TONGANOXIE TERRACE
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2026-01-29 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-08-31 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
2.39
state median 3.05
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −6%
RN hours / resident / day
0.30
registered nurses only
Contract (agency) staff
10%
share of all nursing hours
Days with zero RN hours reported
2
with residents present
Nursing staff turnover
69%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $47,317 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-01-29 | Fine | $33,920 |
| 2026-01-29 | Payment Denial | payment denial |
| 2023-08-31 | Fine | $13,397 |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-01-29 | F0574 | Resident Rights Deficiencies | F | not recorded |
| 2026-01-29 | F0577 | Resident Rights Deficiencies | F | not recorded |
| 2026-01-29 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-29 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-29 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-29 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-29 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-01-29 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-29 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-01-29 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-01-29 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-01-29 | F0838 | Administration Deficiencies | F | not recorded |
| 2026-01-29 | F0865 | Administration Deficiencies | E | not recorded |
| 2026-01-29 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2026-01-29 | F0883 | Infection Control Deficiencies | E | not recorded |
| 2025-08-06 | F0627 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-06 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-06 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-20 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-20 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-20 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-20 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-20 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-20 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-20 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-20 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-20 | F0744 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-20 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-03-20 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-20 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-20 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-20 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-03-20 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-03-20 | F0947 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2023-08-31 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2022-09-07 | F0580 | Resident Rights Deficiencies | E | not recorded |
| 2022-09-07 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2022-09-07 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-09-07 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-09-07 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-09-07 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-09-07 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-09-07 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-09-07 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-09-07 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-09-07 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-09-07 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-09-07 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-09-07 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-09-07 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-09-07 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2022-09-07 | F0868 | Administration Deficiencies | F | not recorded |
| 2022-09-07 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2022-09-07 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2022-09-07 | F0883 | Infection Control Deficiencies | E | not recorded |
| 2022-09-07 | F0887 | Infection Control Deficiencies | E | not recorded |