Onyx Care of Natchitoches
A nursing home in Natchitoches, Louisiana 71457
750 Keyser Avenue, Natchitoches, Louisiana 71457. (318) 352-8779.
- A candidate for CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 26 health citations at the latest inspection cycle Louisiana average: 6.2
- 3.66 nurse hours per resident per day Louisiana average: 3.82
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
26 health citations at the latest inspection cycle
The Louisiana average is 6.2.
Last standard inspection Mar 25, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Oct 25, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
58 citations in 12 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 61 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 50 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 26, 2026: complaint inspection9 citations
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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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.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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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.
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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Keep all essential equipment working safely.
Mar 25, 2026: standard inspection7 citations
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Observe each nurse aide’s job performance and give regular training.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Mar 25, 2026: standard and complaint inspection2 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
Feb 24, 2026: complaint inspection3 citations
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Reasonably accommodate the needs and preferences of each resident.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Jan 14, 2026: complaint inspection5 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Honor the resident’s right to manage his or her financial affairs.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide and implement an infection prevention and control program.
Jun 20, 2025: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Mar 12, 2025: standard inspection4 citations
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Provide enough food/fluids to maintain a resident’s health.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Mar 12, 2025: standard and complaint inspection2 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide activities to meet all resident’s needs.
Jan 7, 2025: complaint inspection2 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide safe, appropriate pain management for a resident who requires such services.
Nov 25, 2024: complaint inspection4 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Dispose of garbage and refuse properly.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Oct 25, 2024: complaint inspection3 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
Sep 19, 2024: complaint inspection1 citation
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Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
May 24, 2024: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Jan 11, 2024: standard and complaint inspection5 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jan 11, 2024: complaint inspection8 citations
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Reasonably accommodate the needs and preferences of each resident.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate foot care.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Dispose of garbage and refuse properly.
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Provide and implement an infection prevention and control program.
Nov 8, 2023: complaint inspection3 citations
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Reasonably accommodate the needs and preferences of each resident.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 1, 1994.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 98 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $616,611 in all.
- No Medicare payment denials in the last three years.
- 50 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Mar 12, 2025 | Fine | $212,875 |
| Oct 25, 2024 | Fine | $235,974 |
| May 24, 2024 | Fine | $69,521 |
| Jan 11, 2024 | Fine | $98,241 |
Who does the caring?
3.66 nurse hours per resident per day
The Louisiana average is 3.82.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Louisiana average |
|---|---|---|
| Nurse hours per resident per day | 3.66 | 3.82 |
| Of which registered nurses | 0.27 | 0.31 |
| At weekends | 3.03 | 3.24 |
| Nursing staff turnover | 66.1% | 47.1% |
| Registered nurse turnover | Not given | 38.7% |
| Administrators who left | 2 | Not given |
Who owns it?
- D & N LLC owns 50% directly since Nov 1, 2005; Dtd Hc LLC owns 50% directly since Nov 1, 2005.
- 4 owners or officers are people: Cheyanne Clark (managing employee (on the payroll), 100%); Donald T Denz (owns 5% or more through other companies, 44%); Norbert A Bennett (owns 5% or more through other companies, 32.45%); Renee Klawon (other role (CMS gives no detail)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| D & N LLC | Owns 5% or more directly | 50% | Nov 1, 2005 |
| Dtd Hc LLC | Owns 5% or more directly | 50% | Nov 1, 2005 |
| Norbert A Bennett Irrv Tr Fbo Grandchildren | Owns 5% or more through other companies | 17.55% | May 23, 2008 |
| Norbert A Bennett Irrv Tr Fbo Children | Owns 5% or more through other companies | 17.55% | May 23, 2008 |
| Donald T Denz Irrv Tr | Owns 5% or more through other companies | 6% | May 23, 2008 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Louisiana average 2.4).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 40.9 miles, this one had the 1st most health citations at the latest inspection cycle (26; the middle value was 7).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Courtyard of Natchitoches | 0.0 | 13 |
| Onyx Care of Natchitoches This nursing home | 26 | |
| Natchitoches Community Care Center | 1.8 | 0 |
| Green Meadow Haven | 24.6 | 6 |
| Autumn Leaves Nursing & Rehab Center, LLC | 26.5 | 0 |
| Sabine Retirement and Rehab Center | 26.8 | 8 |
| Many Healthcare and Rehabilitation Center | 27.3 | 10 |
| Colfax Nursing and Rehab, LLC | 27.8 | 14 |
| Onyx Care of Winnfield | 28.7 | 14 |
| Wyatt Manor Nursing and Rehab Ctr, Inc. | 34.9 | 2 |
| Forest Haven Nursing & Rehab Ctr, LLC | 38.9 | 5 |
| Onyx Care of Ringgold | 40.9 | 5 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.