Community Hospital Onaga Ltcu
Nursing home in St Marys, KS
Medicaid-certified5★ overall (CMS)
Public-record details
- Address
- 206 Grand Avenue, St Marys, KS 66536
- Phone
- (785) 437-2286
- Listed under
- Nonprofit, 4–5 star overall rating, No fines in 3 years
- Medicare CCN
- 17E242
- Overall star rating
- 5 of 5 ★★★★★
- Health inspection rating
- 5 of 5
- Staffing rating
- 5 of 5
- Quality measures rating
- 5 of 5
- Certified beds
- 26
- Average residents per day
- 23
- Ownership
- Nonprofit, corporation
- Legal business name
- Legal Business Name Not Available
- Certified for
- Medicaid
- First approved by Medicare/Medicaid
- Aug 1, 1974
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Oct 31, 2024. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 21, 2021 to Oct 31, 2024): 0 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Oct 31, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
| Oct 31, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Oct 31, 2024 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
| Jun 19, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| Jun 19, 2023 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D |
| Jun 19, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
| Jun 19, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| Jun 19, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and… | D |
| Dec 21, 2021 | Provide and implement an infection prevention and control program. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 5.73 hours
- Registered nurse (RN) time per resident per day
- 0.97 hours
- Nurse aide time per resident per day
- 3.92 hours
- Total nurse staffing on weekends
- 4.60 hours
- Nursing staff turnover (yearly)
- 30%
- RN turnover (yearly)
- 50%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.