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TANGLEWOOD NURSING & REHABILITATION

5015 SW 28TH STREET
TOPEKA, KS 66614 · 7852730886 · Shawnee County
⚠ Special Focus Candidate. CMS lists this facility as a candidate for the Special Focus Facility program due to a history of serious quality problems.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds54
OwnershipFor profit - Corporation
State rank#268

By the numbers

45
Health citations (3 cycles)
2
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$227,440
Federal fines (CMPs)
The trend: Citations are rising — 25 in the most recent cycle versus 6 two cycles ago.

Recent Health Citations

Oct 17, 2024 · Health survey · F-tag 0908
C — Cited
Environmental Deficiencies
Keep all essential equipment working safely.
Oct 17, 2024 · Health survey · F-tag 0805
D — No actual harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Oct 17, 2024 · Health survey · F-tag 0804
D — No actual harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Oct 17, 2024 · Health survey · F-tag 0757
D — No actual harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Oct 17, 2024 · Health survey · F-tag 0756
D — No actual harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Oct 17, 2024 · Health survey · F-tag 0742
D — No actual harm
Quality of Life and Care Deficiencies
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.
Oct 17, 2024 · Health survey · F-tag 0698
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Oct 17, 2024 · Health survey · F-tag 0697
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Oct 17, 2024 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Oct 17, 2024 · Health survey · F-tag 0693
D — No actual harm
Quality of Life and Care Deficiencies
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.
Oct 17, 2024 · Health survey · F-tag 0690
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Oct 17, 2024 · Health survey · F-tag 0686
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Oct 17, 2024 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Oct 17, 2024 · Health survey · F-tag 0625
D — No actual harm
Resident Rights Deficiencies
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.
Oct 17, 2024 · Health survey · F-tag 0623
D — No actual harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Oct 17, 2024 · Health survey · F-tag 0622
D — No actual harm
Resident Rights Deficiencies
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.
Oct 17, 2024 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 17, 2024 · Health survey · F-tag 0755
E — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Oct 17, 2024 · Health survey · F-tag 0677
E — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Oct 17, 2024 · Health survey · F-tag 0851
F — No actual harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Kansas →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.