Kansas › Pottawatomie County › Onaga
Onaga Operator, LLC
500 Western Street, Onaga, KS 66521
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Onaga Operator, LLC, in Onaga, Kansas, is certified for 45 beds under for-profit, limited liability company ownership and belongs to the Mission Health Communities chain.
CMS gives it 4 of 5 stars overall, above the Kansas median of 3; the health inspection rating is 4, staffing 4 and quality measures 4.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (3, 8, 7 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 40.0 per 100 beds, about the same as the state median of 44.4.
CMS lists 3 penalties in the period covered: fines totalling $43K.
Reported nurse staffing is 3.9 hours per resident per day (0.5 RN), close to the Kansas median of 3.9; nursing staff turnover is 33.3%.
Compared with county, state and nation
| Measure | This facility | Pottawatomie Co. median | Kansas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 24 | 24 | 28.7 |
| Citations per 100 beds | 40.0 | 60.0 | 44.4 | 26.8 |
| Total nurse hours per resident day | 3.9 | 4.3 | 3.9 | 3.9 |
| RN hours per resident day | 0.5 | 1.0 | 0.6 | 0.7 |
| Nursing staff turnover | 33.3% | 33.3% | 47.4% | 45.8% |
| Fines listed | $42,578 | $26,525 | $7,960 | — |
County and state figures are medians across facilities (4 in the county, 296 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Apr 2026, 2 Oct 2024.
Severity mix: J ×3 L ×1 D ×8 E ×2 F ×2 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 May 2026 |
| 30 Apr 2026 | F0801 | 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. | C | Standard survey | 29 May 2026 |
| 30 Apr 2026 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard survey | 29 May 2026 |
| 28 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 11 Jul 2025 |
| 2 Oct 2024 | F0801 | 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. | F | Standard survey | 1 Nov 2024 |
| 2 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 Nov 2024 |
| 2 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 1 Nov 2024 |
| 2 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Nov 2024 |
| 2 Oct 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 1 Nov 2024 |
| 2 Oct 2024 | F0758 | 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. | D | Standard survey | 1 Nov 2024 |
| 2 Oct 2024 | F0803 | 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. | D | Standard survey | 1 Nov 2024 |
| 13 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 13 Feb 2024 |
| 7 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | L | Complaint investigation | 16 Nov 2023 |
| 7 Dec 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | J | Complaint investigation | 16 Nov 2023 |
| 5 Apr 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 May 2023 |
| 5 Apr 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 15 May 2023 |
| 5 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 May 2023 |
| 5 Apr 2023 | F0726 | 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. | D | Standard survey | 15 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 Jul 2025 | Fine | $16,149 | |
| 13 Mar 2024 | Fine | $14,518 | |
| 7 Dec 2023 | Fine | $11,911 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 33.3%, RNs —; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.8% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 12.0% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.3% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.5% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.7% | 15.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Onaga Operator Llc. Chain: Mission Health Communities (30 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kansas Operator LLC | 5% or greater direct ownership interest | 100% | 02/25/2015 |
| Barres, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/26/2015 |
| T and C Capital Assets, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/26/2015 |
| Windward Health Partners LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/26/2015 |
| Mission Health Communities, LLC | Operational/managerial control | NOT APPLICABLE | 02/26/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Pottawatomie County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Community Hospital Onaga Ltcu | St Marys | 26 | 5 | 5 | 5 | 9 | 34.6 | — | 31 Oct 2024 |
| Good Samaritan - Wamego | Wamego | 45 | 4 | 3 | 5 | 27 | 60.0 | $27K | 16 May 2024 |
| Westy Community Care Home | Westmoreland | 40 | 1 | 2 | 4 | 24 | 60.0 | $19K | 18 Sep 2024 |
All 4 facilities in Pottawatomie County
Questions and answers
How many deficiencies has Onaga Operator, LLC been cited for?
18 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.
Has Onaga Operator, LLC been fined?
Yes. CMS lists fines totalling $43K in the period covered.
How does staffing at Onaga Operator, LLC compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates Onaga Operator, LLC?
It is part of the Mission Health Communities chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Kansas Operator LLC, Barres, LLC and T and C Capital Assets, LLC. Individual owners and managers are not listed on this site.
When was Onaga Operator, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 30 Apr 2026; the most recent standard health survey was 30 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.