Topeka · 66614
Tanglewood Nursing & Rehabilitation
5015 Sw 28th Street
Topeka, KS 66614
The Gardens at Aldersgate
⌖ Topeka, KS · Shawnee County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds175
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About The Gardens at Aldersgate
The Gardens at Aldersgate is a 175-bed for-profit nursing home in Topeka, KS. Medicare rates it 1 out of 5 stars overall (much below average); the average in Kansas is 3.1. At its last full inspection (Jan 2026), inspectors found 20 problems, more than the Kansas average of 9.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 01 min a day with each resident, about the same as the Kansas average of 4 hr 04 min. About 64% of its nursing staff left in the past year. Medicare fined it $56,617 in the last three years. Its quality ratings are stronger for short-term rehab than for long-term care.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameThe Gardens At Aldersgate
LocationShawnee County, Kansas
Phone(785) 478-9440
Address3220 Sw Albright Drive, Topeka, KS 66614 · Shawnee County
CMS provider number175340
Ownership typeFor-profit (limited liability company)
Operating companyRecover-Care Healthcare · 27 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceFebruary 1, 1995 (31 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 4 things to ask about in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jan 2026.Strength
About average
- Nurse staffing per resident4 hr 01 min a dayKansas average: 4 hr 04 minAbout average
- Registered nurse time per resident41 min a dayKansas average: 43 minAbout average
Things to ask about
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- Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.Ask about this
- Fines and penalties3 fines totaling $56,617Federal penalties from the last three years, most recently in Oct 2024 (about 2 years ago). The national average is $30,972 per home.Ask about this
- Health citations at last inspection20 (Jan 2026)Kansas average: 9.5. Most citations are minor and corrected within weeks.Worse than state average
- Nursing staff turnover64% a yearKansas average: 48%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Kansas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital25.5%State average: 22.4%About average
- Needed an emergency room visit12.5%State average: 11.5%About average
- Newly given antipsychotic drugs1.5%State average: 1.9%Better than average
Physical therapist time: about 2 minutes per resident a day. That is about the same as the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury3.7%State average: 4.3%About average
- Pressure sores (bedsores)4.4%State average: 4.4%About average
- Given antipsychotic drugs20.3%State average: 18.1%About average
- Hospital stays per 1,000 resident days1.6State average: 1.8About average
Source: Medicare (CMS) quality measures, compared with the Kansas average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Kansas, Medicaid pays for 57% of resident days at a typical home.
- 51% Medicaid
- 13% Medicare
- 36% Private pay, insurance and other
Beds in use, on average87%Kansas typical: 84%
Cost of care per resident day$336Kansas typical: $318
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 3 stars in January 2019. It has ranged from 1 to 4 stars and changed 10 times.
Overall rating1★
Health inspections1★
Staffing2★
Quality of care3★
Nurse hours per resident per day4.0
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 3 | 2 | 4 | 2 | 4.6 |
| Jan 2020 | 4 | 3 | 4 | 3 | 4.4 |
| Jan 2021 | 4 | 3 | 4 | 4 | 4.6 |
| Jan 2022 | 4 | 3 | 4 | 4 | 3.9 |
| Jan 2023 | 3 | 3 | 2 | 4 | 3.8 |
| Jan 2024 | 3 | 3 | 4 | 3 | 3.8 |
| Feb 2025 | 1 | 1 | 3 | 4 | 4.0 |
| Feb 2026 | 1 | 1 | 2 | 3 | 4.1 |
| Sep 2026 | 1 | 1 | 2 | 3 | 4.0 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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