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 14 of 14 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, 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).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2023).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2023).

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

    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 D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2023).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2023).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of April 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2023).

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.