Federal inspection record · CMS data as of October 1, 2026
Colonial Manor of Randolph
811 South Main Street, Randolph, NE · (402) 337-0444
- Certified beds
- 45
- Residents per day
- 38
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1996
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Colonial Manor of Randolph carries 88 inspection points. That is fewer than 21% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
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.
- F
Ensure 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.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights4E
- E
Honor 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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Notify 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.
- D
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Pharmacy Service3D
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services2E
- C
Post nurse staffing information every day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Inspection history
2025-12-10
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2024-10-03
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-09-14
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 20 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
3 h 20 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-03 | Payment Denial · 2 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.4 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 99.4% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 97.4% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse | 7.1% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.2 pts worse | 5.6% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts better | 2.4% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.6 pts better | 5.4% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.3 pts worse | 28.0% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.8 pts better | 12.0% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.3 pts better | 12.7% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.5% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 2.7% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.7 pts better | 22.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts worse | 6.4% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.7 pts better | 93.0% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit10.8 pts better | 0.0% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts better | 17.9% | 21.1% | 23.4% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Burnam, Soon | Adp Of The SNF · Individual | 0% | 353 facilities |
| Caretrust Gp LLC | Adp Of The SNF · Organization | 0% | 95 facilities |
| Caretrust Reit Inc | Adp Of The SNF · Organization | 0% | 102 facilities |
| Ctr Partnership LP | Adp Of The SNF · Organization | 0% | 104 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Helenthal, Tara | Corporate Officer · Individual | 0% | 8 facilities |
| Helping Hands Nursing Solution Inc | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Jorgensen, David | Corporate Director · Individual | 0% | 56 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Onshift Inc | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Port, Barry | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 203 facilities |
| Prairie Health Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Recob, Samuel | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Recob, Samuel | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Recob, Samuel | Adp Of The SNF · Individual | 0% | 3 facilities |
| Sato, Ami | Corporate Officer · Individual | 0% | 151 facilities |
| Stokes, Matthew | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Stokes, Matthew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stokes, Matthew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Tri State Nursing Enterprises, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services2E
- E
Install properly constructed and protected linen or trash chutes.
- E
Install properly constructed and protected linen or trash chutes.
Gas, Vacuum, and Electrical Systems2E
- E
Meet requirements for the use of electrical equipment.
- E
Ensure proper usage of power strips and extension cords.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Smoke1E
- E
Inspect, test, and maintain automatic sprinkler systems.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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Other homes nearby
-
Park View Haven Nursing Home
Coleridge, NE
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 47 min
- Fines
- $34,512
-
Accura HealthCare of Pierce
Pierce, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 59 min
- Fines
- $0
-
Accura HealthCare of Hartington
Hartington, NE · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0