Onyx Care of Ringgold

In the surveyor’s words

From the most serious findings on record at Onyx Care of Ringgold, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF655Aug 19, 2026

  Based on record reviews and interviews, the facility failed to develop a baseline care plan for 2 (#64, #85) out of 5 new resident admissions reviewed.Findings:- Resident #64 Review of Resident #64's medical record revealed an admit date of 07/27/2026 with the following diagnoses, including in part: type 2 diabetes mellitus, need for assistance with personal care, cognitive communication deficit, Alzheimer's disease, impulsiveness, neurocognitive disorder with lewy body, anxiety disorder unspecified, depression, insomnia, and delusional disorders. Review of Resident #64's medical record revealed baseline care plan dated 07/27/2026 was incomplete. During an interview on 08/18/2026 at 2:51 p.m. […]

• No harm, potential for more than minimal, patternF689Aug 19, 2026

  Based on observations, record reviews, and interviews the facility failed to ensure adequate supervision was provided to prevent elopement for 1 (#64) of 3 (#55, #64, and #85) residents investigated for elopement risk.The facility implemented corrective actions which were completed prior to the State Agency's investigation, thus it was determined to be past noncompliance citation.Findings: Review of the facility's Elopement, Risk Reduction Strategies, and Management of Missing Residents policy (latest review date 03/05/2026) revealed in part:The facility maintains a process to assess all residents for risk of elopement, implement risk reduction strategies for those identified as an elopement risk, institute measures for resident identification at the time of admission, and conduct a… […]

• No harm, potential for more than minimal, patternF578Jul 2, 2025

  Based on record reviews and interview the facility failed to inform and provide written information to residents or resident's representative concerning the right to formulate an advance directive for 15 (#3, #8, #16, #21, #33, #34, #36, #53, 56, #63, #66, #71, #73, #76, #291) out of 15 residents reviewed for advanced directives. Findings: Review of Resident #3's medical record revealed resident was admitted to facility on 03/02/2015 with re-entry on 05/16/2016. Further review of Resident #3's medical record failed to reveal resident or resident's representative was provided with written information concerning advance directives. Review of Resident #8's medical record revealed resident was admitted to facility on 09/23/2019. […]

• No harm, potential for more than minimal, patternF656Jul 2, 2025

  Based on record review and interviews, the facility failed to develop and implement a comprehensive person-centered care plan for 1 (#24) of 19 care plans reviewed. Findings: Review of Resident #24's medical record revealed an admit date of 02/14/2025 with diagnoses that include in part chronic pain, dependence on supplemental oxygen, heart failure, essential hypertension, major depressive disorder and generalized anxiety disorder. Review of Resident #24's physician orders revealed in part an order dated 6/26/2025 Hydrocodone-Acetaminophen oral tablet 7.5-325 MG (milligram) Give 1 (one) tablet by mouth every morning and at bedtime for pain related to other chronic pain. […]

• No harm, potential for more than minimal, patternF551Feb 19, 2025

  Based on record review and interviews, the facility failed to ensure an out of state, delegated resident's legal guardian had been validated by the residing state court and had the necessary authority to exercise the resident's rights for 1 (Resident #1) of 3 (Resident #1, #2, #3) sampled residents. Findings: Review of the facility's Residents' [NAME] of Rights policy with an effective date of 01/01/2004 revealed in part: Policy: Each resident will be treated as an individual with consideration, respect and full recognition of his/her dignity. A. Facility Residents shall have the right to: 5. Privately talk and/or meet with and see anyone . C. […]