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Union Parish, Louisiana · Nursing home

Onyx Care of Farmerville

1 of 5 overall from CMS

813 N Main St, Farmerville, LA 71241

Call (318) 368-2256Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Onyx Care of Farmerville is a 117-bed nursing home in Farmerville, Louisiana (Union Parish). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.06 nurse staffing hours per resident per day, below the Louisiana average of 3.76. CMS lists 2 fines totaling $19,667 in the past three years.

Certified beds
117
Residents per day (average)
73.8
Certified since
1998 (28 yrs)

For profit - Corporation Participates in Medicare and Medicaid

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Terms used on this page
CMS
The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
Certified beds
The number of federally certified beds CMS lists for the home.
Deficiency or citation
A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
Actual harm
Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
Immediate jeopardy
Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
Inspection cycle
A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
Special Focus Facility (SFF)
A home CMS has placed under closer oversight because of its inspection record. More about the program

Questions to ask Onyx Care of Farmerville

Chosen from this home's public data.

  1. CMS lists 2 fines totaling $19,667 in the past three years. What changed after the most recent one?Penalties in CMS data
  2. CMS counts 16 health deficiencies in the latest inspection cycle (the standard inspection on Jun 25, 2025 plus complaint and infection-control inspections); the Louisiana average is 6.4. Which have been corrected?Inspection results in CMS data
  3. Nursing staff turnover is 69.5%, above the Louisiana average of 47.6%. How often would the same aides care for my relative?Turnover in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the Louisiana average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the Louisiana average; the national average for all nursing staff is 3.86 hours.

Quality measures

CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Louisiana and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.

Long-stay residents

MeasureThis homeLouisianaU.S.
★ Percentage of long-stay residents whose need for help with daily activities has increased 20.4% 17.8% 13.9%
Percentage of long-stay residents who lose too much weight 1.7% 5.2% 5.2%
★ Percentage of long-stay residents with a catheter inserted and left in their bladder 3.5% 1.2% 0.8%
★ Percentage of long-stay residents with a urinary tract infection 0.4% 2.1% 1.6%
Percentage of long-stay residents who have depressive symptoms 1.0% 2.3% 12.8%
Percentage of long-stay residents who were physically restrained 6.1% 0.2% 0.1%
★ Percentage of long-stay residents experiencing one or more falls with major injury 1.1% 3.5% 3.2%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.9% 93.4% 93.6%
★ Percentage of long-stay residents whose ability to walk independently worsened 31.9% 17.9% 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.8% 23.2% 19.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 10.4% 94.9% 95.5%
★ Percentage of long-stay residents with pressure ulcers 7.9% 5.6% 4.6%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.5% 15.8% 19.0%
★ Percentage of long-stay residents who received an antipsychotic medication 32.9% 22.7% 15.4%
★ Number of hospitalizations per 1000 long-stay resident days 3.53 2.56 1.90
★ Number of outpatient emergency department visits per 1000 long-stay resident days 2.87 2.74 1.78

Short-stay residents

MeasureThis homeLouisianaU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.0% 85.9% 82.0%
★ Percentage of short-stay residents who newly received an antipsychotic medication 2.9% 3.1% 1.6%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 15.9% 76.3% 79.8%
★ Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.9% 28.0% 23.8%
★ Percentage of short-stay residents who had an outpatient emergency department visit 27.0% 14.8% 12.0%

Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov

Inspection history

Inspectors cited 30 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 5 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jan 29, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Deficiencies by inspection cycle
Standard inspectionHealthFire safety
Jun 25, 2025160
May 22, 202492
Apr 26, 202352

Louisiana homes averaged 6.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.

Health citations, three most recent inspection cycles (30)

  1. FPotential for more than minimal harm, widespread

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Aug 6, 2025)

  2. EPotential for more than minimal harm, pattern

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 6, 2025)

  3. EPotential for more than minimal harm, pattern

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2025)

  4. EPotential for more than minimal harm, pattern

    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.

    Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2025)

  5. DPotential for more than minimal harm, isolated

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights · Deficient, Provider has date of correction (Aug 6, 2025)

Show 25 more
  1. DPotential for more than minimal harm, isolated

    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.

