Colonial Manor of Randolph
811 South Main Street, Randolph, NE 68771
Colonial Manor of Randolph, a 45-bed for profit - corporation nursing facility in Randolph, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #129 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4023370444
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #129 of 178
- In-state rank among rated NE homes
- 3.63
- Below average · nurse hrs/day · nat'l 3.86
- 23
- Inspection findings
The verdict
Colonial Manor of Randolph, a 45-bed for profit - corporation nursing facility in Randolph, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #129 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
- 1 / 5
- CMS overall · national 3.0
- #129 of 178
- In-state rank among rated NE homes
- 3.63
- Nurse hrs/resident-day · national 3.86
- 23
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 180 NE nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 285183
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 45
- Residents
- 37
- In Hospital
- No
- County
- Cedar
- Last Inspection
- Dec 10, 2025
Staffing Data
How the 3.63 total nursing hours per resident-day are staffed:
- RN Hours
- 0.78 (nat'l avg: 0.69)
- LPN Hours
- 0.68
- CNA Hours
- 2.16
- Total Nursing Hours
- 3.63 (nat'l avg: 3.86)
- PT Hours
- 0.05
What the CMS Record Reveals About Colonial Manor of Randolph
According to CMS Nursing Home Compare, Colonial Manor of Randolph ranks #129 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Colonial Manor of Randolph operates 45 certified beds in Randolph, NE with approximately 37 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 4★).
The inspection file contains 23 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 3.63 total nursing hours (national average 3.86) and 0.78 RN hours.
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.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (23 most recent)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: May 1, 2026
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Jan 5, 2026
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 5, 2026
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
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 5, 2026
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
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
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Dec 22, 2025
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
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
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 22, 2025
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
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
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 15, 2024
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Nov 15, 2024
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 15, 2024
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
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
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
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
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Oct 9, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control 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 | 14.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.5% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.4% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.6% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 5.4% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.4% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 7.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.6% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 29.3% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 89.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
| Date | Type | Amount |
|---|---|---|
| Oct 3, 2024 | Payment Denial | - |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Colonial Manor of Randolph, both outside NE so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NE (45 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NE (3.99 here).
Nearby Nursing Homes in NE
179 other nursing homes are on record in NE; 6 are shown here.
Accura Healthcare of Franklin
Franklin, NE
Accura Healthcare of Fullerton
Fullerton, NE
Accura HealthCare of Hartington
Hartington, NE
Accura HealthCare of Kenesaw
Kenesaw, NE
Accura Healthcare of Neligh
Neligh, NE
Accura HealthCare of North Platte
North Platte, NE
Understanding Nursing Home Data
What the CMS records show for Colonial Manor of Randolph
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NE registry aggregates state averages and the highest-rated homes in this cohort. View NE registry
- Peer homes near 45 beds show how CMS stars vary at a similar scale in NE. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Colonial Manor of Randolph?
Where does Colonial Manor of Randolph rank among nursing homes in NE?
What are the staffing levels at Colonial Manor of Randolph?
How many beds does Colonial Manor of Randolph have?
Does Colonial Manor of Randolph have any deficiencies on record?
Has Colonial Manor of Randolph received any fines or penalties?
Who owns Colonial Manor of Randolph?
When was Colonial Manor of Randolph last inspected?
What quality measures are tracked for Colonial Manor of Randolph?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
