Federal inspection record · CMS data as of October 1, 2026

Colonial Oaks Health Care Center

1725 S Colonial Oaks Dr, Marion, IN · (765) 674-9791

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
127
Residents per day
105
Ownership
For-Profit
Chain
Tlc Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 31, 1986

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.

  2. 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.

  3. Quality measures

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

Colonial Oaks Health Care Center carries 1 inspection point. That is fewer than 99% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 1 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: 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★ 9–24 pts
  • 3★ 24–42 pts
  • 2★ 42–72 pts
  • 1★ over 72 pts

Bars show every rated home in Indiana 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

4 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 4 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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

Quality of Life and Care1D
  1. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    August 25, 2023 · Standard · F744 · Corrected September 8, 2023

Resident Rights1D
  1. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    June 17, 2022 · Standard · F623 · Corrected July 14, 2022

Pharmacy Service1D
  1. 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.

    June 17, 2022 · Standard · F758 · Corrected July 14, 2022

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    June 17, 2022 · Standard · F880 · Corrected July 14, 2022

Inspection history

  1. 2024-07-26

    0 health deficiencies · 13 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2023-08-25

    1 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

  3. 2022-06-17

    3 health deficiencies · 5 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 31 min of nursing staff time a day, 25 min of it from a registered nurse.

This home

3 h 31 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 27% of nursing staff and 33% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts better1.01.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better0.81.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better99.7%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better100.0%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse5.6%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms12.7 pts better12.8%25.5%13.5%
Percentage of long-stay residents who lose too much weight2.4 pts worse7.7%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts better18.8%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.4 pts better4.3%13.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.5 pts worse12.6%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts worse13.9%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse0.7%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts better0.6%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts worse25.2%22.4%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts worse4.0%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.7 pts better94.6%81.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8 pts better2.9%10.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better0.8%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.5 pts better92.7%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.1 pts better14.7%21.8%23.4%

·

Who owns and runs it

22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Riverview Hospital5% Or Greater Direct Ownership Interest · Organization100%31 facilities
Colonial Oaks Health Care LLCOperational/Managerial Control · Organization0%1 facilities
Colonial Oaks Health Care LLCAdp Of The SNF · Organization0%1 facilities
Colonial Oaks Properties LLCAdp Of The SNF · Organization0%1 facilities
Dwight A. Ott And Gloria OttTrustee Of The SNF · Organization0%8 facilities
Friend, JaynaManaging Control - Governing Body · Individual0%31 facilities
Friend, JaynaOperational/Managerial Control · Individual0%31 facilities
Gibson, CullenIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%17 facilities
Hyatt, DavidManaging Control - Governing Body · Individual0%31 facilities
Hyatt, DavidOperational/Managerial Control · Individual0%31 facilities
Livingston, ChristianOperational/Managerial Control · Individual0%1 facilities
Livingston, ChristianAdp Of The SNF · Individual0%1 facilities
Ott Family TrustTrustee Of The SNF · Organization0%13 facilities
Ott, ConnieIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%5 facilities
Ott, DwightIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%20 facilities
Ott, GaryIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%20 facilities
Ott, JesseIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%2 facilities
Ott, RyanIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%19 facilities
Srikanth, ShankaranOperational/Managerial Control · Individual0%5 facilities
Srikanth, ShankaranAdp Of The SNF · Individual0%5 facilities
Tender Loving Care Management IncOperational/Managerial Control · Organization0%20 facilities
Tender Loving Care Management IncAdp Of The SNF · Organization0%20 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke8E
  1. E

    Install an approved automatic sprinkler system.

    July 26, 2024 · K351 · Corrected September 12, 2024

  2. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    July 26, 2024 · K372 · Corrected September 12, 2024

  3. D

    Install corridor and hallway doors that block smoke.

    July 26, 2024 · K363 · Corrected September 12, 2024

  4. C

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    July 26, 2024 · K346 · Corrected September 12, 2024

  5. C

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    July 26, 2024 · K354 · Corrected September 12, 2024

  6. E

    Install a fire alarm system that can be heard throughout the facility.

    August 25, 2023 · K341 · Corrected September 26, 2023

  7. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    June 17, 2022 · K321 · Corrected August 11, 2022

  8. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    June 17, 2022 · K374 · Corrected August 11, 2022

Egress3E
  1. 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.

    July 26, 2024 · K222 · Corrected September 12, 2024

  2. E

    Have properly located and lighted "Exit" signs.

    July 26, 2024 · K293 · Corrected September 12, 2024

  3. 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.

    June 17, 2022 · K222 · Corrected August 11, 2022

Gas, Vacuum, and Electrical Systems3E
  1. D

    Ensure proper usage of power strips and extension cords.

    July 26, 2024 · K920 · Corrected September 12, 2024

  2. D

    Have proper medical gas storage and administration areas.

    July 26, 2024 · K923 · Corrected September 12, 2024

  3. E

    Ensure proper usage of power strips and extension cords.

    June 17, 2022 · K920 · Corrected August 11, 2022

Services2E
  1. E

    Have properly installed electrical wiring and gas equipment.

    July 26, 2024 · K511 · Corrected September 12, 2024

  2. E

    Have properly installed electrical wiring and gas equipment.

    June 17, 2022 · K511 · Corrected August 11, 2022

Miscellaneous2E
  1. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    July 26, 2024 · K741 · Corrected September 12, 2024

  2. C

    Provide a written emergency evacuation plan.

    July 26, 2024 · K711 · Corrected September 12, 2024

Construction1E
  1. E

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    July 26, 2024 · K131 · Corrected September 12, 2024

·

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