All citations for Onaga Operator, LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Onaga Operator, LLC

Last standard health inspection on record

April 30, 2026

Showing 1 to 25 of 41 citations

Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Widespread (many residents). CMS level L.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (November 16, 2023).
Immediate jeopardy to resident health or safety
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level J.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 28, 2025. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (July 11, 2025).
Immediate jeopardy to resident health or safety
Ensure that residents are free from significant medication errors.
Isolated (one or a few residents). CMS level J.
Health citation F-0760, Pharmacy Service Deficiencies. Inspection of March 13, 2024. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (February 13, 2024).
Immediate jeopardy to resident health or safety
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Isolated (one or a few residents). CMS level J.
Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (November 16, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 10, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 23, 2026).
No harm, with potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Widespread (many residents). CMS level F.
Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2024).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 18, 2024).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
A waiver was granted (December 18, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 18, 2024).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 18, 2024).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 18, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 18, 2024).
No harm, with potential for more than minimal harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Widespread (many residents). CMS level F.
Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 18, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 18, 2024).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 18, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 29, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 29, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 29, 2023).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 29, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 29, 2026).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 9, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 22, 2026).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 22, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.