Kansas › Leavenworth County › Tonganoxie
Tonganoxie Terrace
1010 East Street, Tonganoxie, KS 66086
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.
Certified for 90 beds, Tonganoxie Terrace serves Tonganoxie in Leavenworth County, Kansas and has taken Medicare and Medicaid residents since 1992.
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 1.
Inspectors recorded 58 health deficiencies across the three most recent survey cycles (20, 16, 22 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 64.4 per 100 beds, more than the state median of 44.4.
CMS lists 3 penalties in the period covered: fines totalling $47K and 1 payment denial.
Reported nurse staffing is 3.0 hours per resident per day (0.4 RN), below the Kansas median of 3.9; nursing staff turnover is 68.6%.
Compared with county, state and nation
| Measure | This facility | Leavenworth Co. median | Kansas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 58 | 40 | 24 | 28.7 |
| Citations per 100 beds | 64.4 | 64.4 | 44.4 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.8 | 3.9 | 3.9 |
| RN hours per resident day | 0.4 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 68.6% | 68.6% | 47.4% | 45.8% |
| Fines listed | $47,317 | $22,431 | $7,960 | — |
County and state figures are medians across facilities (5 in the county, 296 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Jan 2026, 20 Mar 2024.
Severity mix: J ×1 G ×1 D ×34 E ×13 F ×9
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Jun 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 25 Jun 2026 |
| 3 Jun 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 9 Jun 2026 |
| 29 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | F | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Feb 2026 |
| 29 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 28 Feb 2026 |
| 6 Aug 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 2 Sep 2025 |
| 6 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 2 Sep 2025 |
| 6 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 2 Sep 2025 |
| 20 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 3 May 2024 |
| 20 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 3 May 2024 |
| 31 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 16 Aug 2023 |
| 7 Sep 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 21 Oct 2022 |
| 7 Sep 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 21 Oct 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Jan 2026 | Payment denial | — | 1 days |
| 29 Jan 2026 | Fine | $33,920 | |
| 31 Aug 2023 | Fine | $13,397 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 68.6%, RNs 55.6%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.1% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.7% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.3% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.1% | 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, limited liability company. Legal business name: Tonganoxie Opco Llc.
No organisations are listed in the CMS ownership record for this facility.
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 Leavenworth County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Twin Oaks Health and Rehab | Lansing | 70 | 5 | 4 | 5 | 17 | 24.3 | — | 29 Aug 2024 |
| Lansing Care and Rehab | Lansing | 58 | 3 | 3 | 3 | 24 | 41.4 | $23K | 17 Feb 2026 |
| Easton Health Care Center | Easton | 45 | 1 | 2 | 1 | 40 | 88.9 | $22K | 13 Jan 2026 |
| Medicalodges Leavenworth | Leavenworth | 45 | 1 | 1 | 3 | 62 | 137.8 | $8K | 10 Jun 2026 |
All 5 facilities in Leavenworth County
Questions and answers
How many deficiencies has Tonganoxie Terrace been cited for?
58 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.
Has Tonganoxie Terrace been fined?
Yes. CMS lists fines totalling $47K in the period covered, plus 1 payment denial.
How does staffing at Tonganoxie Terrace compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates Tonganoxie Terrace?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Tonganoxie Terrace last inspected?
The most recent survey or investigation in the CMS record is dated 23 Jun 2026; the most recent standard health survey was 29 Jan 2026.
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.