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.
| Cycle | Inspection date | This facility | Nebraska avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-10 | 12 | 6.7 | 9.5 | +5.3 worse |
| 2 | 2024-10-03 | 7 | 6.1 | 9.8 | +0.9 worse |
| 3 | 2023-09-14 | 3 | 5.4 | 9.3 | -2.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.39 | 47.1% |
| RN staffing (reported) | 0.73 | 33.3% |
| 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)
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2025-12-10 · Health · corrected 2026-01-05
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-12-10 · Health · corrected 2026-01-05
Potential for minimal harm
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2025-11-24 · Health · corrected 2025-12-22
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2024-10-03 · Health · corrected 2024-11-15
Potential for more than minimal harm
- 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
- DF0880Provide and implement an infection prevention and control program.2024-10-03 · Health · corrected 2024-11-15
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2023-09-14 · Health · corrected 2023-10-09
Potential for more than minimal harm
- 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
- EF0880Provide and implement an infection prevention and control program.2023-09-14 · Health · corrected 2023-10-09
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GATEWAY HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2011-07-18 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2011-07-18 |
| STOKES, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-05-31 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2011-07-18 |
| FITCH, CRAIG | Individual | CORPORATE OFFICER | — | 2019-01-01 |
| HELENTHAL, TARA | Individual | CORPORATE OFFICER | — | 2021-08-01 |
| STOKES, MATTHEW | Individual | W-2 MANAGING EMPLOYEE | — | 2015-05-31 |
Other facilities in Randolph
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.