ONAGA OPERATOR, LLC

ONAGA, KS · 45 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 4 citation(s) at the highest severity level — immediate risk to residents
  • RN hours significantly below state average

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
8
0.8x state avg
Deficiencies
$26,429
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

July 27, 2025

1 deficiency
F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

October 1, 2024

7 deficiencyies
F0623 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

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

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

F0801 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

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.

F0803 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

Show details

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.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

March 12, 2024

1 deficiency
F0760 Immediate Jeopardy Scope/Severity: J

Pharmacy Service Deficiencies

Show details

Ensure that residents are free from significant medication errors.

December 6, 2023

2 deficiencyies
F0604 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

F0609 Immediate Jeopardy Scope/Severity: L

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

May 21, 2023

3 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

April 4, 2023

4 deficiencyies
F0582 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0726 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

Show details

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.

September 14, 2021

2 deficiencyies
F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

See full violation history →

Staffing

0.36
RN hrs/res/day
1.31
LPN hrs/res/day
1.99
CNA hrs/res/day
3.19
Weekend hrs/res/day
31%
Total nurse turnover
N/A
RN turnover

A nurse checks on each resident roughly every 6.5 hours on average.

Fines & Penalties

  • Fine Mar 12, 2024
    $14,518
  • Fine Dec 6, 2023
    $11,911
Total $26,429

Ownership

For profit - Limited Liability company Chain: MISSION HEALTH COMMUNITIES
  • KANSAS OPERATOR LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 02/25/2015

    100% Organization
  • BARRES, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/26/2015

    NO PERCENTAGE PROVIDED Organization
  • T AND C CAPITAL ASSETS, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/26/2015

    NO PERCENTAGE PROVIDED Organization
  • WINDWARD HEALTH PARTNERS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/26/2015

    NO PERCENTAGE PROVIDED Organization
  • CRINO, BRYAN

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/26/2015

    NO PERCENTAGE PROVIDED Individual
  • FEUER, SCOTT

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/26/2015

    NO PERCENTAGE PROVIDED Individual
  • LINDEMAN, STUART

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/26/2015

    NO PERCENTAGE PROVIDED Individual
  • PASSERO, JOSEPH

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/26/2015

    NO PERCENTAGE PROVIDED Individual
  • MISSION HEALTH COMMUNITIES, LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/26/2015

    Organization
  • LINDEMAN, STUART

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/26/2015

    Individual
  • YOAKUM, JAMIE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/20/2024

    Individual
  • BARNES, MICHELLE

    CORPORATE DIRECTOR

    Since since 12/01/2018

    Individual
  • LINDEMAN, STUART

    CORPORATE OFFICER

    Since since 02/26/2015

    Individual
  • YOAKUM, JAMIE

    CORPORATE OFFICER

    Since since 03/20/2024

    Individual