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Nursing homeFAID #5105

Onyx Care of Natchitoches

750 KEYSER AVENUE, NATCHITOCHES, LA, 71457
(318) 352-8779
98 licensed beds

CMS rates Onyx Care of Natchitoches 1 out of 5 overall. Federal inspectors issued 75 citations across 20 inspections in the last three years, with $616,611 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
98
CMS facility ID
195293
Care type
Nursing home
County
Natchitoches
Facility name
Onyx Care of Natchitoches
Street address
750 KEYSER AVENUE
City / state / ZIP
Natchitoches, LA 71457
Phone
(318) 352-8779

About this facility — Onyx Care of Natchitoches

Onyx Care of Natchitoches is a Medicare/Medicaid-certified skilled nursing facility in Natchitoches, Louisiana. It is licensed for 98 beds — below the median for skilled nursing facilities in Louisiana (122 beds).

It is one of 5 senior care facilities in Natchitoches and 266 skilled nursing facilities across Louisiana. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Onyx Care of Natchitoches 75 times across 20 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $616,611 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Regulatory standing

Licensed / certified since
1994-07-01
CMS overall rating
1 of 5 stars
Health deficiencies
26 at the last standard inspection
Federal fines
$616,611 total
Last standard inspection
2026-03-25
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$179 per day (≈ $5,440/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
80% Medicaid · 6% Medicare · 14% private/other
Occupancy
63% (fiscal year 2023)
Vs. state median
31% below the LA median of $258/day — full state cost breakdown

Services & coverage

Licensed beds
98
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-26Health inspectionComplaint-triggered9 citations
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2026-09-23
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-09-23
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-09-23
F-0676
D · No harm foundFrom a complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-09-23
F-0727
D · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2026-09-23
F-0802
E · No harm foundFood safetyFrom a complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2026-09-23
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-09-23
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-09-23
F-0908
D · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2026-09-23
2026-03-25Health inspectionComplaint-triggered9 citations
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2026-04-13
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-04-13
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-04-13
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2026-04-13
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-13
F-0761
E · No harm foundFrom a complaint
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.
Corrected 2026-04-13
F-0835
E · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2026-04-13
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-04-13
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-13
13 earlier / fire-safety inspections (57 citations)
2026-02-24Health inspectionComplaint-triggered3 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-03-25
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-03-25
F-0800
E · No harm foundFood safetyFrom a complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2026-03-25
2026-01-14Health inspectionComplaint-triggered5 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-02-21
F-0567
D · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2026-02-21
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-21
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-21
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-02-21
2025-06-20Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-09
2025-03-12Health inspectionComplaint-triggered6 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-14
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-14
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-14
F-0679
D · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2025-04-14
F-0692
H · Actual harm
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-14
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-04-14
2025-01-07Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-04
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-04
2024-11-25Health inspectionComplaint-triggered4 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-27
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-27
F-0814
D · No harm foundFood safetyFrom a complaint
Dispose of garbage and refuse properly.
Corrected 2024-11-27
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-11-27
2024-10-25Health inspectionComplaint-triggered3 citations
F-0565
E · No harm foundFrom a complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-11-25
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-25
F-0835
J · Immediate jeopardyFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-11-25
2024-09-19Health inspectionComplaint-triggered1 citation
F-0800
D · No harm foundFood safetyFrom a complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2024-10-09
2024-05-24Health inspectionComplaint-triggered2 citations
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-17
F-0835
J · Immediate jeopardyFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-06-17
2024-01-11Health inspectionComplaint-triggered13 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-09
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-09
F-0565
E · No harm foundFrom a complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-02-09
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-02-09
F-0585
D · No harm foundFrom a complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-02-09
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-09
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-09
F-0684
H · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-09
F-0687
D · No harm foundFrom a complaint
Provide appropriate foot care.
Corrected 2024-02-09
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-02-09
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-02-09
F-0814
E · No harm foundFood safetyFrom a complaint
Dispose of garbage and refuse properly.
Corrected 2024-02-09
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-09
2023-11-08Health inspectionComplaint-triggered3 citations
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-10
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-10
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-12-10
2023-10-26Health inspectionComplaint-triggered10 citations
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-12-10
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-10
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-12-10
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-10
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-10
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-10
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-10
F-0726
E · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-12-10
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-10
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-10
2024-01-11Fire-safety inspection4 citations
E-0004
E · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-02-09
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-02-16
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-16
K-0917
D · No harm found
Ensure electrical receptacles or cover plates have distinctive color or marking.
Corrected 2024-02-16

Federal penalties

2025-03-12Fine$212,875
2024-10-25Fine$235,974
2024-05-24Fine$69,521
2024-01-11Fine$98,241
Total fines$616,611
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 195293.

Quality of care & staffing

How it compares in Louisiana.
Inspection citations, 3 years
75
More than 98% of nursing homes in the state
State median: 24
Federal fines, 3 years
$616,611
More than 99% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
3.7
Higher than 46% of nursing homes in the state
State median: 3.7
Nursing staff turnover, annual
66%
Higher than 92% of nursing homes in the state
State median: 46%

Resident outcomes

On 19 federal quality measures, this facility does better than the Louisiana average on 7 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased12.9%16.5%13.5%Better than state
Lose too much weight11.6%5.3%5.1%Worse than state
With a catheter inserted and left in their bladder0.7%1.0%0.7%Better than state
With a urinary tract infection0.5%1.9%1.5%Better than state
Have depressive symptoms1.6%2.4%13.5%Better than state
Were physically restrained0.5%0.2%0.1%Worse than state
Experiencing one or more falls with major injury1.8%3.5%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine91.7%93.8%93.7%Near state average
Ability to walk independently worsened20.0%15.1%12.7%Worse than state
Received an antianxiety or hypnotic medication23.9%23.3%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine91.5%96.0%95.3%Near state average
With pressure ulcers14.2%5.5%4.5%Worse than state
With new or worsened bowel or bladder incontinence7.6%14.9%18.3%Better than state
Received an antipsychotic medication30.1%22.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days2.012.431.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days2.862.581.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine54.2%86.4%82.3%Worse than state
Newly received an antipsychotic medication5.4%3.1%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine46.9%77.8%80.1%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0658 7 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
  • F-0677 5 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
  • F-0880 4 inspections. Provide and implement an infection prevention and control program.
  • F-0558 4 inspections. Reasonably accommodate the needs and preferences of each resident.
  • F-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0584 3 inspections. Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Verify & compare

Where to check, and what's nearby.

Who to contact in Louisiana

  • Licensing: Louisiana Department of Health, Health Standards Section
  • File a complaint: 888-810-1819 · Online
  • Long-Term Care Ombudsman: 866-632-0922. A free advocate for residents and families.
  • Adult Protective Services: 844-945-2377. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Natchitoches Regional Medical Center, about 0.3 miles. CMS rating 4 of 5.
  • Christus Coushatta Health Care Center, about 24 miles. CMS rating 4 of 5.
  • Sabine Medical Center, about 27 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 75 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered