Federal inspection record · CMS data as of October 1, 2026
Onyx Care of Ruston
3720 Hwy 80 East, Ruston, LA · (318) 255-5001
- Certified beds
- 157
- Residents per day
- 135
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 14, 2000
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
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
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 Ruston carries 88.25 inspection points. That is fewer than 20% 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
27 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 (4)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Everything else, by area of care
Resident Rights6D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- 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.
- D
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.
- D
Keep residents' personal and medical records private and confidential.
- D
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care3E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- 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.
Nursing and Physician Services3E
- E
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
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.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- D
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.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Environmental1E
- E
Keep all essential equipment working safely.
Nutrition and Dietary1D
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspection history
2026-07-09
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-04-16
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-03-06
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
3 h 30 min
Louisiana average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 50% 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
$36,891 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-16 | Fine | $9,113 |
| 2025-04-16 | Fine | $15,733 |
| 2023-10-19 | Fine | $12,045 |
| 2023-10-19 | Payment Denial · 3 day denial | $0 |
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 worse | 2.5 | 2.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse | 3.9 | 2.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 99.6% | 93.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.2 pts better | 99.2% | 96.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 2.3% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptomsAbout the same | 2.4% | 2.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts worse | 7.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.9 pts better | 18.4% | 23.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.9 pts worse | 37.7% | 22.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained1.3 pts worse | 1.5% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5 pts worse | 20.1% | 15.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.8 pts worse | 20.3% | 16.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 1.1% | 1.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 2.0% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.8 pts worse | 22.7% | 14.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.5 pts worse | 10.0% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.1 pts better | 95.5% | 86.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit10 pts worse | 24.4% | 14.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication6.5 pts worse | 9.6% | 3.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.1 pts better | 91.9% | 77.8% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.5 pts worse | 37.8% | 28.3% | 23.4% |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Provide rooms that can be unlocked from inside without a key.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper power supply for life support equipment.
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Other homes nearby
-
Princeton Place-Ruston
Ruston, LA · Paramount Healthcare Consultants
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0
-
Alpine Skilled Nursing and Rehabilitation
Ruston, LA · Priority Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0
-
Arbor Lake Skilled Nursing & Rehabilitation
Farmerville, LA · Paramount Healthcare Consultants
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0