nursing home in St Marys, KS
Community Hospital Onaga Ltcu
206 Grand Avenue, St Marys, KS 66536 · (785) 437-2286
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★5
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Community Hospital Onaga Ltcu at a glance
Community Hospital Onaga Ltcu is a 26-bed non-profit nursing home in St Marys, Kansas (Pottawatomie County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Kansas average of 3.1.
Residents receive about 5.7 hours of nursing care per day (1 of them from registered nurses), better than the state average of 4.1 hours.
Its most recent standard health inspection (October 31, 2024) found 3 health citations. The Kansas average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 30% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 26
- Certified for
- Medicaid
- Medicare-certified since
- August 1, 1974
- Resident/family council
- Resident
- County
- Pottawatomie County
- CMS Certification Number
- 17E242
Ratings
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.1 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.73 hrs | 4.07 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.97 hrs | 0.71 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.92 hrs | 2.70 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.60 hrs | 3.60 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 30% | 48.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 50% | 42% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 14 | 83.4 | 80.6 | Better |
Penalties
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $20,430 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 26 | 61 | 107 | |
| Average residents per day | 23 | 51 | 86 | |
| Occupancy | 87.7% | 82.4% | 80.9% |
Long-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.1% | 4.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.1% | 4.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.9% | 18.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.1% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1% | 1.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 20.8% | 17.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 10.7% | 16.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.2% | 4.9% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 7.1% | 6.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24.7% | 23.2% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 25.4% | 22.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 92.1% | 93.6% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| October 31, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 23, 2024 |
| October 31, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 23, 2024 |
| October 31, 2024 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected November 18, 2024 |
| October 31, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 18, 2024 |
| October 31, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected November 18, 2024 |
| June 19, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 12, 2023 |
| June 19, 2023 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected August 12, 2023 |
| June 19, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 12, 2023 |
| June 19, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 12, 2023 |
| June 19, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected August 12, 2023 |
| June 19, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 19, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 19, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 19, 2023 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected July 5, 2023 |
| June 19, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 5, 2023 |
| December 21, 2021 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0908 | D Potential harm, isolated | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0902 | D Potential harm, isolated | Corrected February 28, 2022 |
| December 21, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected February 28, 2022 |
| December 21, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 19, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
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- Abuse citation
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Frequently asked questions
What is Community Hospital Onaga Ltcu's rating?
Community Hospital Onaga Ltcu has 5 out of 5 stars on the CMS overall star rating. The average for Kansas nursing homes is 3.1 stars.
How many inspection citations did Community Hospital Onaga Ltcu receive?
Its most recent standard health inspection found 3 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Community Hospital Onaga Ltcu accept Medicare and Medicaid?
CMS lists it as certified for: Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Community Hospital Onaga Ltcu?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Community Hospital Onaga Ltcu and how do I contact it?
Community Hospital Onaga Ltcu is at 206 Grand Avenue, St Marys, KS 66536. Phone: (785) 437-2286.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.