Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Onyx Care Of Bernice during CMS and state inspections, most recent first.
A resident’s shared bathroom door would not close completely because it hit the door frame, and surveyors observed the issue on multiple occasions. The Administrator confirmed the door needed repair.
Unsafe and unsanitary items were left accessible in a courtyard area where two residents were observed sitting with no staff present and an open gate nearby. Surveyors observed a toilet containing dirty gloves, cigarette butts, and rags, along with paints, calking, rusted saw blades, sharps, and scattered cigarette butts on the sidewalk. An RN supervisor confirmed the items were accessible to residents.
Ineffective pest control allowed flies to be observed throughout the facility on multiple survey days. Multiple flies were seen in several resident rooms and in the activity room, and the fluorescent fly light by the activity room exit door was found unplugged and confirmed by the Administrator.
A resident with dementia, obstructive and reflux uropathy, anemia, schizophrenia, and an indwelling urinary catheter was readmitted with discharge orders for the catheter to gravity, but an LPN failed to document the catheter and did not implement ordered catheter care interventions. The resident was observed with tea colored urine, while the MAR and physician orders showed no documented urine monitoring, catheter care every shift, or I&O orders, and the DON confirmed the facility did not implement appropriate catheter care on readmission.
Failure to Assess Entrapment Risk Before Installing Bed Rails: The facility failed to document entrapment risk assessments before installing bilateral assist rails for two residents. One resident had dementia, bipolar disorder, and schizoaffective disorder, and the other had vascular dementia, COPD, asthma, and psychiatric diagnoses. Both residents were observed with bed rails in the up position, and the Administrator confirmed the missing assessments.
Medication Labeling and Storage Deficiencies: An LPN administered a narcotic to a resident with chronic pain even though the pharmacy label did not include the medication strength, and the DON confirmed the label was incorrect. Surveyors also observed an unlocked med cart in an enclosed courtyard containing multiple creams, ointments, and an expired bottle of Co Q-10, and the nurse supervisor confirmed the meds were accessible to residents.
Unsanitary food handling and kitchen equipment cleaning were observed in the dietary area. A deep fryer had grease buildup on the outside, and a Dietary Worker touched ready-to-eat potato chips with a bare hand before placing them in a plastic bag for resident consumption; the Dietary Manager confirmed gloves should have been used.
An LPN administered meds to a resident without sanitizing hands, dropped pills on a wet, unsanitized med cart, and then picked them up with an ungloved, unsanitized hand before giving them to the resident. Surveyors also found a laundry room portable sink draining into a bucket, chemical containers stored on the floor, and a leaking entrance door with wet flooring.
A resident with Alzheimer's disease and dementia, requiring substantial assistance with ADLs, was found with long, untrimmed fingernails and grime buildup, indicating a failure in maintaining personal hygiene as per the care plan. Facility staff confirmed the deficiency upon observation.
The facility failed to maintain food safety standards, with unlabeled and exposed food items in storage, expired test strips for dishwasher sanitizer testing, and improper handling of food and utensils during meal service. These actions were confirmed by the Dietary Manager and Regional Director of Nutritional Services, highlighting risks of cross-contamination.
The facility failed to follow Enhanced Barrier Precautions for two residents, one with an indwelling catheter and another with a PEG tube, as staff did not wear gowns during high-contact care activities. Additionally, personal items were improperly stored in the medication room, risking cross-contamination.
The facility failed to maintain essential kitchen equipment safely, with a commercial can opener having metal shavings buildup and a deep fryer with grease accumulation. These issues were observed during a kitchen inspection with the Dietary Manager and reported to the Executive Director, DON, and Clinical Operations.
The facility failed to maintain a clean and safe environment for two residents, as evidenced by the presence of a black substance and a buildup of dust and grime on the air/heating units in their rooms. These conditions were confirmed by the Executive Director, indicating the need for cleaning.
The facility failed to implement comprehensive care plans for two residents, resulting in deficiencies. A resident with multiple diagnoses was observed without a heel protector, despite a physician's order. Another resident with hemiplegia was found without a palm protector for a hand contracture. These deficiencies were confirmed by nursing staff and reported to management.
