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 17 of 17 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  14. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  15. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  16. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  17. No harm, with potential for more than minimal harm

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0803, 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).

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.