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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 126th out of 133 homes in Kansas.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 27m per day | ▼ 37% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 31m per day | ▼ 22% State avg: 40m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 14m per day | ▼ 17% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 24m per day | ▼ 33% State avg: 3h 35m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day | ▼ 43% State avg: 30m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
49% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
22% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #96 / 134Payroll — State benchmarkedThis home is ranked 96th out of 134 homes in Kansas.Shows total annual staff payroll benchmarked to the Kansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Kansas average: 79.5%Tanglewood Nursing and Rehabilitation is administrated by Kendal Kappeler.
In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Kansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | KS Average | vs. KS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 355 | 100 | This facility has 255% more total deficiencies than a typical Kansas nursing home (355 vs. KS avg 100). Click this badge to view the full Kansas ranking.↑ 255% worse |
|
Deficiencies per year
Average deficiencies per year since 2012.
| 25.4 | 7.1 | This facility has 258% more deficiencies per year than a typical Kansas nursing home (25.4 vs. KS avg 7.1). Click this badge to view the full Kansas ranking.↑ 258% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKansas average 4.5
Last Health inspection on Oct 2024
Kansas average 26.9
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).
122% worse than Kansas averageKansas average: 0.9
11% worse than Kansas averageKansas average: 0.9
Corrected
Corrected
Corrected
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Tanglewood Nursing and Rehabilitation is located in TOPEKA, Kansas.
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0.0 miles from city center
Estimated distance in miles from Topeka's city center to Tanglewood Nursing and Rehabilitation's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
5% worse than Kansas average
0% compared with Kansas average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
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.
Assists with medical care and medications.
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.
Helps with daily care and mobility.
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.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
2,346 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
49Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
28% better than Kansas averageKansas average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
16.6%
15% better than Kansas averageKansas average: 19.4%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
72% better than Kansas averageKansas average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
5.3%
14% worse than Kansas averageKansas average: 4.6%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kansas averageKansas average: 3.1%
Percent of long-stay residents who lose too much weight
0.7%
86% better than Kansas averageKansas average: 5.1%
Percent of long-stay residents who have depressive symptoms
23.2%
350% worse than Kansas averageKansas average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
5.0%
71% better than Kansas averageKansas average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Kansas averageKansas average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Kansas averageKansas average: 95.5%
Number of hospitalizations per 1,000 long-stay resident days.
2.31
26% worse than Kansas averageKansas average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.48
31% better than Kansas averageKansas average: 2.16
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
32% better than Kansas averageKansas average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
42% worse than Kansas averageKansas average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
33% better than Kansas averageKansas average: 73.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.8%
51% worse than Kansas averageKansas average: 23.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.0%
6% better than Kansas averageKansas average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Kansas averageKansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
36.4%
32% worse than Kansas averageKansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.1%
In line with Kansas averageKansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
449% higher than Kansas averageKansas average: $44K
65% more fines than Kansas averageKansas average: 2.4
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 17, 2024
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.
May 16, 2023Last updated: Jan 2026
The information below is reported by the Kansas Department for Aging and Disability Services.
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RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Topeka (South/Southeast 1) | 141 | 74.3% | -7% | 6.62 | -15% | +43% | $0 | 19 | 6.3 | - | 75 | A+ | 56 | Melissa Reynolds | $31.3M | $13.6M | 43.6% | 175044 | ||||
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| 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).
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Historical financial and operational data for Tanglewood Nursing and Rehabilitation based on CMS SNF Cost Reports.
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Tanglewood Nursing and Rehabilitation is in the Downtown neighborhood of TOPEKA.
The legal owner and operator of Tanglewood Nursing and Rehabilitation is Ccp Westwood Manor 7348 Llc.
Tanglewood Nursing and Rehabilitation has a walk score of 78. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to KS state health department records, Tanglewood Nursing and Rehabilitation's license number is 175463.
Tanglewood Nursing and Rehabilitation's occupancy is 81%.
Kendal Kappeler is the administrator of Tanglewood Nursing and Rehabilitation.
Tanglewood Nursing and Rehabilitation has 54 beds.
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