Tanglewood Nursing & Rehabilitation

5015 SW 28th Street, Topeka, KS 66614 · (785) 273-0886
For profit - Corporation · 54 certified beds

Tanglewood Nursing & Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in October 2024, found 25 citations, 2 for actual harm or immediate jeopardy (the Kansas average is 9.5). It was fined 2 times in the last three years, $227,440 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on October 17, 2024 found 25 citations. What an inspection citation means

• 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.October 17, 2024 · F0584 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 17, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• 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.October 17, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.October 17, 2024 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 17, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.October 17, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide care and assistance to perform activities of daily living for any resident who is unable.October 17, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 17, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.October 17, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.October 17, 2024 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.October 17, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.October 17, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.October 17, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.October 17, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.October 17, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.October 17, 2024 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.October 17, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.October 17, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.October 17, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.October 17, 2024 · F0742 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.October 17, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.October 17, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.October 17, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.October 17, 2024 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep all essential equipment working safely.October 17, 2024 · F0908 · Level of harm: Potential for minimal harm · Residents affected: Many

Complaint inspections, last three years

Inspections after complaints found 26 citations.

• 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.October 17, 2024 · F0584 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• 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.October 17, 2024 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.October 17, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.October 17, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.October 17, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.October 17, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.October 17, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 17, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.October 17, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.October 17, 2024 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.October 17, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.October 17, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.October 17, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.October 17, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.October 17, 2024 · F0742 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 17, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.October 17, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.October 17, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.October 17, 2024 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.October 17, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.October 17, 2024 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 17, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.October 17, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.October 17, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Keep all essential equipment working safely.October 17, 2024 · F0908 · Level of harm: Potential for minimal harm · Residents affected: Many
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 17, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few

Fines and payment denials

• Fine of $86,141October 17, 2024
• Fine of $141,299June 17, 2024
• Medicare payment denial for 20 daysStarting November 15, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home