A facility failed to ensure an LPN had the competencies to monitor a palm protector for a resident with a hand contracture. The LPN documented monitoring without observing the device in place, despite physician orders. This deficiency was noted by facility management.
A cognitively impaired resident in a long-term care facility was physically abused by a CNA. The incident occurred when the CNA attempted to pull the resident towards his room, leading to physical contact. The resident's care plan included 1:1 CNA care to prevent agitation, but the CNA's actions resulted in abuse. The incident was reported, and video footage confirmed the abuse, leading to the CNA's suspension and termination.
Bathroom Door Would Not Close Completely
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for Resident #9 when the door to a shared bathroom between Resident #9's room and the adjacent resident room would not close completely. During observations on 05/18/2026 at 8:00 a.m. and 05/19/2026 at 8:15 a.m., surveyors found that the bathroom door hit the door frame when attempting to close, preventing it from closing fully. On 05/19/2026 at 9:37 a.m., the Administrator observed the condition and confirmed that the bathroom door was unable to close completely because it hit the frame and needed repair.
Unsafe and Unsanitary Items Accessible in Courtyard Area
Penalty
Summary
The facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public when hazardous and unsanitary items were left accessible in the courtyard area. On 05/18/2026 at 1:52 p.m., two residents were observed sitting outside in the closed courtyard area off the north end of the facility with no staff present, and the gate on the northwest end of the property was open with no staff present. In close proximity to the residents, surveyors observed a toilet sitting on the sidewalk containing dirty gloves, cigarette butts, and rags, along with various paints, calking, rusted saw blades, and sharps that were accessible to residents. Numerous cigarette butts were also scattered on the sidewalk next to the building. On 05/19/2022 at 9:20 a.m., S7RN Nurse Supervisor confirmed that the items were accessible to residents and should be removed.
Ineffective Pest Control With Flies Throughout the Facility
Penalty
Summary
The facility failed to maintain an effective pest control program and was not free of pests, as flies were observed throughout the facility on all days of the survey. Observations on 05/18/2026, 05/19/2026, and 05/20/2026 found multiple flies in the rooms of Residents #70, #74, #75, #48, #40, #72, #23, #86, #54, #87, and #59, and flies were also observed in the activity room on each day of the survey. On 05/19/2026 at 3:00 p.m., the Administrator was informed of the numerous flies seen in resident rooms and throughout the facility. Additional observations on 05/18/2026 and 05/19/2026 found that the fluorescent fly light next to the exit door by the activity room was not plugged into an outlet, and on 05/19/2026 at 3:30 p.m., the Administrator confirmed that the fly light was not plugged in.
Failure to Provide Catheter Care and Urine Monitoring
Penalty
Summary
Failure to provide appropriate care for a resident with an indwelling urinary catheter was identified for Resident #92, who had diagnoses including dementia, obstructive and reflux uropathy, long term use of anticoagulants, anemia, and schizophrenia. The resident was readmitted to the facility with hospital discharge orders for an indwelling urinary catheter to gravity, but upon return, an LPN failed to document the presence of the catheter and failed to implement appropriate interventions for catheter care. The quarterly MDS assessment documented the resident as frequently incontinent of bladder and having no urinary appliances, while the catheter care plan included monitoring and documenting intake and output and monitoring, recording, and reporting signs and symptoms of UTI. During observation, the resident was seen with an indwelling urinary catheter draining tea colored urine. Review of the current MAR showed no documented evidence of urine monitoring and catheter care every shift, and review of current physician orders showed no orders for monitoring urine, catheter care, or recording intake and output every shift. An RN confirmed that the catheter care orders, including urine monitoring and catheter care every shift, were not implemented upon the resident’s return, and the LPN confirmed he failed to document the presence of the indwelling urinary catheter. The DON later confirmed the facility failed to implement appropriate interventions for care of the urinary catheter when the resident was readmitted.
