
Report
TheVardellReport
Onyx Care of Natchitoches
Skilled nursing facility and nursing facility
750 Keyser Avenue
Natchitoches, LA 71457

TheVardellReport
Skilled nursing facility and nursing facility
750 Keyser Avenue
Natchitoches, LA 71457
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 14 inspections from October 2023 to August 2026, state surveyors documented 71 findings at Onyx Care of Natchitoches; 71 have a recorded correction; CMS lists 4 enforcement actions in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2023 | 2 | 13 | 0 |
| 2024 | 5 | 23 | 5 |
| 2025 | 3 | 9 | 1 |
| 2026 | 4 | 26 | 0 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
9 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
9 findings
The same visit included a complaint investigation.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
5 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
6 findings
The same visit included a complaint investigation.
Enforcement Action
Civil money penalty, $212,875 imposed March 12, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of March 12, 2025, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
4 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
13 findings
The same visit included a complaint investigation.
Enforcement Action
Civil money penalty, $98,241 imposed January 11, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of January 11, 2024, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $69,521 imposed May 24, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of January 11, 2024, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $235,974 imposed October 25, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of January 11, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
10 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F658 in October 2023, November 2024, March 2025, June 2025, January 2026, March 2026 and August 2026. This citation covers whether the home’s services meet professional standards of quality. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F677 in October 2023, November 2023, January 2024, March 2025 and February 2026. This citation covers help with bathing, dressing, eating and toileting for residents who cannot manage alone. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F558 in October 2023, November 2023, January 2024 and February 2026. This citation covers whether the home reasonably accommodates each resident’s needs and preferences. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F656 in October 2023, January 2024, March 2025 and January 2026. This citation covers whether each resident has a written care plan that meets their needs, with goals that can be measured. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F880 in January 2024, January 2026, March 2026 and August 2026. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F550 in January 2024, November 2024 and January 2026. This citation covers residents’ right to dignity, to make their own choices and to communicate. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F565 in January 2024, October 2024 and March 2026. The agency describes it this way: Honor the resident's right to organize and participate in resident/family groups in the facility. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F584 in October 2023, January 2024 and August 2026. This citation covers whether rooms and shared spaces are kept safe, clean, comfortable and homelike. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F835 in May 2024, October 2024 and March 2026. This citation covers whether the home is run in a way that uses its resources effectively. The most serious of these was recorded at level J (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F557 in October 2023 and August 2026. The agency describes it this way: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F684 in January 2024 and October 2024. This citation covers whether residents receive the treatment their orders, preferences and goals call for. The most serious of these was recorded at level J (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F755 in October 2023 and March 2026. This citation covers pharmacy services and the licensed pharmacist who oversees them. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F800 in September 2024 and February 2026. The agency describes it this way: Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F814 in January 2024 and November 2024. This citation covers whether garbage and refuse are disposed of properly. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F842 in October 2023 and March 2026. This citation covers whether resident records are complete, accurate and kept confidential. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
How do you check that nurses and aides follow professional standards, and what happens when they do not?
Professional Standards: cited in seven inspections, most seriously at level E.
How long do residents usually wait for help with bathing, dressing or the bathroom, and how is that tracked?
Help With Daily Living: cited in five inspections, most seriously at level E.
How do you adjust rooms, schedules and routines to a resident’s needs and preferences?
Needs and Preferences: cited in four inspections, most seriously at level E.
How is a care plan written and reviewed here, and how do families take part in it?
Care Plans: cited in four inspections, most seriously at level E.
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in four inspections, most seriously at level E.
How do staff learn each resident’s preferences, and how is a complaint about dignity handled?
Dignity and Resident Rights: cited in three inspections, most seriously at level D.
What changed after F565 was cited, and how do you check it now?
Citation F565: cited in three inspections, most seriously at level E.
What was done about the cleanliness citation, and how are rooms and shared spaces checked now?
A Clean, Homelike Setting: cited in three inspections, most seriously at level E.
How long have the administrator and the director of nursing been in their roles?
Administration: cited in three inspections, most seriously at level J.
What changed after F557 was cited, and how do you check it now?
Citation F557: cited in two inspections, most seriously at level D.
How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?
Quality of Care: cited in two inspections, most seriously at level J.
How often does the consultant pharmacist review each resident’s medications?
Pharmacy Services: cited in two inspections, most seriously at level E.
What changed after F800 was cited, and how do you check it now?
Citation F800: cited in two inspections, most seriously at level E.
How is waste handled around the kitchen and resident areas?
Garbage and Refuse: cited in two inspections, most seriously at level E.
How can a family request a resident’s records, and how are they kept accurate?
Medical Records: cited in two inspections, most seriously at level E.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
Insufficient nursing staff was cited in January 2024.
What led to the 2025 fine, and has it been paid?
A $212,875 civil money penalty was imposed March 12, 2025. CMS publishes the fine, not whether it has been paid. The record holds four enforcement actions in the window.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Louisiana state survey agency.
Louisiana state survey agency
Inspection Oct 26, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Nov 8, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Jan 11, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection May 24, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Sep 19, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Oct 25, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Nov 25, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Jan 7, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Mar 12, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Jun 20, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Jan 14, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Feb 24, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Mar 25, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Louisiana state survey agency
Inspection Aug 26, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 195293
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowOctober 26, 2023 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.