ElderGrade
A

97.5/100

Excellent

Community Hospital Onaga Ltcu

206 Grand Avenue, St Marys, KS 66536

CMS 5/5 stars #1 of 4 in Pottawatomie County (785) 437-2286
Certified beds
26
Occupancy
88%
Ownership
Non-profit
Accepts
Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

27.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 6.53 total nurse hours per resident per day (national median 3.77)
  • 0.97 RN hours per resident per day
  • Weekend staffing drops 20% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 30% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 5.73 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.97 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.60 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 30.00%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 9 citations

Last standard health inspection: October 31, 2024 (1 year ago).

D Oct 31, 2024 F0636

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

No actual harm, potential for more than minimal harm

D Oct 31, 2024 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Oct 31, 2024 F0849

Administration Deficiencies

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.

No actual harm, potential for more than minimal harm

D Jun 19, 2023 F0657

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.

No actual harm, potential for more than minimal harm

D Jun 19, 2023 F0744

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

No actual harm, potential for more than minimal harm

D Jun 19, 2023 F0756

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.

No actual harm, potential for more than minimal harm

D Jun 19, 2023 F0757

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

D Jun 19, 2023 F0758

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 m...

No actual harm, potential for more than minimal harm

What families say

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Common questions about Community Hospital Onaga Ltcu

What is the ElderGrade for Community Hospital Onaga Ltcu? +

Community Hospital Onaga Ltcu holds an ElderGrade of A (97.5 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Community Hospital Onaga Ltcu? +

Residents receive an average of 5.73 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Community Hospital Onaga Ltcu been cited for harming residents? +

No. None of the 9 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Community Hospital Onaga Ltcu accept Medicaid? +

Yes, Community Hospital Onaga Ltcu is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.