Tanglewood Nursing and Rehabilitation

Nursing Home in Topeka

CMS overall rating Info 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.
Tanglewood Nursing and Rehabilitation

Nursing Home in Topeka

CMS overall rating Info 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.

Overview of 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.
(785) 273-0886

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
1/5 ▼ 1.8 Kansas average: 2.8/5
Health Inspection Info 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.
1/5 ▼ 1.7 Kansas average: 2.7/5
Staffing Info 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.
1/5 ▼ 2.6 Kansas average: 3.6/5
Quality Measures Info 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.
4/5 ▲ 0.8 Kansas average: 3.2/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Kansas state averages

Total nursing care / resident Info This home is ranked 128th out of 135 homes in Kansas.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 7m per day
This facility Kansas avg (4h 43m per day)
vs Kansas avg
-34%

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 54
Avg. Length of Stay
236 days

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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
$4.9M
Operating loss
-$571.3K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.8M
37.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
Total costs $5.5M
Bed community size
54-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
81%
In line with Kansas average
Occupied beds
44 / 54
Average residents 50 per day

License Details

Facility TypeNursing Facility
StatusActive
CountyShawnee
License Number175463
CMS Certification Number175463

Ownership & Operating Entity

Tanglewood Nursing and Rehabilitation is administrated by Kendal Kappeler.

Owner NameCCP WESTWOOD MANOR 7348 LLC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Skilled Nursing

Additional Services

1 service
Rehabilitation

Amenities & Lifestyle

0 amenities
Specific ProgramsRehabilitation

Contact Tanglewood Nursing and Rehabilitation

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 Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date December 4, 2024

355 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Kansas average: 100 deficiencies

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 More info 2
122% worse than Kansas average

Kansas average: 0.9


Serious Health citations More info 1
11% worse than Kansas average

Kansas average: 0.9

2 critical citations More info Kansas average: 0.9

1 serious citation More info Kansas average: 0.9

42 moderate citations More info Kansas average: 24.6

1 minor citation More info Kansas average: 0.5
Citations history (last 3 years)
Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Oct 17, 2024
Corrected

Environmental minor citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Oct 17, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Oct 17, 2024
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Oct 17, 2024
Corrected

Compare Nursing Homes around Topeka The information below is reported by the Kansas Department for Aging and Disability Services.

5 facilities compared · CMS & KS Dept. of Health data · Updated Apr 2026

Filter by care type
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 (Central Topeka 1)50 96.0% +21%2.68 +30%-42%1205.0249---$3.2M$1.0M31.9%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 (Downtown)175 81.6% +3%3.72 +5%-20%3404.44143B---$18.1M$6.7M36.9%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 (Downtown)54 87.3% +10%3.12 +3%-33%4469.2347---$4.8M$1.8M38.1%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 -35%-33%12757.55126- 52 -$12.9M$5.9M45.7%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%------000.00-- 62 -$7.4M$1.6M21.1%175172

Financial Assistance for
Nursing Home in Kansas

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Frail Elderly Waiver

Kansas Medicaid FE Waiver

Age 65+
General Kansas resident, Medicaid-eligible, nursing home- level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
KS

Requires care level assessment.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Senior Care Act

Kansas SCA

Age 60+
General Kansas resident, at risk of nursing home.
Income Limits ~$1,800/month individual, varies
Asset Limits $2,000 individual
KS

Limited funding; waitlists common.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Homemaker services

Medicare Savings Program (MSP)

Kansas Medicare Savings Program

Age 65+ or disabled
General Kansas resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
KS

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Kansas NFCSP Respite Care

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Kansas resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
KS

11 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Caregiver training

Senior Community Service Employment Program (SCSEP)

Kansas SCSEP

Age 55+
General unemployed, low-income, Kansas resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
KS

Priority for veterans, rural residents.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Kansas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Kansas resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
KS

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Tanglewood Nursing and Rehabilitation

Address 0.0 miles from city center Info Estimated distance in miles from TOPEKA's city center to Tanglewood Nursing and Rehabilitation's address, calculated via Google Maps.

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Address

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 average

Kansas average ratio: 2.27:1

Avg staff/day 21
Average shift 7.7 hours
0% compared with Kansas average

Kansas 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 Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

This 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 Assistant2115366,26591100%7.6
Medication Aide/Technician7072,37691100%8.4
Licensed Practical Nurse725322,24091100%9.2
Registered Nurse56111,2657684%8.7
Dietitian1015226470%8.2
Physical Therapy Aide0224916673%7
Administrator1014055459%7.5
Nurse Practitioner1014055459%7.5
Mental Health Service Worker1012162932%7.5
Qualified Social Worker0221556066%2.6
Dental Services Staff1011181516%7.9
Physical Therapy Assistant033582527%2.2
Occupational Therapy Aide033401415%2.8
Respiratory Therapy Technician033391820%2.1
Medical Director011301213%2.5
Speech Language Pathologist011211%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 residents 49
Medicare
2
4.1% of residents
Medicaid
30
61.2% of residents
Private pay or other
17
34.7% of residents
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.

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 Info 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 average

Kansas average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.2
27% better than Kansas average

Kansas average: 20.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 13.8%
28% better than Kansas average

Kansas average: 19.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.6%
15% better than Kansas average

Kansas average: 19.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.3%
36% better than Kansas average

Kansas average: 23.8%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.2%
72% better than Kansas average

Kansas average: 4.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.3%
14% worse than Kansas average

Kansas average: 4.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Kansas average

Kansas average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.7%
86% better than Kansas average

Kansas average: 5.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 23.2%
350% worse than Kansas average

Kansas average: 5.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 5.0%
71% better than Kansas average

Kansas average: 16.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than Kansas average

Kansas average: 91.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Kansas average

Kansas average: 95.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
32% better than Kansas average

Kansas average: 75.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.1%
42% worse than Kansas average

Kansas average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5%
33% better than Kansas average

Kansas average: 73.5%

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 average

Kansas average: $44K

Number of fines 4
65% more fines than Kansas average

Kansas average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
200% more payment denials than Kansas average

Kansas 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 17, 2024
$86K
Payment Denial Info 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 17, 2024
$139K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 16, 2023
$4K

Last updated: Jan 2026

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