Elder Care Record

Kansas › Shawnee County › Topeka

Tanglewood Nursing & Rehabilitation

5015 Sw 28th Street, Topeka, KS 66614

CCN 175463 · For-profit, corporation · 54 certified beds · chain Hmg Healthcare

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Tanglewood Nursing & Rehabilitation is a For-profit, corporation nursing home in Topeka, Kansas, certified for 54 beds and caring for about 47 residents a day.

CMS gives it 1 of 5 stars overall, below the Kansas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.

Inspectors recorded 45 health deficiencies across the three most recent survey cycles (25, 14, 6 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 83.3 per 100 beds, more than the state median of 44.4.

CMS lists 3 penalties in the period covered: fines totalling $227K and 1 payment denial.

Reported nurse staffing is 2.8 hours per resident per day (0.4 RN), below the Kansas median of 3.9; nursing staff turnover is 71.2%.

CMS flags that the facility is a Special Focus Facility candidate.

45health deficiencies, 3 survey cycles3 at actual harm or worse
$227Kfines listed by CMS3 penalties in period
2.8nurse hours per resident per daystate median 3.9
87%occupancy (residents ÷ beds)47 residents a day

Compared with county, state and nation

MeasureThis facilityShawnee Co. medianKansas medianUS average
Overall star rating1233.0
Health citations, 3 cycles45332428.7
Citations per 100 beds83.341.744.426.8
Total nurse hours per resident day2.83.33.93.9
RN hours per resident day0.40.60.60.7
Nursing staff turnover71.2%53.5%47.4%45.8%
Fines listed$227,440$10,933$7,960—

County and state figures are medians across facilities (15 in the county, 296 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)25
Cycle 214
Cycle 36

Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Oct 2024, 18 Apr 2023.

Severity mix: J ×1 K ×1 G ×1 D ×27 E ×8 F ×6 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
17 Oct 2024F0584Honor 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.KComplaint investigation5 Dec 2024
17 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation5 Dec 2024
17 Oct 2024F0727Have 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.FComplaint investigation22 Oct 2024
17 Oct 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint investigation22 Oct 2024
17 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation22 Oct 2024
17 Oct 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FComplaint investigation22 Oct 2024
17 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation22 Oct 2024
17 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation22 Oct 2024
17 Oct 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation22 Oct 2024
17 Oct 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation22 Oct 2024
17 Oct 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation22 Oct 2024
17 Oct 2024F0625Notify 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.DComplaint investigation22 Oct 2024
17 Oct 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation22 Oct 2024
17 Oct 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation22 Oct 2024
17 Oct 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation22 Oct 2024
17 Oct 2024F0693Ensure 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.DComplaint investigation22 Oct 2024
17 Oct 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation22 Oct 2024
17 Oct 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation22 Oct 2024
17 Oct 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation22 Oct 2024
17 Oct 2024F0742Provide 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.DComplaint investigation22 Oct 2024
17 Oct 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint investigation22 Oct 2024
17 Oct 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation22 Oct 2024
17 Oct 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation22 Oct 2024
17 Oct 2024F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint investigation22 Oct 2024
17 Oct 2024F0908Keep all essential equipment working safely.CComplaint investigation22 Oct 2024
17 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation18 Jun 2024
18 Apr 2023F0727Have 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.FStandard survey16 May 2023
18 Apr 2023F0880Provide and implement an infection prevention and control program.FStandard survey16 May 2023
18 Apr 2023F0585Honor 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.EStandard survey16 May 2023
18 Apr 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey16 May 2023
18 Apr 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey16 May 2023
18 Apr 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey16 May 2023
18 Apr 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey16 May 2023
18 Apr 2023F0583Keep residents' personal and medical records private and confidential.DStandard survey16 May 2023
18 Apr 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey16 May 2023
18 Apr 2023F0610Respond appropriately to all alleged violations.DStandard survey16 May 2023
18 Apr 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey16 May 2023
18 Apr 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey16 May 2023
18 Apr 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey16 May 2023
18 Apr 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey16 May 2023
8 Dec 2021F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey13 Dec 2021
8 Dec 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey13 Dec 2021
8 Dec 2021F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey13 Dec 2021
8 Dec 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey13 Dec 2021
8 Dec 2021F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey13 Dec 2021

Penalties

DateTypeAmountDetail
17 Oct 2024Payment denial—20 days
17 Oct 2024Fine$86,141
17 Jun 2024Fine$141,299

Staffing

Total nursing2.78 h
Nurse aides1.98 h
LPN0.41 h
RN0.39 h
Weekend total2.5 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 71.2%, RNs 60.0%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityKansas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.2%17.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.1%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%2.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.2%3.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.7%15.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.1%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.0%15.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Hmg Park Manor Of Westwood Llc. Chain: Hmg Healthcare (31 facilities).

OrganisationRole in the CMS recordInterestSince
Cibc Bank USAOperational/managerial controlNOT APPLICABLE06/01/2024
Forvis Mazars LLPOperational/managerial controlNOT APPLICABLE01/24/2018
Healthmark Group LtdOperational/managerial controlNOT APPLICABLE06/01/2014
Ccp Westwood Manor 7348 LLCAdp of the snfNOT APPLICABLE06/01/2014
Cibc Bank USAAdp of the snfNOT APPLICABLE06/01/2018
Forvis Mazars LLPAdp of the snfNOT APPLICABLE02/07/2013
Hmg Healthcare LLCAdp of the snfNOT APPLICABLE11/19/2025
Hmg Services LLCAdp of the snfNOT APPLICABLE04/01/2018

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Shawnee County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Brewster Health CenterTopeka975441919.6—11 Jun 2025
Lexington Park Nursing & Post Acute CenterTopeka9055588.9—29 Apr 2026
The Healthcare Resort of TopekaTopeka705531825.7—18 Dec 2025
Brighton Place NorthTopeka344321955.9$9K15 Oct 2025
Countryside Health CenterTopeka974321616.5—30 Apr 2025
Heritage Grove EstatesTopeka804431822.5$9K29 Jan 2025
Brighton Place WestTopeka502212040.0$11K28 Aug 2025
Rolling Hills Health CenterTopeka702244260.0$14K29 Jul 2025

All 15 facilities in Shawnee County

Questions and answers

How many deficiencies has Tanglewood Nursing & Rehabilitation been cited for?

45 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.

Has Tanglewood Nursing & Rehabilitation been fined?

Yes. CMS lists fines totalling $227K in the period covered, plus 1 payment denial.

How does staffing at Tanglewood Nursing & Rehabilitation compare?

Reported total nurse staffing is 2.8 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.

Who operates Tanglewood Nursing & Rehabilitation?

It is part of the Hmg Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Cibc Bank USA, Forvis Mazars LLP and Healthmark Group Ltd. Individual owners and managers are not listed on this site.

When was Tanglewood Nursing & Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 17 Oct 2024; the most recent standard health survey was 17 Oct 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.