Occupancy rate
81%
In line with Kansas averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Tanglewood Nursing and Rehabilitation
Tanglewood Nursing and Rehabilitation is a skilled nursing facility located in Topeka, KS. It offers services including skilled nursing, rehabilitation, and long-term care. The facility is committed to providing compassionate care and advanced recovery for its residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
54
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81.5%
Residents per day (avg)
47
Occupancy rate
81.5%
Residents per day (avg)
47
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
49% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
28% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$4.9M
Operating loss
-$571.3K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$4,903,854.00
Operating loss
$-571,269.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.5M
54-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Kansas averageOccupied beds
44 / 54
Average residents
50 per day
License details
Facility type
Nursing Facility
Status
Active
County:
SHAWNEE
Additional licensing details
License number:
175463
CMS Certification Number:
175463
Ownership & operating entity
Tanglewood Nursing and Rehabilitation is administrated by KENDAL KAPPELER.
Owner name:
CCP WESTWOOD MANOR 7348 LLC
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation, Long-Term Care
Inspection History
In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.
41 visits/inspections
Show Inspection Reports
Latest inspection
Date:December 4, 2024
355 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Tanglewood Nursing and Rehabilitation
The most recent inspection on April 18, 2017, found no deficiencies, confirming that previously cited issues had been corrected. Earlier inspections showed a pattern of deficiencies primarily related to resident care, including pressure ulcer prevention and treatment, medication management, infection control, food sanitation, and safety hazards such as fall prevention and environmental maintenance. Several complaint investigations substantiated failures in these areas, including a notable case involving a resident who developed a severe pressure ulcer resulting in hospitalization with sepsis and gangrene. Enforcement actions were imposed at various times, including denial of payment for new admissions due to noncompliance with pressure ulcer care and Life Safety Code deficiencies, but no fines or license suspensions were listed in the available reports. The trend indicates improvement over time, with recent revisits confirming correction of prior deficiencies and no new citations noted in the latest inspections.
Health Inspection History
Inspections
Total health inspections
5
Kansas average 4.5
Last Health inspection on Oct 2024
Total health citations
46
Kansas average 26.9
Citations per inspection
9.2
Kansas average 6.07
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 46 citations resulted from standard inspections; 2 of 46 resulted from complaint investigations; and 25 of 46 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
122% worse than Kansas averageKansas average: 0.9
Serious Health citations
1
1
11% worse than Kansas averageKansas average: 0.9
2 critical citations
1 serious citation
42 moderate citations
1 minor citation
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 17, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 17, 2024
Corrected
Environmental minor citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 17, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 17, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 17, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 17, 2024
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 17, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 17, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Topeka The information below is reported by the Kansas Department for Aging and Disability Services.
Brighton Place West Health Center LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
TOPEKA
50
96.0%
+21%
2.68
-42%
1
20
2
49
-
-
$3,2M
$1,0M
31.9%
175547
The Gardens at Aldersgate LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
TOPEKA
175
81.6%
+3%
3.72
-20%
3
40
4
143
B-
-
$18,1M
$6,7M
36.9%
175340
Tanglewood Nursing and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
TOPEKA
54
87.3%
+10%
3.12
-33%
4
46
3
47
-
-
$4,8M
$1,8M
38.1%
175463
Plaza West Healthcare and Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Topeka (Southwest Topeka)
151
81.3%
+2%
3.09
-33%
12
75
5
126
-
52
$12,9M
$5,9M
45.7%
175255
Topeka Center for Rehabilitation and Nursing
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Topeka (Southwest Topeka)
120
86.9%
+9%
-
-
0
0
0
-
-
62
$7,4M
$1,6M
21.1%
175172
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TOPEKA, KS 66614-2319
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
106
Employees
45
Contractors
61
Staff to resident ratio
2.16:1
5% worse than Kansas averageKansas average ratio: 2.27:1
Avg staff/day
21
Average shift
7.7 hours
0% compared with Kansas averageKansas average: 7.7 hours
Total staff hours (quarter)
14,625
