Shawnee County, Kansas · Nursing home
Tanglewood Nursing & Rehabilitation
1 of 5 overall from CMS
5015 SW 28th Street, Topeka, KS 66614
At a glance
- Overall rating 1 of 5 Below the state average of 3.1
- Nurse time per resident, per day 2.78 hours Below the state average of 4.07
- Nursing staff who left in a year 71.2% Above the state average of 48.1%
- Health citations, last 3 inspection cycles 45 3 at the harm level or above
- Fines in 3 years $227,440 2 fines
- Certified beds in use 86.9% of 54 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Tanglewood Nursing & Rehabilitation is a 54-bed nursing home in Topeka, Kansas (Shawnee County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 2.78 nurse staffing hours per resident per day, below the Kansas average of 4.07. CMS lists 2 fines totaling $227,440 in the past three years.
- Certified beds
- 54
- Residents per day (average)
- 46.9
- Certified since
- 2003 (23 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Hmg Healthcare (31 homes)CMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Tanglewood Nursing & Rehabilitation
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 2 fines totaling $227,440 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 25 health deficiencies in the latest inspection cycle (the standard inspection on Oct 17, 2024 plus complaint and infection-control inspections); the Kansas average is 9.5. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Kansas average 3.1
- Health inspections 1 of 5 Kansas average 2.9
- Staffing 1 of 5 Kansas average 3.5
- Quality measures 4 of 5 Kansas average 3.2
The vertical line marks the Kansas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.78 h Kansas average 4.07
- Nurse aides 1.98 h Kansas average 2.70
- Licensed practical nurses 0.41 h Kansas average 0.65
- Registered nurses 0.39 h Kansas average 0.71
- All staff, weekends 2.50 h Kansas average 3.60
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Kansas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover71.2%
- Kansas average48.1%
- Registered nurse turnover60.0%
- Kansas average42.0%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Kansas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Kansas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 12.2% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 0.7% | 4.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% | 1.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.2% | 2.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.3% | 6.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% | 4.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 92.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 14.7% | 16.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% | 23.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 95.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.1% | 4.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.8% | 22.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.0% | 18.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.92 | 1.80 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.55 | 2.13 | 1.78 |
Short-stay residents
| Measure | This home | Kansas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 76.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% | 1.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.5% | 73.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.1% | 22.4% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% | 11.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 45 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 26 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 17, 2024: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Oct 17, 2024 | 25 | 15 |
| Apr 18, 2023 | 14 | 23 |
| Dec 8, 2021 | 6 | 12 |
Kansas homes averaged 9.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (45)
-
KImmediate jeopardy, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 5, 2024)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 5, 2024)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 22, 2024)
-
FPotential for more than minimal harm, widespread
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 22, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 22, 2024)
Show 25 more
-
FPotential for more than minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 22, 2024)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 22, 2024)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 22, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 22, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 22, 2024)
-
CPotential for minimal harm, widespread
Keep all essential equipment working safely.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Oct 22, 2024)
-
JImmediate jeopardy, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2024)
-
FPotential for more than minimal harm, widespread
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.
Nursing and Physician Services · Deficient, Provider has date of correction (May 16, 2023)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 16, 2023)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · Deficient, Provider has date of correction (May 16, 2023)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (May 16, 2023)
Showing the 30 most recent of 45.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 17, 2024 | Fine | $86,141 |
| Oct 17, 2024 | Payment Denial | 20 days |
| Jun 17, 2024 | Fine | $141,299 |
Kansas homes averaged 1.1 fines and $20,430 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Kansas
- Size139 of 296 by certified beds
- Kansas average residents per day50.5
- ChainHmg Healthcare
- Chain average overall rating3.2 of 5
- Resident or family councilResident
- Homes in Topeka14
- Homes in Shawnee County15
Common questions
What is the CMS star rating for Tanglewood Nursing & Rehabilitation?
Tanglewood Nursing & Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 4.
How many beds does Tanglewood Nursing & Rehabilitation have?
Tanglewood Nursing & Rehabilitation has 54 certified beds. It averages 46.9 residents per day, about 86.9% of its certified beds.
How much nursing care do residents get at Tanglewood Nursing & Rehabilitation?
The home reports 2.78 hours of nurse staffing per resident per day, including 0.39 hours from registered nurses. The Kansas average is 4.07 hours and 0.71 hours from registered nurses.
Has Tanglewood Nursing & Rehabilitation been fined?
Yes. CMS lists 2 fines totaling $227,440 in the past three years. It also lists 1 payment denial.
Does Tanglewood Nursing & Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Plaza West Healthcare and Rehab 151beds 84.8%in use 3.70nurse hours a day
- 2 of 5 Rolling Hills Health Center 70beds 61.3%in use 3.27nurse hours a day
- 5 of 5 Lexington Park Nursing & Post Acute Center 90beds 89.4%in use 4.52nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Shawnee County
Who to call in Kansas
These offices serve residents of every nursing home in Kansas.
- Long-term care ombudsman Kansas Office of the State Long-Term Care Ombudsman 877-662-8362 (Toll-free. Topeka office 785-296-3017. Monday-Friday, 8:30 am - 5:00 pm.) An advocate for residents and their families.
- File a complaint about a nursing home KDADS Abuse, Neglect or Exploitation Hotline (adult care home complaints) 800-842-0078 (Monday through Friday, 8 am to 5 pm, excluding holidays. Email KDADS.ComplaintHotline@ks.gov; fax 785-296-0256. Outside hotline hours KDADS directs callers to local law enforcement for abuse, neglect or exploitation complaints.) The state agency that inspects nursing homes.
Kansas staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 175463. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.