Starfile / Kansas

TANGLEWOOD NURSING & REHABILITATION

5015 SW 28TH STREET, TOPEKA, KS 66614 · CCN 175463

SFF Candidate

Inspection history vs Kansas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$243,033

Number of fines

4

Number of penalties

5

Payment denials

1

Chain

Chain

HMG HEALTHCARE

Facilities in chain

33

Chain avg overall

3.20 / 5

Inspection citations (45)2 immediate jeopardy1 actual harm

1. KF0584Honor 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.2024-10-17 · Health · corrected 2024-12-05

   Immediate jeopardy

2. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-10-17 · Health · corrected 2024-10-22

   Potential for more than minimal harm

3. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-17 · Health · corrected 2024-10-22

   Potential for more than minimal harm

4. DF0625Notify 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.2024-10-17 · Health · corrected 2024-10-22

   Potential for more than minimal harm

5. DF0641Ensure each resident receives an accurate assessment.2024-10-17 · Health · corrected 2024-10-22

   Potential for more than minimal harm

6. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-17 · Health · corrected 2024-10-22

   Potential for more than minimal harm

7. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-17 · Health · corrected 2024-10-22

   Potential for more than minimal harm

8. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-17 · Health · corrected 2024-12-05

   Actual harm

9. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-17 · Health · corrected 2024-10-22

   Potential for more than minimal harm

10. DF0693Ensure 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.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

12. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

13. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

14. FF0727Have 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.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

15. DF0742Provide 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.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

16. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

17. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

18. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

19. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

20. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

21. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

22. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

23. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

24. EF0880Provide and implement an infection prevention and control program.2024-10-17 · Health · corrected 2024-10-22

    Potential for more than minimal harm

25. CF0908Keep all essential equipment working safely.2024-10-17 · Health · corrected 2024-10-22

    Potential for minimal harm

26. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-17 · Health · corrected 2024-06-18

    Immediate jeopardy

27. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

28. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

29. DF0583Keep residents' personal and medical records private and confidential.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

30. EF0585Honor 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.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

31. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

32. DF0610Respond appropriately to all alleged violations.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

33. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

34. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

36. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

37. FF0727Have 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.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

38. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

39. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

40. FF0880Provide and implement an infection prevention and control program.2023-04-18 · Health · corrected 2023-05-16

    Potential for more than minimal harm

41. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2021-12-08 · Health · corrected 2021-12-13

    Potential for more than minimal harm

42. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-12-08 · Health · corrected 2021-12-13

    Potential for more than minimal harm

43. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-12-08 · Health · corrected 2021-12-13

    Potential for more than minimal harm

44. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-12-08 · Health · corrected 2021-12-13

    Potential for more than minimal harm

45. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-12-08 · Health · corrected 2021-12-13

    Potential for more than minimal harm

Ownership

Other facilities in TOPEKA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.