Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ONAGA OPERATOR, LLC

ONAGA, KS · 45 certified beds · Last Life Safety survey April 30, 2026

CMS Certification Number 175220 · first certified April 1992

Ownership

Operated by MISSION HEALTH COMMUNITIES · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

23
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within KS

23 citations — more than 34% of the 296 certified nursing homes in KS. Compared within KS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2027 — about 15 months from now. This facility’s last Life Safety survey was April 2026. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 298 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 23 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in KS, and nationally. Surveyors differ markedly between states, so the KS figure is the meaningful one.

This facility23KS median27National median11
Citations on file over three years, compared
MeasureCitations
This facility23
Median facility in KS27
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-0492024-1072026-04
Citations at each Life Safety survey
Survey dateCitations
April 5, 20237
October 2, 20249
April 30, 20267

Most-cited tags

Most-cited tags at this facility
K-09203K-03532K-07122K-01612K-09161K-03511K-05111K-03451
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32026-04-30
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-04-30
K-0712Have simulated fire drills held at unexpected times.22026-04-30
K-0161Use approved construction type or materials.22024-10-02
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12024-10-02
K-0351Install an approved automatic sprinkler system.12024-10-02
K-0511Have properly installed electrical wiring and gas equipment.12024-10-02
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12026-04-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Miscellaneous Deficiencies 4
  • Construction Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies7
Miscellaneous Deficiencies4
Construction Deficiencies2
Services Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 30, 2026 — 7 citations

Citations issued on April 30, 2026
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (July 9, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 22, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 10, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 22, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 23, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 22, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 22, 2026)

October 2, 2024 — 9 citations

Citations issued on October 2, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (December 18, 2024)
K-0351Install an approved automatic sprinkler system.Waiver has been granted (December 18, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 18, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 18, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 18, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (December 18, 2024)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (December 18, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 18, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 18, 2024)

April 5, 2023 — 7 citations

Citations issued on April 5, 2023
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (May 29, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 29, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (May 29, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 29, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (May 29, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (May 29, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 29, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.