Tonganoxie Terrace
1010 East Street · Tonganoxie, KS · 66086 · 9133698705
90 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $33,920 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 2 · $47,317 |
Inspection citations (56 in the current record)
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Actual harm · G January 29, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 28, 2026 · Quality of Life and Care
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Potential for harm · F January 29, 2026
The resident has the right to receive notices in a format and a language he or she understands.
Corrected February 28, 2026 · Resident Rights
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Potential for harm · F January 29, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected February 28, 2026 · Resident Rights
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Potential for harm · D January 29, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 28, 2026 · Resident Rights
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Potential for harm · D January 29, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 29, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 28, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 28, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 28, 2026 · Pharmacy Service
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Potential for harm · E January 29, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 28, 2026 · Pharmacy Service
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Potential for harm · E January 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 28, 2026 · Nutrition and Dietary
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Potential for harm · F January 29, 2026
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected February 28, 2026 · Administration
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Potential for harm · E January 29, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected February 28, 2026 · Administration
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Potential for harm · E January 29, 2026
Provide and implement an infection prevention and control program.
Corrected February 28, 2026 · Infection Control
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Potential for harm · E January 29, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 28, 2026 · Infection Control
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Potential for harm · D August 6, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 2, 2025 · Resident Rights
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Potential for harm · D August 6, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 2, 2025 · Resident Rights
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Potential for harm · D August 6, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 2, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 20, 2024
Respond appropriately to all alleged violations.
Corrected May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 20, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 3, 2024 · Quality of Life and Care
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Potential for harm · E March 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 3, 2024 · Quality of Life and Care
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Potential for harm · D March 20, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 3, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 29, 2026 | Fine | $33,920 |
| January 29, 2026 | Payment Denial | 1 days |
| August 31, 2023 | Fine | $13,397 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175215 · certified since February 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.