Failure to Assess Entrapment Risk Before Installing Bed Rails
Penalty
Summary
The facility failed to ensure residents were assessed for the risk of entrapment before bed rails were installed for 2 residents reviewed for accident hazards. Resident #5 had diagnoses including dementia, cognitive communication deficit, bipolar disorder, and schizoaffective disorder, and a physician order dated 11/04/2024 directed assist rails to the bed times two for mobility and to monitor every shift. Observations on 05/18/2026 and 05/19/2026 showed the resident in bed with bilateral assist rails in the up position, and the record contained no documented evidence of a risk for entrapment assessment completed before installation of the rails. Resident #45 had diagnoses including vascular dementia without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety, chronic obstructive pulmonary disease, and asthma. A physician order dated 04/14/2025 directed assist rails times two for turning and repositioning. Observations on 05/18/2026, 05/19/2026, and 05/20/2026 showed the resident's bed with bilateral assist rails in the up position, and the record contained no documented evidence of an assessment completed before installation of the bilateral assist rails. The Administrator confirmed on interview that the facility failed to document an assessment for risks of entrapment prior to installation of assist rails for both residents.
Medication Labeling and Storage Deficiencies
Penalty
Summary
The facility failed to ensure that a narcotic medication was labeled in accordance with accepted professional principles when Resident #6 received oxycodone-acetaminophen without the strength listed on the pharmacy label. The facility policy dated 03/01/2026 required staff to verify the medication label before administration and to send medications to the pharmacy for relabeling if the label was wrong. During a medication pass on 05/19/2026 at 1:10 p.m., an LPN administered one tablet of oxycodone-acetaminophen to Resident #6, whose physician order was for oxycodone with acetaminophen 10-325 mg, one tablet by mouth three times daily for chronic pain. At 3:02 p.m., the DON confirmed the label for the narcotic did not include the strength and stated the LPN should not have administered it until the label was corrected. The facility also failed to keep medications and biologicals stored in locked compartments under proper access control when an unlocked medication cart was observed outside in the enclosed courtyard. The facility policy required medication supply to be accessible only to authorized nursing personnel and for medication rooms, carts, and supply rooms to be locked at all times or attended by authorized personnel. On 05/19/2026 at 9:00 a.m., surveyors observed an unlocked medication cart on the sidewalk in the courtyard containing multiple creams, ointments, and a bottle of Co Q-10 softgels with an expiration date of 12/2022. At 9:20 a.m., the nurse supervisor confirmed the cart was unlocked and that medications were accessible to residents.
Unsanitary Food Handling and Kitchen Equipment Cleaning
Penalty
Summary
Food was not stored, prepared, distributed, and served under sanitary conditions because kitchen equipment was not kept clean and a Dietary Worker handled ready-to-eat food with bare hands. During observation of the kitchen, a deep fryer was seen with grease buildup on the outside, and the Dietary Manager confirmed it needed to be cleaned. Later, during lunch preparation, the Dietary Worker touched potato chips with a bare hand and placed them in a plastic bag for resident consumption. The Dietary Manager was informed of the bare-hand contact and confirmed the worker should have used gloves when touching the potato chips.
Infection Control Lapses in Medication Administration and Laundry Room Conditions
Penalty
Summary
The facility failed to maintain an infection prevention and control program when a nurse administered medications to Resident #6 without following appropriate hand hygiene and medication handling practices. During observation, the LPN prepared medications for the resident without sanitizing her hands, removed Oxycodone Hydrochloride 1 tablet and Baclofen 10 mg 1 tablet from the container, dropped the pills onto the top of a medication cart that had not been sanitized and was wet, then picked up the pills with an ungloved and unsanitized hand and administered them to the resident. The facility’s Medication Administration policy stated that staff are to cleanse hands before and after medication administration. The laundry room also had multiple infection control-related conditions observed by surveyors. A portable sink drained through a PVC pipe into a bucket rather than into a proper drainage system, and seven chemical containers were stored directly on the floor. In addition, the entrance door to the laundry room was not sealed properly and the floor was wet. The laundry worker confirmed the sink drained into a bucket and that the chemical containers should not have been on the floor, and the Administrator confirmed the portable sink should have a proper drainage system, the chemicals should not be directly on the floor, and the laundry room door should be sealed appropriately.
