TONGANOXIE TERRACE has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings and 2-star quality measures. Reported nurse staffing is 3.53 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: January 29, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5317.
Staffing detail
Registered nurses
0.71
Licensed practical nurses
0.47
Nurse aides
2.36
Weekend nursing
3.07
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 69%
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
4.8%10.3%Worsening
Residents with a fall causing major injury
2.6%1.6%Improving
Residents with pressure ulcers (bedsores)
4.7%5.3%Worsening
Residents with a urinary tract infection
0%5%Worsening
Residents who lost too much weight
1.7%16%Worsening
Residents who were physically restrained
0%1.6%Worsening
Residents needing more help with daily activities
14.5%13.5%Improving
Residents whose ability to walk got worse
5.5%12.7%Worsening
Long-stay residents on antianxiety or sleep medication
20%24.5%Worsening
Short-stay residents newly given an antipsychotic
12%4.9%Improving
Residents with a long-term catheter
5.6%5.1%No change
Residents with new or worsening incontinence
26.1%18.2%Improving
Residents with depressive symptoms
11.3%18.3%Worsening
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
—95.3%—
Long-stay residents given the pneumonia vaccine
100%79.4%Worsening
Short-stay residents given the seasonal flu vaccine
—82.4%—
Short-stay residents given the pneumonia vaccine
97.1%22.2%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.
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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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 16 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $13,397 in total fines.
Federal fine
Aug 31, 2023
$13,397
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
67.7 residents on an average day (75% 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.