Starfile

Starfile / Nebraska

Colonial Manor of Randolph

811 South Main Street, Randolph, NE 68771 · CCN 285183

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★☆ 4
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Corporation
Certified beds
45
Avg residents/day
41.3
Phone
4023370444

Inspection history vs Nebraska & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityNebraska avgNational avgvs state
12025-12-10126.79.5+5.3 worse
22024-10-0376.19.8+0.9 worse
32023-09-1435.49.3-2.4 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Resident assessment and care planning1
Nursing and physician services2
Resident rights2
Nutrition and dietary4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.3947.1%
RN staffing (reported)0.7333.3%
Total nurse staffing (adjusted)3.78

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
1
Payment denials
1

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (22)

  1. EF0584Honor 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.2025-12-10 · Health · corrected 2026-01-05

    Potential for more than minimal harm

  2. DF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2025-12-10 · Health · corrected 2026-01-05

    Potential for more than minimal harm

  3. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-10 · Health · corrected 2026-01-05

    Potential for more than minimal harm

  4. DF0641Ensure each resident receives an accurate assessment.2025-12-10 · Health · corrected 2026-01-05

    Potential for more than minimal harm

  5. CF0732Post nurse staffing information every day.2025-12-10 · Health · corrected 2026-01-05

    Potential for minimal harm

  6. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-10 · Health · corrected 2026-01-05

    Potential for more than minimal harm

  7. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-24 · Health · corrected 2025-12-22

    Potential for more than minimal harm

  8. DF0610Respond appropriately to all alleged violations.2025-11-24 · Health · corrected 2025-12-22

    Potential for more than minimal harm

  9. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-11-24 · Health · corrected 2025-12-22

    Potential for more than minimal harm

  10. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-11-24 · Health · corrected 2025-12-22

    Potential for more than minimal harm

  11. FF0803Ensure 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.2025-11-24 · Health · corrected 2025-12-15

    Potential for more than minimal harm

  12. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-11-24 · Health · corrected 2025-12-22

    Potential for more than minimal harm

  13. DF0625Notify 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.2024-10-03 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  14. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-03 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  15. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-03 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  16. DF0758Implement 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.2024-10-03 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  17. DF0759Ensure medication error rates are not 5 percent or greater.2024-10-03 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  18. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-03 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  19. DF0880Provide and implement an infection prevention and control program.2024-10-03 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  20. DF0583Keep residents' personal and medical records private and confidential.2023-09-14 · Health · corrected 2023-10-09

    Potential for more than minimal harm

  21. DF0758Implement 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.2023-09-14 · Health · corrected 2023-10-09

    Potential for more than minimal harm

  22. EF0880Provide and implement an infection prevention and control program.2023-09-14 · Health · corrected 2023-10-09

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
GATEWAY HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2011-07-18
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2011-07-18
STOKES, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL2015-05-31
BURNAM, SOONIndividualCORPORATE OFFICER2011-07-18
FITCH, CRAIGIndividualCORPORATE OFFICER2019-01-01
HELENTHAL, TARAIndividualCORPORATE OFFICER2021-08-01
STOKES, MATTHEWIndividualW-2 MANAGING EMPLOYEE2015-05-31

Other facilities in Randolph

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.