Onaga Operator, LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 38 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
Below average in KS · Critically understaffed (RN) · Below chain average · $26,429 in fines · Abuse citation
What this means for your family
This facility is highly regarded for its warm, family-oriented culture and dedicated staff who frequently go above and beyond for residents. Families should feel confident in the facility's ability to provide personalized care and engaging social activities.
Google Reviews
Google Reviews
38 reviews on Google“Onaga Health and Rehab is consistently praised for its warm, family-like atmosphere and highly attentive, compassionate staff. Reviewers frequently highlight the facility's commitment to resident comfort, engaging activities, and personalized care, noting that staff often go above and beyond to meet individual needs.”
Quality Themes
Tap a score for detailsStrengths
- Warm, compassionate, and attentive staff
- Strong sense of community and family atmosphere
- Engaging activities and social outings
- Clean and well-maintained environment
Rating Trends
Tap a year to see what changed
Distribution · 41 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1It is wonderful to see how much people value the warm and family-like atmosphere here; how do you foster that sense of community among the 45 residents?
- 2We are looking for a place where my loved one can stay active; could you tell us more about the specific social outings and daily activities you have planned?
- 3I noticed the facility is very well-maintained; what is your routine for ensuring the resident living areas stay clean and comfortable every day?
- 4Since we want to ensure consistent care, how do you manage staffing levels during the night shifts and weekends to ensure everyone is attended to?
- 5In the event of a sudden change in health or a medical emergency after hours, what is the specific protocol for contacting doctors and notifying the family?
- 6What steps is the administration currently taking to address recent inspection findings and ensure all care standards are being met?
Personalized based on this facility's data
Key Review Excerpts
“The staff also provide competent care on an individualized basis to meet the needs of the residents and their loved ones.”
“A housekeeper overhead me mention that I wanted headphones, she walked from across the room and gave me hers. I've seen the staff on multiple occasions do unsolicited gestures to make the residents happy.”
“The nurses are so engaging, thoughtful and really just make you feel at home and comfortable. If the day ever comes I find myself needing to be in a facility this will be my top pick.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
11
measures
3
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents who got a urinary tract infection
Residents needing more daily help over time
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of deficiencies, including multiple family-filed complaints involving resident abuse, neglect, medication errors, and improper restraint use. The most recurring issues are fire safety problems, medication management failures, and quality of care concerns. While most deficiencies show correction dates, the pattern of serious complaint-triggered violations regarding resident protection and proper nursing care suggests ongoing operational challenges families should carefully consider.
Jul 28, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Oct 2, 2024Routine16
Smoke Deficiencies
Install an approved automatic sprinkler system.
Nutrition and Dietary Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
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
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.
Nutrition and Dietary Deficiencies
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.
Mar 13, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Dec 7, 2023Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Apr 5, 2023Routine11
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
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.
Sep 15, 2021Routine21
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Federal Penalties
Fine
Jul 28, 2025
$24,845
Fine
Mar 13, 2024
$14,518
Fine
Dec 7, 2023
$11,911
Ownership & Operations
Who Operates This Facility
Onaga Operator, LLC
for profit
Chain Affiliation
Mission Health Communities
33 facilities nationwide
Chain avg rating: 2.5/5 · Rank 22 of 40
Ownership & Management
Owners
Kansas Operator LLC
Owner · Organization
Barres, LLC
Owner (parent company) · Organization
T and C Capital Assets, LLC
Owner (parent company) · Organization
Windward Health Partners LLC
Owner (parent company) · Organization
Crino, Bryan
Owner (parent company)
Feuer, Scott
Owner (parent company)
Lindeman, Stuart
Owner (parent company)
Passero, Joseph
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
38 reviews from families & visitors
Official Website
Visit onagahealthandrehab.com
Medicare data downloads
Original nursing home datasets
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