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Tanglewood Nursing & Rehabilitation

Nursing Home Facility

5015 Sw 28th St, Topeka, KS 66614

Nursing Home Care Senior Living

Tanglewood Nursing & Rehabilitation is a senior care community located in Topeka, KS. It provides nursing home care and senior living for older adults in the Topeka area. To learn more or schedule a tour, call (785) 273-0886.

Operated by HMG Healthcare, which runs 21 communities in our directory.

With 54 beds, Tanglewood Nursing & Rehabilitation is smaller than most nearby options, senior care communities in Topeka average about 80 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 87% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Topeka average about 2.6 stars. Its most recent standard health inspection was in October 2024 and recorded 25 deficiencies.

Residents receive about 2.8 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Communities in Topeka average about 3.4 hours. Nursing staff turnover over the past year was about 71%, which is high and can affect continuity of care.

The community is located in Shawnee County, KS.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 45 problems at Tanglewood Nursing & Rehabilitation. 3 findings involved harm to a resident, including 2 that put residents in immediate danger. 26 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $227,440. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, a pattern Resident Rights

    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.

    Inspected October 2024, after a complaint. Corrected by December 5, 2024.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected October 2024, after a complaint. Corrected by December 5, 2024.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    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.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    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.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, widespread Administration

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

Show 17 more
  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate pain management for a resident who requires such services.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

  • Minimal harm or the potential for it, widespread Environmental

    Keep all essential equipment working safely.

    Inspected October 2024, after a complaint. Corrected by October 22, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Tanglewood Nursing & Rehabilitation offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 54
  • Occupancy 87%
  • Nursing hours per resident/day 2.8
  • Annual staff turnover 71%
  • Last health inspection October 2024

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