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C
Below Standard

TANGLEWOOD NURSING & REHABILITATION

5015 SW 28TH STREET · TOPEKA, KS 66614

7852730886 · For profit - Corporation

54 beds47.3 residents89 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

TANGLEWOOD NURSING & REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.1987 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4474 HPRD, below the recommended 0.75. It is 0.70 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.28% compared to weekdays. The facility has low agency staff usage (3.75% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1987 HPRD — needs 0.28 more hours per resident per day.
⚠️RN staffing (0.4474 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (3.75%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1987hrs/resident/day▼ 0.70
CMS benchmark: 3.48
RN HPRD
0.4474hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
15.28%
3.343 weekday → 2.8323 weekend
Agency Staff
3.75%
2.79% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6901hrs/resident/day
Direct care aides
LPN HPRD
0.518hrs/resident/day
Licensed practical nurses
Consistency
0.4606std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Shawnee County Average-0.43 HPRD
3.63
03.20 HPRD
vs. Kansas State Average-0.88 HPRD
4.08
03.20 HPRD
vs. National Average-0.70 HPRD
3.90
03.20 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
TANGLEWOOD NURSING & REHABILITATION ★
TOPEKA · This facility
—
C
3.19870.4474★☆☆☆☆
PLAZA WEST HEALTHCARE AND REHAB
TOPEKA
1.8 mi
D
3.74570.3928★☆☆☆☆
ROLLING HILLS HEALTH CENTER
TOPEKA
2.3 mi
D
3.30830.374★★☆☆☆
LEXINGTON PARK NURSING & POST ACUTE CENTER
TOPEKA
2.3 mi
B
4.65880.7086★★★★★
MCCRITE PLAZA HEALTH CENTER
TOPEKA
2.6 mi
A
5.12120.821★★★★★
Brewster Health Center
TOPEKA
2.6 mi
C
6.30750.5155★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
45
Total Deficiencies
$241,161
Fines Assessed
Oct 17, 2024Health
25 deficiencies cited· Includes actual harm
▼
Jun 17, 2024Health
1 deficiency cited· Includes actual harm
▼
Apr 18, 2023Health
14 deficiencies cited
▼
Dec 8, 2021Health
5 deficiencies cited
▼

Penalty History

Oct 17, 2024Fine
$86,141
Oct 17, 2024Payment Denial
Jun 17, 2024Fine
$139,427
May 16, 2023Fine
$4,429
May 16, 2023Fine
$11,164
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.