ONAGA OPERATOR, LLC
CMS
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$26,429
Outcome
ONAGA OPERATOR, LLC in ONAGA, KS was fined $26,429 by CMS across 2 separate penalties following 23 deficiency citations identified during federal surveys.
Details
ONAGA OPERATOR, LLC (ONAGA, KS) — $26,429 in CMS Fines
Outcome: ONAGA OPERATOR, LLC in ONAGA, KS was fined $26,429 by CMS across 2 separate penalties following 23 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- 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.
- 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.
- Provide and implement an infection prevention and control program.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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