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 26 to 41 of 41 citations

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2026).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2026).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  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).

  15. No harm, with potential for 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 C.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2026).

  16. No harm, with potential for minimal harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level C.

    Health citation F-0851, Administration Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

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