    Resident Rights · Deficient, Provider has date of correction (Aug 6, 2025)

  2. DPotential for more than minimal harm, isolated

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 6, 2025)

  3. DPotential for more than minimal harm, isolated

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2025)

  4. DPotential for more than minimal harm, isolated

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2025)

  5. DPotential for more than minimal harm, isolated

    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.

    Nursing and Physician Services · Deficient, Provider has date of correction (Aug 6, 2025)

  6. DPotential for more than minimal harm, isolated

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pharmacy Service · Deficient, Provider has date of correction (Aug 6, 2025)

  7. DPotential for more than minimal harm, isolated

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pharmacy Service · Deficient, Provider has date of correction (Aug 6, 2025)

  8. DPotential for more than minimal harm, isolated

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service · Deficient, Provider has date of correction (Aug 6, 2025)

  9. DPotential for more than minimal harm, isolated

    Dispose of garbage and refuse properly.

    Nutrition and Dietary · Deficient, Provider has date of correction (Aug 6, 2025)

  10. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Aug 6, 2025)

  11. DPotential for more than minimal harm, isolated

    Keep all essential equipment working safely.

    Environmental · Deficient, Provider has date of correction (Aug 6, 2025)

  12. JImmediate jeopardy, isolated

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Complaint investigation · Quality of Life and Care · Past Non-Compliance (Jan 9, 2025)

  13. DPotential for more than minimal harm, isolated

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 10, 2025)

  14. DPotential for more than minimal harm, isolated

    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.

    Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Mar 10, 2025)

  15. EPotential for more than minimal harm, pattern

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 5, 2024)

  16. EPotential for more than minimal harm, pattern

    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.

    Nursing and Physician Services · Deficient, Provider has date of correction (Jul 5, 2024)

  17. EPotential for more than minimal harm, pattern

    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.

    Pharmacy Service · Deficient, Provider has date of correction (Jul 5, 2024)

  18. DPotential for more than minimal harm, isolated

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 5, 2024)

  19. DPotential for more than minimal harm, isolated

    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.

    Nursing and Physician Services · Deficient, Provider has date of correction (Jul 5, 2024)

  20. DPotential for more than minimal harm, isolated

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    Nursing and Physician Services · Deficient, Provider has date of correction (Jul 5, 2024)

  21. DPotential for more than minimal harm, isolated

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 27, 2023)

  22. DPotential for more than minimal harm, isolated

    Provide safe, appropriate pain management for a resident who requires such services.

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2023)

  23. EPotential for more than minimal harm, pattern

    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.

    Resident Rights · Deficient, Provider has date of correction (Jun 2, 2023)

  24. EPotential for more than minimal harm, pattern

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 2, 2023)

  25. EPotential for more than minimal harm, pattern

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Pharmacy Service · Deficient, Provider has date of correction (Jun 2, 2023)

What severity letters A to L mean

Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".

Penalties, past three years

DateTypeAmount
Jan 29, 2025Fine$5,598
Jan 29, 2025Fine$14,069

Louisiana homes averaged 0.9 fines and $46,795 in fine amounts; the national averages are 0.9 and $30,972.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within Louisiana

Common questions

What is the CMS star rating for Onyx Care of Farmerville?

Onyx Care of Farmerville has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 1.

How many beds does Onyx Care of Farmerville have?

Onyx Care of Farmerville has 117 certified beds. It averages 73.8 residents per day, about 63.1% of its certified beds.

How much nursing care do residents get at Onyx Care of Farmerville?

The home reports 3.06 hours of nurse staffing per resident per day, including 0.22 hours from registered nurses. The Louisiana average is 3.76 hours and 0.31 hours from registered nurses.

Has Onyx Care of Farmerville been fined?

Yes. CMS lists 2 fines totaling $19,667 in the past three years.

Does Onyx Care of Farmerville accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Guides for families looking at this home

Nearest nursing homes

Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Union Parish

Who to call in Louisiana

These offices serve residents of every nursing home in Louisiana.

Louisiana staffing, bed-hold and Medicaid rules · Residents' rights in every state

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Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 195439. See this home's official record on Medicare.gov

See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.