Cura of Onamia

In the surveyor’s words

From the most serious findings on record at Cura of Onamia, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF755Apr 23, 2026

  Based on observation, interview, and record review the facility failed to ensure resident medications were properly labeled with either an expiration date or beyond use date to ensure expired medications were not administered to residents. This deficient practice had the potential to impact all residents who received medications at the facility.Findings include:During a medication pass observation on 4/21/26 at 10:30 a.m., R17's medication labels were reviewed. Labels did not include an expiration or beyond use date.During a medication pass observation on 4/21/26 at 11:58 a.m., R7's medication label was reviewed. The label did not include an expiration or beyond use date.During a medication pass observation on 4/22/26 at 10:22 a.m., R1's medication labels were reviewed. […]

• No harm, potential for more than minimal, widespreadF761Apr 23, 2026

  Based on observation, interview, and record review the facility failed to ensure medication injectable supplies were removed from active stock once expired. In addition, the facility failed to ensure medications were properly labeled with either an expiration date or beyond use date. These deficient practices had the potential to impact all residents who received medications at the facility.Findings include:During a medication pass observation on 4/21/26 at 10:30 a.m., R17's medication labels were reviewed. Labels did not include an expiration or beyond use date.During a medication pass observation on 4/21/26 at 11:58 a.m., R7's medication label was reviewed. […]

• No harm, potential for more than minimal, widespreadF809Apr 23, 2026

  Based on interview and record review, the facility failed to ensure residents were offered a substantial snack when there were more than 14 hours between the dinner and breakfast meals. This had the ability to affect all 35 residents who resided in the facility.Findings include:A facility-submitted document, received 4/21/26, identified breakfast began at 8:00 a.m., lunch began at 12:00 p.m., and dinner began at 5:00 p.m.During an interview on 4/20/26 at 2:15 p.m., the manager of nutrition services confirmed the mealtimes at the facility were 8:00 a.m., 12:00 p.m., and 5:00 p.m. […]

• No harm, potential for more than minimal, widespreadF880Apr 23, 2026

  Based on interview and document review the facility failed to track and monitor residents and staff with symptoms of possible illness to prevent a possible outbreak. This could affect all residents and visitors in the facility.Findings include:During a review of the facilities infection control program paper on 4/23/26 at 8:12 a.m., the paperwork lacked any information related to staff and resident illness symptoms reported to the facility. There was no documentation of symptoms, trends in the facility or indications the facility was monitoring to prevent a potential outbreak.During an interview on 4/23/26 at 8:38 a.m., the assistant director of nursing/infection preventionist (IP) stated there had been no tracking and trending of resident or staff symptoms since she had taken over the IP… […]

• No harm, potential for more than minimal, widespreadF851Jan 9, 2024

  Based on interview and document review, the facility failed to submit accurate and/or complete data for staffing information based on payroll and other verifiable and auditable data during 1 of 1 quarter reviewed (Quarter 4), to the Centers for Medicare and Medicaid Services (CMS), according to specifications established by CMS. Findings include: Payroll Based Journal (PBJ) [NAME] Report 1705D identified the following dates triggered: 7/2/23, 8/20/23, 8/26/23, 8/27/23, and 9/4/23 for failure to have licensed nurse coverage 24 hours per day. Daily staff schedules on the above-mentioned dates identified licensed nursing staff including registered nurses had worked and therefore the data submitted in the PBJ to CMS was inaccurate. […]