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
32
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
16%
2,346 contractor hours this quarter
Licensed Practical Nurse: 25
Certified Nursing Assistant: 15
Registered Nurse: 6
Occupational Therapy Aide: 3
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Physical Therapy Aide: 2
Speech Language Pathologist: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 21 | 15 | 36 | 6,265 | 91 | 100% | 7.6 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,376 | 91 | 100% | 8.4 |
| Licensed Practical Nurse | 7 | 25 | 32 | 2,240 | 91 | 100% | 9.2 |
| Registered Nurse | 5 | 6 | 11 | 1,265 | 76 | 84% | 8.7 |
| Dietitian | 1 | 0 | 1 | 522 | 64 | 70% | 8.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 491 | 66 | 73% | 7 |
| Administrator | 1 | 0 | 1 | 405 | 54 | 59% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 405 | 54 | 59% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 216 | 29 | 32% | 7.5 |
| Qualified Social Worker | 0 | 2 | 2 | 155 | 60 | 66% | 2.6 |
| Dental Services Staff | 1 | 0 | 1 | 118 | 15 | 16% | 7.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 58 | 25 | 27% | 2.2 |
| Occupational Therapy Aide | 0 | 3 | 3 | 40 | 14 | 15% | 2.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 39 | 18 | 20% | 2.1 |
| Medical Director | 0 | 1 | 1 | 30 | 12 | 13% | 2.5 |
| Speech Language Pathologist | 0 | 1 | 1 | 2 | 1 | 1% | 1.8 |
36 Certified Nursing Assistant
% of Days
100%
7 Medication Aide/Technician
% of Days
100%
32 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
84%
1 Dietitian
% of Days
70%
2 Physical Therapy Aide
% of Days
73%
1 Administrator
% of Days
59%
1 Nurse Practitioner
% of Days
59%
1 Mental Health Service Worker
% of Days
32%
2 Qualified Social Worker
% of Days
66%
1 Dental Services Staff
% of Days
16%
3 Physical Therapy Assistant
% of Days
27%
3 Occupational Therapy Aide
% of Days
15%
3 Respiratory Therapy Technician
% of Days
20%
1 Medical Director
% of Days
13%
1 Speech Language Pathologist
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
49 residents
Residents by payment source
Medicare
2 residents (4.1%)
Medicaid
30 residents (61.2%)
Private pay or other
17 residents (34.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
28% better than Kansas averageKansas average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
27% better than Kansas averageKansas average: 20.7
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
28% better than Kansas averageKansas average: 19.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.6%
Percent of long-stay residents whose ability to move independently worsened
16.6%
15% better than Kansas averageKansas average: 19.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.3%
36% better than Kansas averageKansas average: 23.8%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
72% better than Kansas averageKansas average: 4.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.3%
Percent of long-stay high risk residents with pressure ulcers
5.3%
14% worse than Kansas averageKansas average: 4.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kansas averageKansas average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.7%
Percent of long-stay residents who lose too much weight
0.7%
86% better than Kansas averageKansas average: 5.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
23.2%
Percent of long-stay residents who have depressive symptoms
23.2%
350% worse than Kansas averageKansas average: 5.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
5.0%
Percent of long-stay residents who received an antipsychotic medication
5.0%
71% better than Kansas averageKansas average: 16.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Kansas averageKansas average: 91.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Kansas averageKansas average: 95.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
32% better than Kansas averageKansas average: 75.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
42% worse than Kansas averageKansas average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
33% better than Kansas averageKansas average: 73.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$241K
449% higher than Kansas averageKansas average: $44K
Number of fines
4
65% more fines than Kansas averageKansas average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
200% more payment denials than Kansas averageKansas average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$241K
Kansas average
$44K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2024
$86K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 17, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 17, 2024
20 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 17, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 17, 2024
$139K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2023
$4K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Tanglewood Nursing and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
87.3%
↑ 0.7pp vs 2022
Net Income
-$571,269
↓ ~$408K vs 2022
Total Payroll
$2,424,611
↓ ~$48K vs 2022
Profit Margin
-11.9%
↓ 8.7pp vs 2022
Loading trend charts...
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