Failure to Maintain Resident's Personal Hygiene
Penalty
Summary
The facility failed to provide necessary services to maintain good personal hygiene for a resident who was unable to perform Activities of Daily Living (ADL) independently. The resident, who was admitted with Alzheimer's disease and dementia, was documented as requiring substantial assistance with personal hygiene. The care plan specifically included checking, trimming, and cleaning the resident's nails on bath days and as necessary. However, observations on two consecutive days revealed that the resident had long, untrimmed fingernails with a thick buildup of grime underneath the nail beds. The deficiency was confirmed through observations and interviews with facility staff. A Certified Nursing Assistant (CNA) and a Registered Nurse (RN) Unit Manager both acknowledged the condition of the resident's fingernails and confirmed that they needed to be trimmed and cleaned. This indicates a failure in adhering to the care plan and providing the necessary assistance for the resident's personal hygiene needs.
Food Safety and Handling Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by several observations in the kitchen. Unlabeled and exposed food items were found in both the freezer and refrigerator, including opened boxes of riblet pork patties, hamburger patties, chicken bread, pie dough, and sausage patties, all without open dates. This was confirmed by the Dietary Manager, who acknowledged that such items should not be stored in this manner and made available for resident consumption. Additionally, the dishwasher sanitizer level was tested using expired test strips, which was also confirmed by the Dietary Manager. Further deficiencies were observed during meal service. A large pan of cornbread was found with a spatula and tongs lying directly on top of it, and a dietary staff member was seen handling these utensils with bare hands, placing them in direct contact with the cornbread. Another dietary staff member was observed touching the inside of plates with bare fingers while preparing residents' meals. These actions were confirmed by the Dietary Manager and the Regional Director of Nutritional Services as inappropriate due to the risk of cross-contamination. The Executive Director, Director of Nursing, and Clinical Operations were notified of these findings.
Infection Control and Storage Deficiencies
Penalty
Summary
The facility failed to maintain proper infection control practices by not adhering to Enhanced Barrier Precautions (EBP) for two residents. Resident #61, who had an indwelling catheter due to benign prostatic hypertrophy, was observed to have a sign indicating EBP on their door, with gloves and gowns available. However, an LPN was seen entering the room and handling the catheter while only wearing gloves, not a gown, as required by the facility's EBP policy. Similarly, Resident #65, who had a PEG tube and required substantial assistance with daily living activities due to Alzheimer's disease, was also on EBP. Despite the presence of a sign and available PPE, CNAs were observed transferring and showering the resident while only wearing gloves, without gowns. The CNAs later confirmed their lack of awareness regarding the necessity of wearing gowns during these high-contact activities. Additionally, the facility's medication storage room was found to have staff personal items, specifically two large purses, in direct contact with the medication preparation countertop. This was confirmed by the RN Unit Manager as inappropriate due to the risk of cross-contamination. These observations indicate a failure to adhere to infection control protocols and proper storage practices within the facility.
Deficiency in Kitchen Equipment Maintenance
Penalty
Summary
The facility failed to maintain essential kitchen equipment in safe operating condition, as observed during a survey. A large commercial can opener in the kitchen was found with a significant buildup of metal shavings underneath the blade, indicating a lack of proper maintenance. Additionally, the deep fryer in the kitchen had an oil spill and a buildup of thick greasy particles in its lower compartment, further demonstrating inadequate upkeep. These observations were made during a kitchen inspection with the Dietary Manager and were later reported to the Executive Director, Director of Nursing, and Clinical Operations.
Failure to Maintain Clean Air/Heating Units in Resident Rooms
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for two residents. In the case of one resident, an observation on March 17, 2025, revealed that the air/heating unit in their room had vents containing a black substance. This was confirmed the following day by the Executive Director, who acknowledged the need for cleaning. Similarly, another resident's room was observed to have an air/heating unit with a buildup of dust and grime on the vents. This condition was also confirmed by the Executive Director on March 18, 2025, indicating the necessity for cleaning. These observations highlight the facility's failure to ensure a clean and safe environment for its residents.
