Below average — CMS composite of the measures below.
The next survey window likely opens around May 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 Oneida Nursing And Rehab Center during CMS and state inspections, most recent first.
Failure to identify and implement EBP was cited after the facility’s QAPI, DON, ADON/IP, and Administrator interviews showed staff were unaware of EBP and the facility had no EBP policy in place. The DON stated residents with wounds, catheters, and invasive lines required standard precautions, while the ADON/IP and MDS Coordinator/IP said they had never heard of EBP until the survey. The Administrator confirmed the facility was not using EBP until surveyors identified the concern and acknowledged residents meeting EBP criteria should have had signage and PPE available at the room.
Failure to Use EBP for Residents with Catheters and Wounds: Staff did not follow current CDC EBP guidance for residents with indwelling Foley catheters and, in one case, a surgical wound. Observations showed RN/CNA staff repositioning and providing catheter care with gloves only and no gowns, with no EBP signage or PPE outside the rooms. Staff, including CNAs, an RN, the ADON/IP, and the Administrator, stated they were unaware of EBP or confirmed the facility was not using it.
Failure to Use Current EBP Guidance: The facility’s IPs did not use the most current CDC/CMS guidance for EBP. Surveyors found the facility relied on an outdated AHCA publication, and both IPs stated they were unfamiliar with EBP protocol. The DON and ADM confirmed the facility had not used the EBP isolation protocol and was using standard precautions, including hand hygiene and gloving, instead of EBP for resident care activities.
Failure to provide NOMNC to a resident after skilled therapy ended. A resident with CHF, bilateral LE cellulitis, weakness, poor coordination, difficulty walking, and a R foot wound was discharged from PT/OT after reaching max potential and no longer needing skilled services. The record showed an SNF ABN was issued, but the NOMNC was not, even though the facility initiated the Medicare Part A discharge while the resident remained in the facility.
A resident with CHF and HTN received Metoprolol and Sacubitril-Valsartan despite physician orders to hold and notify the MD when BP was below 90/60 or pulse was below 60. MAR review showed multiple doses were given when the resident’s diastolic BP was under 60, and an RN and the DON confirmed the meds were administered in error and the MD was not notified.
Failure to Identify and Implement EBP
Penalty
Summary
The facility failed to identify quality deficiencies related to Enhanced Barrier Precautions (EBP) and did not put action plans in place to prevent deficient practice. The report states this failure had the potential to affect 37 out of 37 residents. Review of the facility’s QAPI plan showed the Administrator and DON were responsible for QAPI committee functions, and job descriptions for the Administrator, DON, ADON, and Infection Preventionist described responsibilities for regulatory compliance, infection prevention, staff education, monitoring, and action planning. During interviews, the DON stated residents with wounds, catheters, and invasive lines required standard precautions. The ADON/IP A and MDS Coordinator/IP B stated there were no current residents on EBP, and the ADON/IP A said the facility did not have an EBP policy and used CDC and CMS guidance for policies and procedures. The ADON/IP A also stated she had never heard of Enhanced Barrier Precautions until the survey date, and the MDS Coordinator/IP B stated she was unaware of EBP until that day. The ADON/IP A further stated she had asked the DON and the regional person, and they did not know about EBP either. The Administrator later confirmed the facility was not using EBP until the concern was identified by the survey team. The Administrator stated the IPs and DON were responsible for keeping up with infection control updates from the CDC and CMS, and confirmed the facility was using 2022 regulations. During discussion with the survey team, the Administrator acknowledged that residents meeting EBP criteria should have had signage and PPE available at the resident room. The DON and IPs reviewed infection tracking data from 1/2026 to present, and the data showed scattered infections color coded by organism on a floor plan map of the facility; the DON stated staffing schedules were reviewed for trending of infections, and the data did not support staff spreading organisms.
Failure to Use Enhanced Barrier Precautions for Residents with Indwelling Catheters and Wounds
Penalty
Summary
The facility failed to ensure staff followed current infection control guidance for Enhanced Barrier Precautions (EBP). Review of the facility’s infection control policy and the Infection Preventionist job description showed responsibility for developing, implementing, monitoring, and updating infection prevention practices in accordance with current CDC and CMS guidance. CDC guidance reviewed in the report stated that EBP is an infection control intervention for residents known to be colonized or infected with a MDRO, as well as residents at increased risk of MDRO acquisition, including those with wounds or indwelling medical devices, and that gown and glove use is required during high-contact resident care activities. Resident #21 had diagnoses including peripheral vascular disease, left above-the-knee amputation, and urinary retention. The resident had a surgical wound at the amputation site and an indwelling Foley catheter. The record showed orders for wound care and urinary catheter care, and the care plan identified the resident as having an indwelling Foley catheter. During observation, RN A and the ADON/IP repositioned the resident in bed without wearing gloves or a gown. There was no EBP signage or PPE present in or outside the resident’s room. RN A stated she was unaware of the facility’s protocol for EBP and was unaware whether PPE was required for a resident with a urinary catheter and surgical wounds. Resident #5 had diagnoses including urinary tract infection, overactive bladder, and urinary retention, and had an indwelling urinary catheter. During observation, two CNAs performed catheter care while wearing gloves but no gowns, and they repositioned the resident in bed. There was no EBP signage or PPE available in or outside the room. The CNAs stated they were aware of isolation by signage and PPE outside the room, but were unaware of EBP. Resident #36 had diagnoses including anxiety, urinary retention, and palliative care, and also had a chronic indwelling Foley catheter. Observations showed no EBP signage or PPE in or outside the room, and CNAs repositioned the resident and performed catheter care while wearing gloves but no gowns. CNAs and an RN stated they were unaware of EBP. The Administrator later confirmed the facility was not using EBP until the survey team identified the concern and stated the facility was using infection control regulations from 2022.
