Tonganoxie Terrace

Nursing Home · Tonganoxie, KS

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number175215

Contact & location

1010 East Street
Tonganoxie, KS 66086
Leavenworth County
Phone
(913) 369-8705
ZIP code
66086 – all care providers

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Facility details

Certified beds
90
Residents per day
69.0 (77% occupied)
Ownership
For profit - Limited Liability company
Legal name
Tonganoxie Opco LLC
Medicare certified since
February 1, 1992
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.9
Staffing★★★★★ 1/5
State avg 3.5
Quality measures★★★★★ 1/5
State avg 3.2
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.00 (state 4.07 · U.S. 3.86)
Registered nurses (RN)
0.42 (state 0.71 · U.S. 0.69)
Licensed practical nurses
0.51 (state 0.65 · U.S. 0.86)
Nurse aides
2.07 (state 2.70 · U.S. 2.32)
Weekend total
2.71 (state 3.60 · U.S. 3.42)
Nursing staff turnover
68.6 (state 48.1 · U.S. 45.8)%
RN turnover
55.6 (state 42.0 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
January 29, 2026
Health deficiencies (last cycle)
20.0 (state 9.5 · U.S. 9.3)
From complaints
5
Citations on record (3 years)
42 health · 38 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-23 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-25
2026-06-03 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-09
2026-01-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2026-02-28
2026-01-29 The resident has the right to receive notices in a format and a language he or she understands.
F0574 · Resident Rights Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 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.
F0838 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2026-01-29 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-28
2025-08-06 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-02
2025-08-06 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-02
2025-08-06 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-02
2024-03-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2023-08-31 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2023-08-16
2022-09-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-10-21
2022-09-07 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-10-21
2022-09-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-10-21
2022-09-07 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-10-21
2022-09-07 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-10-21

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $47,317 in fines.

DateTypeAmount
2026-01-29Payment Denial1 days payment denial
2026-01-29Fine$33,920
2023-08-31Fine$13,397

Ownership & management

NameRoleSince
Navas-Migueloa, Luis (individual)5%+ Direct Ownership Interest · 34%
Marcotte, Richard (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Tonganoxie Terrace?

Tonganoxie Terrace has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Kansas.

How many beds does Tonganoxie Terrace have?

It has 90 certified beds and cares for about 69 residents per day.

Has Tonganoxie Terrace been fined?

Yes. CMS lists 3 penalties totaling $47,317 in the last three years.

What is the phone number of Tonganoxie Terrace?

(913) 369-8705. The facility is located at 1010 East Street, Tonganoxie, KS 66086.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.