483.70 — S/S: F

Recent history

  1. PENALTY

    A federal payment denial was recorded.

  2. PENALTY

    A federal fine of $33,920 was recorded.

  3. STAFFING

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

  4. INSPECTION

    Health inspection found 15 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 16 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $47,317 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Jan 29, 2026

    1 days
  • Federal fine

    Jan 29, 2026

    $33,920
  • Federal fine

    Aug 31, 2023

    $13,397

Operator & ownership

Recent ownership change · Nov 1, 2023

Now operated by Tonganoxie Opco LLC, previously Legend Healthcare LLC.

Ownership
For profit - Limited Liability company
Occupancy
69 residents on an average day (77% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.