Community Hospital Onaga Ltcu
206 Grand Avenue, St. Marys, KS 66536 · Pottawatomie County · (785) 437-2286
26 certified beds, about 23 residents a day · Non profit - Corporation · Medicaid since 1974
CMS Care Compare ratings, data as of September 1, 2026 · CCN 17E242 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 31, 2024, inspectors cited 3 health deficiencies (the Kansas average is 9.5, the national average 9.2).
None of its 9 health citations since December 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.73 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.97 of those hours.
30.0% of nursing staff left within the year CMS measured (Kansas average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
October 31, 2024Standard inspection · 3 citations
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteThe facility identified a census of 23 residents. The sample included 12 residents. Based on observation, record review, and interviews, the facility failed to fully complete the Comprehensive Minimum Data Set (MDS) for Resident (R) 3 when staff did not complete an analysis for triggered Care Area Assessments (CAA). This placed this resident at risk for an inaccurate plan of care and unidentified care needs.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility identified a census of 23 residents. The sample included 12 residents with six residents reviewed for falls and accidents. Based on observation, record review, and interviews, the facility failed to consistently implement interventions to prevent falls for Resident (R)19 who had multiple falls. This deficient practice placed R19 at risk for further falls and related injuries.
- D 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.
Inspectors wroteThe facility identified a census of 23 residents. The sample included 12 residents with one resident reviewed for hospice. Based on observation, record review, and interviews, the facility failed to ensure collaboration between the nursing home and hospice services to identify hospice-supplied services, supplies, medication, and equipment for Resident (R) 19. This deficient practice placed R19 at risk for impaired end-of-life care. Findings Included: - R19's Electronic Medical Record (EMR) from the Diagnoses tab documented diagnoses of documented restlessness and agitation, frontotemporal neurocognitive disorder (a group of disorders that occur when nerve cells in the frontal and temporal lobes of the brain are lost), and pain. [...]
June 19, 2023Standard inspection · 5 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents. Based on observation, record review, and interview, the facility failed to revise the care plan with person-centered intervention for behaviors for one sampled resident, Resident (R) 19. This placed the resident at risk for injury and unmet needs.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents, with three reviewed for dementia (progressive mental deterioration characterized by confusion and memory failure) care. Based on observation, record review, and interview, the facility failed to provide the necessary dementia care and services to attain or maintain the highest level of practicable physical, mental, and psychosocial wellbeing for Resident (R) 19, who had dementia related behaviors. This placed the resident at risk for decreased quality of life.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteThe facility had a census of 19 resident. The sample included eight residents. Based on observation, record review, and interview, the facility failed to ensure the facility had a system in place to acknowledge and address the Consultant Pharmacist's (CP) recommendations for Resident (R)10, which placed the resident at risk of impaired health.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents, with six reviewed for unnecessary medications, Based on observation, record review, and interview, the facility failed to administer as needed clonidine (high blood pressure medication) for Resident (R) 9, who had systolic blood pressure (SBP-the maximum pressure the heart exerts while beating) above physician ordered parameters. This placed the resident at risk for physical decline and complications related to high blood pressure.
- D 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.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents. Based on observation, interview, and record review, the facility failed to attempt or address Resident (R)17's antipsychotic (mood altering medication) and antidepressant (class of medications used to treat mood disorders and relieve symptoms of depression) medications for a gradual dose reduction (GDR). The facility further failed to ensure R19's as needed antianxiety (class of medications that calm and relax people with excessive anxiety, nervousness, or tension) medication had a stop date as required This deficient practice placed R17 and R19 at risk for adverse side effects related to psychotropic (alters mood or thought) medication use.
December 21, 2021Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteThe facility had a census of 21 residents. The sample included 12 residents. Based on observations, record reviews, and interviews, the facility failed to ensure staff performed appropriate hand hygiene and/or glove usage during peri-care (involves washing the genital and rectal areas of the body or perineal area) for Resident (R) 8. This deficient practice had the risk for cross-contamination and increased risk for infection for the resident.
Fire safety inspections
20 fire safety citations on file: 2 on October 31, 2024, 5 on June 19, 2023, 13 on December 21, 2021.
Every fire safety citation20 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Use approved construction type or materials.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- F 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.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure proper usage of power strips and extension cords.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
- D Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.73 | 4.07 | 3.86 |
| Registered nurses | 0.97 | 0.71 | 0.69 |
| All nursing staff on weekends | 4.60 | 3.60 | 3.42 |
| Nurse aides | 3.92 | ||
| Licensed practical nurses | 0.84 | ||
| Nursing staff turnover (share who left in a year) | 30.0% | 48.1% | 45.8% |
| Registered nurse turnover | 50.0% | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.36 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 6.19 on weekdays and 4.60 on weekends, 26% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.23 in April to June 2025 to 5.73 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.73 | 0.97 | 6.19 | 4.60 | 0.0% | 0 of 90 | 23 |
| Oct to Dec 2025 | 5.93 | 0.90 | 6.32 | 4.94 | 0.0% | 0 of 92 | 22 |
| Jul to Sep 2025 | 6.12 | 1.03 | 6.61 | 4.88 | 0.0% | 0 of 92 | 22 |
| Apr to Jun 2025 | 5.23 | 0.95 | 5.56 | 4.38 | 0.0% | 0 of 91 | 25 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kansas, Jan to Mar 2026 | 4.01 | 0.67 | 4.19 | 3.56 | 4.8% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Kansas
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kansas, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.41 to $21.24 | 24,610 |
| LPNs and LVNs | $29.69 | $27.05 to $33.40 | 7,530 |
| Registered nurses | $38.14 | $35.24 to $45.53 | 33,800 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.8 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 4.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.7 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.9 | 18.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.1 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Community Hospital Onaga Ltcu's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: This nursing home is not required to submit data for the Skilled Nursing Facility Quality Reporting Program.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 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."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on October 31, 2024: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on October 31, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on October 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."
Other nursing homes nearby
- Rossville Healthcare and Rehabilitation Center Rossville, 7.2 mi · 1 of 5 stars · 54 citations
- Good Samaritan - Wamego Wamego, 13.9 mi · 4 of 5 stars · 27 citations
- Westy Community Care Home Westmoreland, 18.1 mi · 2 of 5 stars · 29 citations
- The Healthcare Resort of Topeka Topeka, 18.1 mi · 5 of 5 stars · 18 citations
- Rolling Hills Health Center Topeka, 18.8 mi · 2 of 5 stars · 42 citations
- The Gardens at Aldersgate Topeka, 19.2 mi · 1 of 5 stars · 58 citations
- Plaza West Healthcare and Rehab Topeka, 19.2 mi · 1 of 5 stars · 63 citations
- Topeka Presbyterian Manor Topeka, 19.4 mi · 1 of 5 stars · 36 citations
Common questions
- What is Community Hospital Onaga Ltcu's Medicare star rating?
- CMS rates Community Hospital Onaga Ltcu 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Community Hospital Onaga Ltcu get at its last inspection?
- 3 health deficiencies at the standard inspection on October 31, 2024. The Kansas average is 9.5.
- Has Community Hospital Onaga Ltcu been fined?
- CMS lists no fines in the last three years.
- Does Community Hospital Onaga Ltcu accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Community Hospital Onaga Ltcu?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.