Colonial Manor Nursing Home
Tulsa, Oklahoma · CCN 375465
35 surveys since 2011, 24 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
- 199
- Surveys
- 35
- Harm or worse
- 24
- Immediate jeopardy
- 6
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
- 120
- Ownership
- For profit - Limited Liability company
- Chain
- SKYBLUE HEALTHCARE
- County
- Tulsa
- Medicare-certified since
- 2004
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 5
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 94 for-profit facilities of 100–127 beds in Oklahoma.
Last survey on record
Mar 5, 2026
249 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 | 3.43 | 3.68 |
| Registered-nurse hours per resident day | 0.39 | — |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $31,710 across 1 penalty
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J15.6% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1372.2% | E422.2% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F8802×
Provide and implement an infection prevention and control program.
- F5681×
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6381×
Assure that each resident’s assessment is updated at least once every 3 months.
In the surveyor’s words
From the most serious findings on record at Colonial Manor Nursing Home, in the surveyor’s own words.
- Immediate jeopardy, isolatedF684Jul 21, 2025
On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to assess, monitor, and intervene for a change in condition for:1. Resident #8 who reported chest pain on [DATE] at 7:46 a.m. A progress note showed vital signs were taken, but no other action was documented, and2. Resident #7 who was reported by RN #1 to be slumped over the table in the dining room on [DATE] during the noon meal. The note showed Resident #7 was removed from the dining room and taken to their room. […]
- No harm, potential for more than minimal, patternF880Feb 8, 2024
Based on observation, interview, and record review, the facility failed to ensure nursing staff followed the infection control guidelines to prevent the potential spread of communicable disease. The DON identified 40 residents resided in the facility. Findings: A Handling Soiled Linen policy, undated, read in part, .3. Linen should not be allowed to touch the uniform or floor .4. Used or soiled linen shall be collected at the bedside (or point of use .) and placed in a linen bag or designated receptacle. When the task is complete, the bag shall be closed securely and placed in the soiled utility room. Soiled linen shall not be kept in the resident's room or bathroom .'' Res #1 had diagnoses which included CVA, neuromuscular dysfunction of bladder, DM, and frequent UTI's. […]
- No harm, potential for more than minimal, patternF919Feb 8, 2024
Based on observation, record review, and interview, the facility failed to ensure residents' call lights were in reach for four (#3, 5, 6, and #7) of four sampled residents who were reviewed for call light placement. The DON identified 40 residents who resided in the facility. Findings: A Call Lights: Accessible and Timely Response policy, undated, read in part, .Policy: The purpose of this policy is to assure the facility is adequately equipped with a call light at each residents' bedside, toilet, and bathing facility to allow residents to call for assistance . 1. […]
- No harm, potential for more than minimal, patternF880Dec 1, 2023
Based on observation, record review, and interview, the facility failed to follow infection prevention and control procedures during an outbreak of COVID-19. The administrator identified 39 residents resided at the facility and five were positive for COVID-19. Findings: A Transmission-Based (Isolation) Precautions policy, dated 09/28/22, read in part, .Recommendations for Personal Protective Equipment (PPE) .Droplet .Gloves, Gown .Mask . The policy did not document the use of a face shield for droplet precautions, unless there was a risk of exposure to respiratory droplets, i.e. coughing/sneezing. On 12/01/23 at 9:28 a.m., the ADON/IPCO was observed outside of an unmarked isolated resident room, in front of a cart with multiple COVID-19 tests on the top of the cart. […]
- No harm, potential for more than minimal, patternF756Feb 8, 2023
Based on record review and interview, the facility failed to ensure a pharmacy recommendations had a documented clinical rationale for continuing psychotropic medications for one (#22) of five residents who were reviewed for unnecessary medications. The Resident Census and Conditions of Residents form identified 31 residents received psychoactive medication. Findings: Resident #22 had diagnoses which included Bipolar II disorder, schizoaffective disorder, major depressive disorder, and borderline personality disorder. A Pharmaceutical Consultant Report Psychoactive Gradual Dose Reduction, dated 07/18/22, read in parts, .Please evaluate the routine use of the following psychoactive medications and consider a dose reduction. […]
Read 40 findings in full →The most serious and the most recent: 40 of 199 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 5, 2026Complaint2 findings
- Jul 21, 2025Complaint5 findings · 1 harm
- Feb 6, 2025Standard1 finding
- Oct 25, 2024Complaint1 finding
- Feb 8, 2024Complaint2 findings
- Dec 1, 2023Standard and complaint4 findings
- Feb 8, 2023Standard and complaint3 findings
- Dec 9, 2021Standard13 findings
Show the 27 earlier surveys
- Jun 14, 2021Infection control5 findings
- Nov 20, 2020Infection control2 findings
- May 18, 2020Complaint3 findings · 1 harm
- May 12, 2020Infection control4 findings
- Mar 16, 2020Complaint3 findings
- Feb 25, 2020Complaint5 findings
- Jul 23, 2019Standard7 findings
- Jul 23, 2018Complaint3 findings · 2 harm
- Apr 24, 2018Standard24 findings · 6 harm
- Jan 18, 2017Standard17 findings · 3 harm
- Nov 1, 2016Complaint3 findings
- Oct 22, 2015Standard and complaint10 findings
- Jun 9, 2015Complaint1 finding
- Mar 16, 2015Complaint3 findings · 2 harm
- Oct 21, 2014Complaint3 findings · 1 harm
- Sep 11, 2014Complaint2 findings
- Aug 4, 2014Standard and complaint30 findings · 2 harm
- Apr 30, 2014Complaint1 finding
- Jan 28, 2014—3 findings · 2 harm
- Oct 29, 2013—6 findings · 2 harm
- Jun 28, 2013Standard9 findings
- Jan 4, 2013—6 findings · 2 harm
- Jul 17, 2012—2 findings
- May 29, 2012—1 finding
- Apr 12, 2012—6 findings
- Apr 11, 2011—1 finding
- Feb 11, 2011—8 findings
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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