Deficiency Index

Colonial Manor of Randolph

Randolph, Nebraska · CCN 285183

20 surveys since 2010. The first finding at harm level was recorded in 2021.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
82
Surveys
20
Harm or worse
1
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file15/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
45
Ownership
For profit - Corporation
Chain
THE ENSIGN GROUP
County
Cedar · rural
Medicare-certified since
1996

CMS ratings

Overall
1
Health inspection
1
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 25 for-profit facilities with fewer than 66 beds in Nebraska.

Last survey on record

Apr 14, 2026

209 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.633.71
Registered-nurse hours per resident day0.78—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1460.9%E313.0%F521.7%
No harm, potential for minimalA—B—C14.3%
CMS’s current file: 23 of the 82 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6842×

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

  • F7582×

    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.

  • F8122×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5831×

    Keep residents' personal and medical records private and confidential.

In the surveyor’s words

From the most serious findings on record at Colonial Manor of Randolph, in the surveyor’s own words.

  • Actual harm, isolatedF689Jan 7, 2021

    LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D7b Based on record review and interview; the facility failed to develop interventions to prevent a fall with injury for Resident 6 and to identify causal factors and then revise and/or develop new interventions to prevent ongoing falls for Resident 3. The sample size was 5 and the facility census was 31. Findings are: A. Review of the facility policy Fall Risk Assessment (revision date 5/07) revealed it was the policy of the facility to identify the resident at risk for falls and to initiate a preventative plan of care to reduce fall occurrence. […]

  • No harm, potential for more than minimal, widespreadF812Dec 10, 2025

    Licensure Reference Number 175 NAC 12.006.11EBased on observation, record review and interview; the facility failed to store and prepare food in a manner to prevent the potential for food borne illness. This practice had the potential to affect all residents who were served snacks and meals from the kitchen. The facility identified census was 40. Findings are:A. Review of the undated facility policy Food Safety Requirements revealed the following:-It was the policy of the facility that food would be stored, prepared, distributed and served in accordance with professional standards for food service safety. Food service safety referred to the handling, preparing, and storing of food in ways that prevent foodborne illness. […]

  • No harm, potential for more than minimal, widespreadF801Nov 24, 2025

    Licensure Reference number 175 NAC 12-006.04D2 Based on record review and interview; the facility failed to ensure the Dietary Manager (DM) held the required certification credentials for the position or employed a full time dietician. In addition, the facility failed to ensure staff had received training and/or were competent to serve as a cook at the facility. This had the potential to affect all residents that resided in the facility and who ate food from the kitchen. The facility census was 44.Findings are: A. […]

  • No harm, potential for more than minimal, widespreadF803Nov 24, 2025

    Licensure Reference: 175 NAC 12-006.11A1 Based on observation, interview, and record review, the facility failed to follow planned menus for all residents who consumed food from the facility kitchen. The facility had a total census of 44 residents.Findings are:Review of the facility Month at a Glance noon meal menu for 10/1/25 revealed the noon meal was listed as breaded chicken patty on a bun, mini baker potatoes, cream gravy, country trio vegetables, bread with margarine and flamingo cake. Observation of the noon meal service on 10/1/25 from 11:45 AM to 1:27 PM revealed the residents were served Salisbury steak, au gratin potatoes, country trio vegetables, white gravy, and a cookie. […]

  • No harm, potential for more than minimal, widespreadF804Nov 24, 2025

    LICENSURE REFERENCE NUMBER 175 NAC 12-006.11D Based on observations, record review and interviews; the facility failed to ensure that hot foods were served at a palatable temperature for facility residents. This had the potential to affect all 24 residents in the facility that ate food served out of the kitchen. The facility census was 44. Findings are: A. Review of the facility policy Food Temperatures (undated) revealed it was the policy of this facility to take and record food temperatures for each meal to ensure food was served at the proper temperature. […]

Read 21 findings in full →The most serious and the most recent: 21 of 82 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 14, 2026Complaint1 finding
  • Dec 10, 2025Standard and complaint6 findings
  • Nov 24, 2025Complaint6 findings
  • Oct 3, 2024Standard and complaint7 findings
  • Sep 14, 2023Standard and complaint3 findings
  • Jun 15, 2022Standard and complaint4 findings
  • May 4, 2021Standard1 finding
  • Jan 7, 2021Complaint1 finding · 1 harm
Show the 12 earlier surveys
  • Oct 8, 2019Standard3 findings
  • Aug 28, 2018Standard and complaint14 findings
  • Jun 6, 2017Standard7 findings
  • Apr 14, 2016Standard5 findings
  • Nov 2, 2015Complaint1 finding
  • Oct 13, 2015Complaint1 finding
  • Apr 16, 2015Standard7 findings
  • Oct 20, 2014Complaint2 findings
  • Mar 19, 2014Standard4 findings
  • Jan 10, 2013—2 findings
  • Oct 20, 2011—3 findings
  • Sep 2, 2010—4 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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