Failure to Use Current EBP Guidance
Penalty
Summary
The facility failed to ensure its Infection Preventionists used the most current guidance for infection control procedures related to Enhanced Barrier Precautions (EBP). Review of the Infection Control Plan showed the program was intended to provide overall direction for infection control, and the Infection Preventionist job description stated the IP was responsible for developing, implementing, monitoring, and evaluating the facility’s Infection Prevention and Control Program, including reviewing and updating policies in accordance with current CDC, CMS, and state guidelines. Review of CDC guidance showed EBP are an infection control intervention designed to reduce transmission of MDROs in nursing homes and involve gown and glove use during high-contact resident care activities for residents known to be colonized or infected with an MDRO, as well as residents at increased risk of MDRO acquisition. Surveyor review also found the facility was using an outdated AHCA publication from June 2022 rather than the most current CMS-related information for EBP. During interviews, both IPs stated they had been in their positions for less than a year and had completed CDC online infection prevention training, but they were unfamiliar with EBP protocol and stated the facility used standard precautions, including hand hygiene and gloving, instead of EBP. The Administrator and DON confirmed the facility had not used the EBP isolation protocol and stated the facility was using standard precautions instead. The DON also stated infections were discussed monthly and performance improvement minutes were provided for review, and the Administrator stated the IPs and DON were responsible for keeping up with infection control updates from CDC and CMS.
Failure to Provide Medicare Non-Coverage Notice
Penalty
Summary
The facility failed to ensure a Notice of Medicare Non-Coverage (NOMNC) was provided to one resident who was receiving skilled therapy services. Resident #44 was admitted and later readmitted with diagnoses including congestive heart failure, cellulitis of both lower limbs, lack of coordination, muscle weakness, difficulty walking, and a wound of the right foot. The resident’s PT discharge summary dated 4/29/2026 stated skilled services were no longer justified, the resident had compromised skin integrity at the left ankle with pain in the left foot, decreased tolerance to weight-bearing mobility, and was unable to participate in ambulation at that time. The OT discharge summary dated 4/30/2026 also stated skilled services were no longer justified, the resident had increased discomfort in the lower extremities, could not progress further, and was discharged after reaching maximum potential. The SNF Beneficiary Protection Notification Review showed the Medicare Part A skilled services episode began on 3/26/2026, the last covered day was 4/29/2026, and the facility initiated discharge from Medicare Part A services before benefit days were exhausted. The record showed an SNF ABN was provided, but a NOMNC was not, and the Social Service Director confirmed the resident remained in the facility after therapy discharge and that the NOMNC had not been issued.
Medication Orders Not Followed for Blood Pressure Parameters
Penalty
Summary
The facility failed to ensure basic nursing standards for the rights of medication administration were followed for one resident with diagnoses including congestive heart failure and hypertension. The resident had physician orders for Metoprolol Succinate ER 25 mg by mouth daily and Sacubitril-Valsartan 24-26 mg by mouth twice daily, both with instructions to hold and notify the physician if blood pressure was less than 90/60 or pulse was below 60. The resident’s MDS indicated a BIMS score of 14, showing the resident was cognitively intact. Review of the MAR showed multiple administrations of both medications when the resident’s diastolic blood pressure was below 60, including several doses of Metoprolol and Sacubitril-Valsartan given with blood pressures such as 113/53, 118/52, 126/50, 116/58, 124/53, 112/54, 106/58, 103/47, 102/55, and 118/51. The record also showed Metoprolol was given when the pulse was 58. RN A confirmed the medications were administered despite the order parameters and stated the medications should have been held according to the physician’s orders. During interview, RN A stated the physician was not notified when the medications were given outside the ordered parameters. The Medical Director confirmed the expectation that physician orders were to be followed and stated she was unaware the medications were being administered with diastolic blood pressures less than 60. The DON also confirmed the medications were given in error according to the resident’s blood pressure parameters and confirmed there was no evidence the physician had been notified.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 16 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Oneida
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Huntsville Post-acute And Rehabilitation Center | 8.2 mi | ★★★★★ | 8 | 0 |
| Signature Healthcare Of Mccreary County Rehab And | 9.2 mi | ★★★★★ | 2 | 0 |
| Beech Tree Health And Rehabilitation | 20.6 mi | ★★★★★ | 2 | 0 |
| Cumberland Village Care | 22.4 mi | ★★★★★ | 0 | 0 |
| Williamsburg Health & Rehabilitation Center | 23 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Oneida Nursing And Rehab Center.
100% money-back within 48 hours.
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.