Onyx Care of Ringgold

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 14% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 112 beds and averages 92.6 residents a day — about 83% occupied, or roughly 19 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.09 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.24 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.80 hrs/resident/day on weekends vs 3.62 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.09 to 0.08 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · D2025-12-17 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to allow a resident to remain in the facility while an appeal was pending for 1 (#2) of 3 residents reviewed. Findings:A review of the facility's Transfer and Discharge policy dated 02/24/2025 revealed in part:Policy Statement: Facility will prevent inappropriate, unnecessary and untimely transfers and discharges.Procedures:Facility requirements-a. The facility will permit each resident to remain in the facility, and not transfer or discharge the resident from the facility unless.vi. The facility may not transfer or discharge the resident while the appeal is pending when a resident exercises his or her right to appeal a transfer or discharge notice from the facility. A review of Resident #2's discharge notice dated 09/12/2025 revealed in part an effective discharge date of 10/13/2025. Further review revealed in part, the notice stated, you have the right to appeal this decision to transfer you. If you think you should not have to leave this facility, you…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-02 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  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. Further review of Resident #8's medical record failed to reveal resident or resident's representative was provided with written information concerning advance directives. Review of Resident #16's medical record revealed resident was admitted to facility on 09/05/2021 with re-entry on 07/02/2024. Further review of Resident # 16's medical record failed to reveal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-02 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  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. Review of Resident #24's comprehensive care plan failed to reveal a care plan had been implemented with appropriate approaches for chronic pain. During an interview on 07/01/2025 at 11:30 a.m. S2 Licensed Practical Nurse/Minimum Data Set Coordinator reviewed Resident #24's care plan and verified Resident #24 had not been care planned with appropriate interventions for chronic pain and should have been. During an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-19 · tag F0551 — pattern
  Give the resident's representative the ability to exercise the resident's rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 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. Any reduction in Resident's rights based upon medical consideration or the rights of other residents shall be explicit, reasonable and appropriate to the justification, and the least restrictive response feasible. Resident #1was admitted to the facility on [DATE] with diagnoses, which included in part, schizoaffective disorder, major depressive disorder, post-traumatic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-07 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure 1 (#5) resident out of 6 ( #1, #2, #3, #4, #5, #6 ) residents reviewed were free of physical abuse by another resident. Findings: Review of the facility's Abuse Prevention policy revealed the following: The facility is committed to protecting the residents from abuse by anyone including, but not necessarily limited to: other residents. Definitions: a. Physical Abuse: This includes, but is not limited to hitting, slapping, pinching, and kicking. Review of resident #2's medical record revealed an admit date of 04/02/2024 with diagnoses of in part; Pressure ulcer stage 4 right heel and right hip, muscle wasting and atrophy, type 2 diabetes, adjustment disorder with depressed mood, major depressive disorder, and dysphagia. Review of resident #2's MDS (minimum data set) revealed resident was assessed to have a BIMS (brief interview mental status) score of 11 indicating moderately impaired cognitions. Review of resident #2's interdisciplinary care team noted on 06/24/2024 at 6:15 p.m. revealed resident #2 reported to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-13 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation and interviews the facility failed to accommodate the needs of 1(#49) resident out of 3 (#17, #49, #93) residents reviewed for environment. The facility failed to ensure a bedside table was available for resident #49. Findings: Review of resident #49's Medical Diagnoses revealed unspecified dementia and type 2 diabetes mellitus. Review of resident #49's MDS (Minimum Data Sets) dated 03/20/2024 revealed a BIMS (Brief Interview of Mental Status) of 13 out of 15 indicating cognitively intact. Review of resident #49's functional status revealed resident #49 required supervision and set up help only with eating. Review of resident #49's Care Plan revealed resident #49 required supervision to extensive assistance with activities of daily living related to impaired cognition, impaired mobility, dementia, schizoaffective disorder, and anxiety with approaches to setup assist with eating. Observation on 06/11/2024 at 8:45 a.m. revealed resident #49 in bed with eyes closed. Further observation revealed resident #49's uneaten breakfast tray on a rolling…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, observations and interviews the facility failed to ensure respiratory care was consistent with professional standards of practice by failing to ensure 1 (#54) of 3 (#15, #28, #54) sampled residents reviewed for respiratory care. The facility failed to ensure Resident #54's continuous positive airway pressure (CPAP) mask was cleaned and/or discarded if (when) visibly soiled. Findings: Review of Facility's Oxygen Policy and Procedure (01/15) revealed Guidelines for Frequency Changes of Respiratory Supplies: item - CPAP/BIPAP Mask - discard when visibly soiled, damaged and/or inoperable, per manufacture guidelines/physician orders. Review of Resident #54's medical records revealed admit date of 03/07/2022 with the following diagnoses, in part: other specified disorders of nose and nasal sinuses, obstructive sleep apnea (OSA) (adult) (pediatric), Alzheimer's disease/unspecified, unspecified dementia/unspecified severity with other behavioral disturbance, major depressive disorder/recurrent/severe with psychotic symptoms, dependence on other enabling machines and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-13 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to maintain an accurate count of the disposition of controlled medications for 1 (Resident #36) of 5 (#1, #28, #36, #54 and #82) residents reviewed for unnecessary medications. Findings: Review of the facility's Controlled Medications Administration policy dated 08/2016 revealed in part: Policy: Medications included in the Drug Enforcement Administration (DEA) classification as controlled substances are subject to special handling, storage, disposal, and record keeping in the facility, in accordance with federal and state laws and regulations. Procedure: 4. Medications listed in Schedules I, II, III, IV and V dispensed by the pharmacy are adequately documented and reconciled consistent with law and regulation . 6. When administering controlled medication, the authorized personnel records the administration on the MAR (Medication Administration Record) /e-Mar (Electronic Medication Administration Record) and enters all of the following information on the Controlled Drug Record: a. Date and time of administration b. Amount…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-08 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure MDS (Minimum Data Set) assessment was accurate for 1 (#2) of 3 (#1, #2, #3) sampled residents. The facility failed to include Resident #2's wheelchair alarm on MDS assessment. Findings: Review of Resident #2's medical record revealed Resident #2 was admitted to the facility on [DATE] and had diagnoses that included, in part, history of falling, schizoaffective disorder, unspecified dementia, unspecified psychosis, psychotic disorder with delusions due to known physiological condition, other encephalopathy, and type 2 diabetes mellitus. Review of Resident #2's physician orders revealed an order dated 01/30/2024 for wheelchair clip alarm to wheelchair. Observations conducted at the following dates/times revealed a wheelchair alarm was in place for Resident #2. 05/06/2024 at 1:26 p.m. 05/06/2024 at 2:25 p.m. 05/06/2024 at 4:10 p.m. 05/07/2024 at 10:38 a.m. 05/07/2024 at 12:20 p.m. 05/07/2024 at 3:15 p.m. 05/08/2024 at 1:35 p.m. Review of Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, and interviews, the facility failed to provide adequate supervision to prevent accidents and ensure the residents' environment remained free of hazards for 4 (Resident #1, #2, #3, and #4) of 4 (Resident #1, #2, #3, and #4) residents reviewed for safe smoking. The facility failed to: 1. ensure Resident #1, Resident #2, Resident #3, and Resident #4 were supervised while smoking and; 2. ensure Resident #1, Resident #2 and Resident #4's smoking materials were secure according the facility's policy and the residents' plan of care. Findings: Review of the facility's Smoking Policy dated 05/2022 revealed in part: Policy: No smoking or use of smoking materials will be allowed inside the building . Smoking is to occur only in designated areas and in accordance with each smoking resident's individualized plan of care based on the Smoking Evaluation Tool. Responsibility: All staff, monitored by management. Procedure: 1. All residents who smoke will be evaluated for his/her ability to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 89% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $699K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in LA