Community Hospital Onaga LTCU
206 Grand Avenue, St Marys, KS 66536 · Pottawatomie County · 26 certified beds · avg 23 residents/day · certified since Aug 1, 1974
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Jun 19, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jun 19, 2023 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Jun 19, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jun 19, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Jun 19, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Dec 21, 2021 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | D |
| 2023 | 5 | 0 | D |
| 2024 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.53 | 4.58 | 3.95 | top 7% in Kansas; top 2% in the U.S. |
| Registered Nurse hours | 1.10 | 0.81 | 0.69 | top 19% in Kansas; top 12% in the U.S. |
| Weekend total nurse staffing | 5.24 | 4.05 | 3.50 | top 12% in Kansas; top 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.49 | 0.48 | top 21% in Kansas; top 19% in the U.S. |
| Total nursing staff turnover (%) | 30.0 | 48.1 | 45.8 | top 11% in Kansas; top 14% in the U.S. |
| RN turnover (%) | 50.0 | 42.0 | 42.9 | bottom 40% in Kansas; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.73, RN 0.97, weekend 4.60. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ownership Data Not Available |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Rossville Healthcare and Rehabilitation Center | 7.2 mi | Rossville, KS | ★☆☆☆☆ | 1/5 | SFF |
| Good Samaritan - Wamego | 13.9 mi | Wamego, KS | ★★★★☆ | 3/5 | |
| Westy Community Care Home | 18.1 mi | Westmoreland, KS | ★☆☆☆☆ | 2/5 | |
| The Healthcare Resort of Topeka | 18.1 mi | Topeka, KS | ★★★★★ | 5/5 | |
| Rolling Hills Health Center | 18.8 mi | Topeka, KS | ★★☆☆☆ | 2/5 | |
| The Gardens at Aldersgate | 19.2 mi | Topeka, KS | ★☆☆☆☆ | 1/5 | abuse |
| Plaza West Healthcare and Rehab | 19.2 mi | Topeka, KS | ★☆☆☆☆ | 1/5 | |
| Topeka Presbyterian Manor | 19.4 mi | Topeka, KS | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 17E242.