Colonial Manor Nursing Home
Lakefield, Minnesota · CCN 245572
21 surveys since 2010, 5 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 98
- Surveys
- 21
- Harm or worse
- 5
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 37
- Ownership
- For profit - Corporation
- Chain
- Independent
- County
- Jackson · rural
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 55 for-profit facilities with fewer than 66 beds in Minnesota.
Last survey on record
Jul 9, 2026
123 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 6.37 | 3.62 |
| Registered-nurse hours per resident day | 1.24 | — |
| Annual nurse turnover | 60.5% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1955.9% | E38.8% | F1235.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8012×
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.
- F8512×
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
In the surveyor’s words
From the most serious findings on record at Colonial Manor Nursing Home, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF727Jan 29, 2026
Based on record review and interviews, the facility failed to have a registered nurse (RN) on duty 8 consecutive hours a day, 7 days a week for 3 of 18 days reviewed.Findings include: Review of the 18 sampled days between 7/1/25 through 1/1/26 identified:On 11/15/25 the RN had only worked 4.5 hours that day.On 7/4/25 there was no RN coverage for that day.On 8/2/25, the RN had only worked 6.25 hours that day. Interview on 1/28/26 at 3:51 p.m., with the health unit coordinator who identified he was responsible for the schedule and to ensure there was an RN working 8 consecutive hours a day. If there was a call-off it was the responsibility of the case manager to work that shift for the RN coverage. He confirmed no RN had worked on 7/4/25. […]
- No harm, potential for more than minimal, widespreadF801Jan 29, 2026
Based on observation, interview and document review, the facility failed to designate a qualified person to serve as the director of food service to oversee the dietary department in the absence of a full time dietitian. This had the potential to affect all 26 residents, visitors and staff who consumed food from the kitchen.Findings include: Interview on 1/27/26 at 9:30 a.m. with the dietary manager (DM), identified she was not yet certified and was waiting for direction as to what courses she needed to complete to obtain her certification. She reported she did have her SERV Safe certification and had previously worked as the main cook, prior to taking the position as DM. […]
- No harm, potential for more than minimal, widespreadF812Jan 29, 2026
Based on observation and interview, the facility failed to maintain a clean and sanitary kitchen with appropriately clean food preparation equipment identified as a buildup of dust and grease on exhaust vents and food residue on food preparation equipment. This had the potential to affect all 26 residents who received food prepared in the facility kitchen.Findings include: Based on observation and interview on 1/27/26 at 9:30 a.m. with the dietary manager (DM) the following areas of concern were identified:1) 2 of 2 rectangular exhaust vents located above the doors on the dining room side of the kitchen were covered with a black, thick, furry appearing substance. […]
- No harm, potential for more than minimal, widespreadF851Jan 29, 2026
The facility failed to submit accurate staffing information for payroll-based journal (PBJ) for 1 of 4 quarters (quarter 4) reviewed.Findings include: Review of 2025, quarter 4 PBJ staffing Data Report 1705D identified the facility failed to have licensed nursing coverage 24 hours a day. The report identified the following dates 7/4/25 Friday, 7/5/25 Saturday, 7/6/25 Sunday, 7/19/25 Saturday, 7/20/25 Sunday, 8/2/25 Saturday, 8/3/25 Sunday, 8/9/25 Saturday, 8/10/25 Sunday, 8/17/25 Sunday, 8/30/25 Saturday, 9/13/25 Saturday, and 9/27/25 Saturday. Review of the above dates and facility staff timecard punches for the dates identified, showed that the facility did have licensed staff on duty each shift on each day identified. […]
- No harm, potential for more than minimal, widespreadF865Jan 29, 2026
Based on interview and document review the facility failed to ensure data submitted to the Quality Assurance and Performance Improvement (QAPI) committee for improvements had a developed measurable goal, action plan identified to reach the goal and analysis of the data collected on the improvement activities. This had the potential to affect all 26 residents residing in the facility.Findings include: Review of the quarterly QAPI meeting minutes provided identified:1) QAPI meeting minutes from 2/18/25, identified agenda for February, March, and April, included dietary review, diagnosis of malnutrition, at-risk of malnutrition, supplements, fluid restrictions, modified diets, low body mass index (BMI), high BMI's, and weight loss. […]
Read 25 findings in full →The most serious and the most recent: 25 of 98 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 9, 2026Complaint2 findings
- Jan 29, 2026Standard14 findings
- Nov 21, 2024Standard and complaint12 findings
- Oct 28, 2024Complaint1 finding
- Jul 24, 2024Complaint3 findings
- Oct 19, 2023Standard2 findings
- Jul 28, 2022Standard11 findings
- Mar 8, 2021Complaint1 finding
Show the 13 earlier surveys
- Nov 20, 2020Infection control1 finding
- Jun 15, 2020Complaint2 findings · 1 harm
- Apr 28, 2020Infection control1 finding
- Feb 13, 2020Standard and complaint6 findings
- Jan 31, 2019Standard5 findings
- Apr 6, 2018Standard11 findings · 3 harm
- May 12, 2016Standard1 finding
- Jun 4, 2015Standard3 findings
- Apr 25, 2014Standard7 findings
- Jun 27, 2013—2 findings
- Apr 26, 2012—6 findings
- Mar 10, 2011—4 findings
- Dec 10, 2010—3 findings · 1 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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