Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

TONGANOXIE TERRACE

TONGANOXIE, KS · 90 certified beds · Last Life Safety survey January 29, 2026

CMS Certification Number 175215 · first certified February 1992

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

Ownership changed November 1, 2023 (change of ownership)from LEGEND HEALTHCARE LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within KS

59 citations — more than 99% of the 296 certified nursing homes in KS. Compared within KS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 16 citations; the earlier surveys in the window averaged 21.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 12 months from now. This facility’s last Life Safety survey was January 2026. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 298 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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9 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

12 of the 59 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 59 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in KS, and nationally. Surveyors differ markedly between states, so the KS figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	59
Median facility in KS	27
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
September 7, 2022	21
March 20, 2024	22
January 29, 2026	16

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0511	Have properly installed electrical wiring and gas equipment.	3	2026-01-29
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2026-01-29
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	3	2026-01-29
E-0039	Conduct testing and exercise requirements.	3	2026-01-29
K-0920	Ensure proper usage of power strips and extension cords.	3	2026-01-29
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-01-29
K-0712	Have simulated fire drills held at unexpected times.	3	2026-01-29
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2024-03-20

What the citations cover

Citations by CMS category

Smoke Deficiencies 18
Emergency Preparedness Deficiencies 12
Gas, Vacuum, and Electrical Systems Deficiencies 9
Egress Deficiencies 7
Other 13

Citations by CMS category
Category	Citations
Smoke Deficiencies	18
Emergency Preparedness Deficiencies	12
Gas, Vacuum, and Electrical Systems Deficiencies	9
Egress Deficiencies	7
Miscellaneous Deficiencies	6
Services Deficiencies	3
Construction Deficiencies	3
Electrical Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 29, 2026 — 16 citations

Citations issued on January 29, 2026
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (April 30, 2026)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (April 30, 2026)
K-0222	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.	Deficient, Provider has date of correction (April 30, 2026)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (March 12, 2026)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (April 30, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 30, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 30, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (April 30, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 30, 2026)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (April 30, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (March 12, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (April 30, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 30, 2026)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (April 30, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 30, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (April 30, 2026)

March 20, 2024 — 22 citations

Citations issued on March 20, 2024
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (May 30, 2024)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (May 30, 2024)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (May 30, 2024)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (May 30, 2024)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (May 30, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (June 21, 2024)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (May 30, 2024)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (May 30, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (May 30, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (May 30, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 30, 2024)
K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.	Deficient, Provider has date of correction (May 30, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (June 21, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 30, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 30, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (June 21, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (May 30, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 30, 2024)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (May 30, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (May 30, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 21, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 30, 2024)

September 7, 2022 — 21 citations

Citations issued on September 7, 2022
Tag	What the surveyor checks	Status
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (October 13, 2022)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (October 13, 2022)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 13, 2022)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (October 13, 2022)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (October 13, 2022)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (October 13, 2022)
K-0222	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.	Deficient, Provider has date of correction (October 13, 2022)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (October 13, 2022)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (October 13, 2022)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Waiver has been granted (October 13, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 13, 2022)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (October 13, 2022)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (October 13, 2022)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (October 13, 2022)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (October 13, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 13, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (October 13, 2022)
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	Deficient, Provider has date of correction (October 13, 2022)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (October 13, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 13, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 13, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.