Federal inspection record · CMS data as of October 1, 2026
Onyx Care of Farmerville
813 N Main St, Farmerville, LA · (318) 368-2256
- Certified beds
- 117
- Residents per day
- 79
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 16, 1998
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Louisiana.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Louisiana homes
Onyx Care of Farmerville carries 61 inspection points. That is fewer than 36% of Louisiana's 264 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Louisiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–33 pts
- 3★ 33–53 pts
- 2★ 53–88.75 pts
- 1★ over 88.75 pts
Bars show every rated home in Louisiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
34 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care10E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service6E
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nursing and Physician Services6E
- D
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.
- D
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.
- D
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.
- E
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.
- D
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.
- D
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Resident Rights3D
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
Nutrition and Dietary3F
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2026-08-13
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-06-25
19 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-05-22
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
3 h 32 min
Louisiana average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 60% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$19,667 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-29 | Fine | $5,598 |
| 2025-01-29 | Fine | $14,069 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 2.3 | 2.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.7 | 2.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts better | 100.0% | 93.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.3 pts worse | 85.7% | 96.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better | 0.8% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts worse | 3.1% | 2.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts better | 3.4% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.6 pts better | 14.7% | 23.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.6 pts worse | 37.4% | 22.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained8.1 pts worse | 8.3% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.8 pts worse | 26.9% | 15.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts better | 14.9% | 16.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts worse | 2.7% | 1.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts better | 0.0% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts worse | 17.9% | 14.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 5.2% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts better | 95.1% | 86.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit19.9 pts worse | 34.3% | 14.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 2.6% | 3.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine74 pts worse | 3.8% | 77.8% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.4 pts better | 21.9% | 28.3% | 23.4% |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke1D
- D
Have approved installation, maintenance and testing program for fire alarm systems.
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Other homes nearby
-
Arbor Lake Skilled Nursing & Rehabilitation
Farmerville, LA · Paramount Healthcare Consultants
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Onyx Care of Bernice
Bernice, LA
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 13 min
- Fines
- $9,974
-
Onyx Care of Ruston
Ruston, LA
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 30 min
- Fines
- $36,891