Failure to Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to implement a comprehensive care plan for two residents, resulting in deficiencies in their care. Resident #34, who has multiple diagnoses including cerebral infarction, diabetes mellitus, and a right below-knee amputation, was observed without a heel protector on her left foot while in bed, despite a physician's order requiring heel protectors every shift. This was confirmed by an LPN and later reported to the Director of Nursing. The resident is independent in cognition but totally dependent on staff for mobility and other activities of daily living. Similarly, Resident #2, with diagnoses including hemiplegia and schizophrenia, was observed multiple times without a palm protector for his left hand contracture, contrary to the physician's order. The absence of the palm protector was confirmed by a Wound Care Nurse and reported to the Unit Manager. Both residents' care plans were not fully implemented as ordered, leading to the identified deficiencies.
LPN Fails to Monitor Palm Protector Placement
Penalty
Summary
The facility failed to ensure that a Licensed Practical Nurse (LPN) had the appropriate competencies to provide necessary nursing services for a resident's needs as outlined in their care plan. Specifically, the LPN did not properly monitor the placement of a palm protector for a resident with a left hand contracture, as required by a physician's order. The resident, who was admitted with diagnoses including hemiplegia, hemiparesis, and schizophrenia, was observed on two occasions without the required splint device in place, despite the LPN having documented that the monitoring had been completed. The LPN confirmed that she had initialed the Medication Administration Record (MAR) to indicate that the monitoring had been done, even though she had not actually observed the palm protector in place. This discrepancy was brought to the attention of the Registered Nurse/Unit Manager and later to the Executive Director, Director of Nursing, and Clinical Operations. The failure to ensure the proper monitoring and placement of the palm protector represents a deficiency in the care provided to the resident.
Resident Abuse by CNA in LTC Facility
Penalty
Summary
The facility failed to protect a resident's right to be free from physical abuse and psychosocial harm by staff. On the evening of June 27, 2024, a certified nursing assistant (CNA) physically abused a cognitively impaired resident. The incident occurred when the CNA used her left hand to grab the back of the resident's shirt in an attempt to pull him towards his room. The resident, in response, turned his back to the CNA, and his left elbow made contact with her left shoulder. Subsequently, the CNA used her closed right hand to make contact with the back of the resident's head and then wrapped both her arms around the resident's chest. This action was deemed abusive, as a reasonable person would not expect to be treated in such a manner in a healthcare facility. The resident involved in the incident had a history of schizoaffective disorder, drug-induced subacute dyskinesia, bipolar disorder, and anxiety disorder with other behavioral disturbances. The resident's health record indicated that he was independent with all activities of daily living but was unable to complete the Brief Interview for Mental Status, as reflected by a BIMS score of 99. The resident's care plan included interventions to prevent escalating agitation and behaviors, such as providing 1:1 CNA care during the 6:00 p.m. to 6:00 a.m. shifts and redirecting situations that could cause agitation. The incident was reported to the facility's Administrator and Director of Nursing shortly after it occurred. The CNA involved in the incident claimed that she went to the emergency room because her right ear was hurting after the resident allegedly hit her five times. However, upon reviewing video footage of the incident, it was confirmed that the CNA had physically abused the resident. The CNA was subsequently suspended and later terminated from employment following the completion of the investigation.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Nursing homes near Bernice
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Onyx Care Of Farmerville | 14.8 mi | ★★★★★ | 0 | 0 |
| Arbor Lake Skilled Nursing & Rehabilitation | 15.3 mi | ★★★★★ | 0 | 0 |
| Onyx Care Of Ruston | 19.6 mi | ★★★★★ | 6 | 0 |
| Princeton Place-ruston | 20.2 mi | ★★★★★ | 1 | 0 |
| Onyx Care Of Arcadia | 22.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.