Facility profile · CCN 676271
Onion Creek Nursing And Rehabilitation Center
26 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $51,337.
Record summary
Federal record · Q1 202626
Total citations
16
Last 3 years
3
Actual harm+
2
Federal penalties
$51,337
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
26 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 28, 2026 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Nov 5, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Jul 3, 2025 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint |
| Jul 3, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 5, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint |
| Feb 19, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 19, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 2, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Complaint |
| Jul 1, 2024 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Jul 1, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Feb 29, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 29, 2024 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard |
| Feb 29, 2024 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Feb 29, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Feb 29, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Feb 29, 2024 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Dec 2, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 2, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 2, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Dec 2, 2022 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Sep 10, 2021 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Sep 10, 2021 | F761 | 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. | E | Standard |
| Sep 10, 2021 | F758 | 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. | E | Standard |
| Sep 10, 2021 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Sep 10, 2021 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Sep 10, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $51,337 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 5, 2025 | Fine | $42,224 | — |
| Feb 19, 2025 | Fine | $9,113 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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