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Colonial Manor of Randolph

Open-data reference.

Colonial Manor of Randolph is a for profit - corporation facility in Randolph, NE with 45 certified beds and a 1-star overall CMS rating. The facility has 22 deficiency records on file.

811 South Main Street, Randolph, NE 68771

Phone: 4023370444

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
285183
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
45
Residents
41
In Hospital
No
County
Cedar
Last Inspection
Dec 10, 2025

Staffing Data

RN Hours
0.73 (nat'l avg: 0.68)
LPN Hours
0.54
CNA Hours
2.12
Total Nursing Hours
3.39 (nat'l avg: 3.89)
PT Hours
0.18
Nursing Turnover
47.1%
RN Turnover
33.3%

What the CMS Record Reveals About Colonial Manor of Randolph

Colonial Manor of Randolph operates 45 certified beds in Randolph, NE with approximately 41 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 22 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.39 total nursing hours per resident day (national average 3.89), with RN coverage at 0.73 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Colonial Manor of Randolph falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 47.1%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (22 most recent)

D — Isolated - Minimal harm Dec 10, 2025 Tag: 0606

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 5, 2026

E — Pattern - Minimal harm Dec 10, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jan 5, 2026

F — Widespread - Minimal harm Dec 10, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 5, 2026

C — Widespread - No harm Dec 10, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 5, 2026

D — Isolated - Minimal harm Dec 10, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 5, 2026

D — Isolated - Minimal harm Dec 10, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jan 5, 2026

F — Widespread - Minimal harm Nov 24, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 22, 2025

F — Widespread - Minimal harm Nov 24, 2025 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 15, 2025

F — Widespread - Minimal harm Nov 24, 2025 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 22, 2025

E — Pattern - Minimal harm Nov 24, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 22, 2025

D — Isolated - Minimal harm Nov 24, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 22, 2025

D — Isolated - Minimal harm Nov 24, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 22, 2025

D — Isolated - Minimal harm Oct 3, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Nov 15, 2024

D — Isolated - Minimal harm Oct 3, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 15, 2024

F — Widespread - Minimal harm Oct 3, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 15, 2024

D — Isolated - Minimal harm Oct 3, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 15, 2024

D — Isolated - Minimal harm Oct 3, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 15, 2024

D — Isolated - Minimal harm Oct 3, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 15, 2024

D — Isolated - Minimal harm Oct 3, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Nov 15, 2024

E — Pattern - Minimal harm Sep 14, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 9, 2023

D — Isolated - Minimal harm Sep 14, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 9, 2023

D — Isolated - Minimal harm Sep 14, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Oct 9, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 8.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 82.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 23.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 6.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 23.7% Yes

Penalty History

Date Type Amount
Oct 3, 2024 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Colonial Manor of Randolph?
Colonial Manor of Randolph has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at Colonial Manor of Randolph?
Colonial Manor of Randolph reports 3.39 total nursing hours per resident day (national average: 3.89). RN hours are 0.73 per resident day (national average: 0.68). Nursing staff turnover is 47.1%.
How many beds does Colonial Manor of Randolph have?
Colonial Manor of Randolph has 45 certified beds with approximately 41 residents. The facility is located at 811 South Main Street, Randolph, NE 68771.
Does Colonial Manor of Randolph have any deficiencies on record?
Yes, Colonial Manor of Randolph has 22 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Colonial Manor of Randolph received any fines or penalties?
No, Colonial Manor of Randolph has no fines or penalties on record.
Who owns Colonial Manor of Randolph?
Colonial Manor of Randolph is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Colonial Manor of Randolph last inspected?
The most recent health inspection for Colonial Manor of Randolph was on Dec 10, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Colonial Manor of Randolph?
Colonial Manor of Randolph is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial