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Nursing homeFAID #4549

Tonganoxie Terrace

1010 EAST STREET, TONGANOXIE, KS, 66086
(913) 369-8705
90 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
90
State license
N052005
CMS facility ID
175215
Care type
Nursing home
Facility name
Tonganoxie Terrace
Legal entity
Tonganoxie Terrace
Street address
1010 EAST STREET
City / state / ZIP
Tonganoxie, KS 66086
Phone
(913) 369-8705
State license #
N052005

Tonganoxie Terrace is a Medicare/Medicaid-certified skilled nursing facility in Tonganoxie, Kansas. It is licensed for 90 beds — well above the median for skilled nursing facilities in Kansas (52 beds).

It is one of 4 senior care facilities in Tonganoxie and 296 skilled nursing facilities across Kansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Tonganoxie Terrace 117 times across 10 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $47,317 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company
Administrator
Makayla Brooks

Registered owners & officers

Navas-migueloa, Luis
Direct owner — 34% stake — since 2023
Marcotte, Richard
Managing employee — since 2023

Regulatory standing

Licensed / certified since
1992-02-01
CMS overall rating
1 of 5 stars
Health deficiencies
20 at the last standard inspection
Federal fines
$47,317 total
Last standard inspection
2026-01-29
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$242 per day (≈ $7,360/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
11% Medicaid · 7% Medicare · 82% private/other
Occupancy
79% (fiscal year 2023)
Vs. state median
22% below the KS median of $309/day — full state cost breakdown

Services & coverage

Licensed beds
90
Licensed as
Nursing Facility
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-23Health inspectionComplaint-triggered1 citation
F-0694
D · No harm foundFrom a complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2026-06-25
2026-06-03Health inspectionComplaint-triggered1 citation
F-0740
D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2026-06-09
8 earlier / fire-safety inspections (115 citations)
2026-01-29Health inspection15 citations
F-0574
F · No harm found
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2026-02-28
F-0577
F · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2026-02-28
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-02-28
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-02-28
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-02-28
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-28
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-02-28
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-28
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-02-28
F-0761
E · No harm found
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 2026-02-28
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-28
F-0838
F · No harm found
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 2026-02-28
F-0865
E · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2026-02-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-02-28
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-02-28
2025-08-06Health inspectionComplaint-triggered3 citations
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-09-02
F-0628
D · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-02
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-02
2024-03-20Health inspection16 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-03
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2024-05-03
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-03
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-03
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-03
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-03
F-0690
D · No harm found
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 2024-05-03
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-03
F-0744
D · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-05-03
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-05-03
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-03
F-0758
D · No harm found
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.
Corrected 2024-05-03
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-05-03
F-0761
E · No harm found
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 2024-05-03
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-05-03
F-0947
F · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-05-03
2023-08-31Health inspectionComplaint-triggered1 citation
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-16
2022-09-07Health inspection21 citations
F-0580
E · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-10-21
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-10-21
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-21
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-10-21
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-10-21
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-21
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-10-21
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-21
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-10-21
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-10-21
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2022-10-21
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-10-21
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-10-21
F-0758
D · No harm found
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.
Corrected 2022-10-21
F-0761
E · No harm found
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 2022-10-21
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-21
F-0868
F · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-10-21
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-10-21
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-10-21
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-10-21
F-0887
E · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2022-10-21
2026-01-29Fire-safety inspection16 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2026-04-30
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2026-04-30
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2026-04-30
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-03-12
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-04-30
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2026-04-30
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-30
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-04-30
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-04-30
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-04-30
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-03-12
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-04-30
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-04-30
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2026-04-30
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-04-30
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-04-30
2024-03-20Fire-safety inspection22 citations
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-05-30
E-0024
F · No harm found
Establish policies and procedures for volunteers.
Corrected 2024-05-30
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2024-05-30
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2024-05-30
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2024-05-30
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-06-21
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-05-30
K-0161
F · No harm found
Use approved construction type or materials.
Corrected 2024-05-30
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-05-30
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-05-30
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-05-30
K-0343
E · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2024-05-30
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-21
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-30
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-05-30
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-06-21
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-30
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-05-30
K-0753
D · No harm found
Have restrictions on the use of highly flammable decorations.
Corrected 2024-05-30
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-05-30
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-21
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-30
2022-09-07Fire-safety inspection21 citations
E-0026
F · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2022-10-13
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2022-10-13
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2022-10-13
K-0100
F · No harm found
Meet other general requirements.
Corrected 2022-10-13
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2022-10-13
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-10-13
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-10-13
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-10-13
K-0325
E · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-10-13
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-10-13
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-13
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-10-13
K-0374
F · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-10-13
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2022-10-13
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2022-10-13
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2022-10-13
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-10-13
K-0901
F · No harm found
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2022-10-13
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-10-13
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-13
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2022-10-13

Federal penalties

2026-01-29Fine$33,920
2023-08-31Fine$13,397
2026-01-29Medicare payment denial — 1 days
Total fines$47,317
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 175215.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 117 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered