Plaza West Healthcare and Rehab
Topeka · 1.9 mi · 151 beds
Citations0Substantiated0
Tanglewood Nursing & Rehabilitation
5015 SW 28TH STREET, Topeka, KS, 66614
Nursing home54 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 25 deficiencies against Tanglewood Nursing & Rehabilitation in Topeka, Kansas at its most recent standard inspection on 2024-10-17, 25 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $227,440. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
54certified beds
25deficiencies at the last inspection
2immediate-jeopardy findings on record
1actual-harm findings on record
2federal fines, $227,440
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.41
Potential for minimal harmThe least serious band.1
Most recentKGFFFFEEEDDDDDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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.
Resident Rights Deficiencies · F0584 · 2024-10-17 · from a complaint · Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-10-17 · from a complaint · Actual harm to a resident
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.
Nursing and Physician Services Deficiencies · F0727 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0801 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · F0851 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0622 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · F0623 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0625 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0693 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0742 · 2024-10-17 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS2.78068
Nursing staff turnoverShare of nursing staff who left in a year71.2%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$227,440
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership
Who owns Tanglewood Nursing & Rehabilitation
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| CIBC BANK USA | Organization | NOT APPLICABLE | since 06/01/2024 |
| FORVIS MAZARS LLP | Organization | NOT APPLICABLE | since 01/24/2018 |
| HEALTHMARK GROUP LTD | Organization | NOT APPLICABLE | since 06/01/2014 |
| ZIONS BANCORPORATION | Organization | NOT APPLICABLE | since 04/01/2018 |
| BALSAMO, KRYSTAL | Individual | NOT APPLICABLE | since 09/29/2021 |
| BLOME, SHERYL | Individual | NOT APPLICABLE | since 08/26/2024 |
| CULP, ROLAND | Individual | NOT APPLICABLE | since 03/04/2014 |
| DASPIT, LAURENCE | Individual | NOT APPLICABLE | since 06/01/2014 |
| DOHN, WILLIAM | Individual | NOT APPLICABLE | since 03/27/2019 |
| GAUT, KENISHA | Individual | NOT APPLICABLE | since 09/06/2017 |
| KAPPELER, KENDAL | Individual | NOT APPLICABLE | since 12/01/2024 |
| PRINCE, DEREK | Individual | NOT APPLICABLE | since 06/01/2014 |
Part of the HMG HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Lexington Park Nursing & Post Acute Center
Topeka · 2.4 mi · 90 beds
Citations0Substantiated0
Rolling Hills Health Center
Topeka · 2.4 mi · 70 beds
Citations0Substantiated0
Heritage Grove Estates
Topeka · 2.7 mi · 80 beds
Citations0Substantiated0
Brewster Health Center
Topeka · 2.8 mi · 97 beds
Citations0Substantiated0
Topeka Presbyterian Manor
Topeka · 2.9 mi · 68 beds
Citations0Substantiated0
Contact
Ask Tanglewood Nursing & Rehabilitation a question
This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.
Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 175463.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction