Nebraska › Cedar County › Randolph
Colonial Manor of Randolph
811 South Main Street, Randolph, NE 68771
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 45 beds, Colonial Manor of Randolph serves Randolph in Cedar County, Nebraska and has taken Medicare and Medicaid residents since 1996.
CMS gives it 1 of 5 stars overall, below the Nebraska median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (13, 7, 3 by cycle, most recent first), none at the actual-harm level. That is 51.1 per 100 beds, more than the state median of 23.7.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.8 RN), close to the Nebraska median of 3.9.
Compared with county, state and nation
| Measure | This facility | Cedar Co. median | Nebraska median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 13 | 15 | 28.7 |
| Citations per 100 beds | 51.1 | 38.2 | 23.7 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.9 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | — | 72.2% | 47.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 180 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Dec 2025, 3 Oct 2024.
Severity mix: D ×14 E ×3 F ×5 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 1 May 2026 |
| 10 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Jan 2026 |
| 10 Dec 2025 | F0584 | 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. | E | Complaint investigation | 5 Jan 2026 |
| 10 Dec 2025 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Complaint investigation | 5 Jan 2026 |
| 10 Dec 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 5 Jan 2026 |
| 10 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 5 Jan 2026 |
| 10 Dec 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 5 Jan 2026 |
| 24 Nov 2025 | F0801 | 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 | Complaint investigation | 22 Dec 2025 |
| 24 Nov 2025 | F0803 | 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 | Complaint investigation | 15 Dec 2025 |
| 24 Nov 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint investigation | 22 Dec 2025 |
| 24 Nov 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 22 Dec 2025 |
| 24 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Dec 2025 |
| 24 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 Dec 2025 |
| 3 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Nov 2024 |
| 3 Oct 2024 | F0625 | 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 | Standard survey | 15 Nov 2024 |
| 3 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Nov 2024 |
| 3 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Nov 2024 |
| 3 Oct 2024 | F0758 | 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 | Standard survey | 15 Nov 2024 |
| 3 Oct 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 15 Nov 2024 |
| 3 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Nov 2024 |
| 14 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 9 Oct 2023 |
| 14 Sep 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 9 Oct 2023 |
| 14 Sep 2023 | F0758 | 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 | Complaint investigation | 9 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Oct 2024 | Payment denial | — | 2 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Nebraska median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.6% | 18.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | 4.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.5% | 17.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.4% | 19.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Randolph Healthcare, Inc.. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Helping Hands Nursing Solution Inc | Operational/managerial control | NOT APPLICABLE | 07/18/2011 |
| Onshift Inc | Operational/managerial control | NOT APPLICABLE | 07/18/2011 |
| Tri State Nursing Enterprises, Inc. | Operational/managerial control | NOT APPLICABLE | 07/18/2011 |
| Caretrust Gp LLC | Adp of the snf | NOT APPLICABLE | 07/18/2011 |
| Caretrust Reit Inc | Adp of the snf | NOT APPLICABLE | 07/18/2011 |
| Ctr Partnership LP | Adp of the snf | NOT APPLICABLE | 07/18/2011 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 06/11/2011 |
| Prairie Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 07/18/2011 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cedar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Accura Healthcare of Hartington | Hartington | 47 | 5 | 5 | 4 | 6 | 12.8 | — | 23 Feb 2026 |
| Park View Haven Nursing Home | Coleridge | 34 | 3 | 3 | 3 | 13 | 38.2 | $35K | 9 Apr 2026 |
All 3 facilities in Cedar County
Questions and answers
How many deficiencies has Colonial Manor of Randolph been cited for?
23 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.
Has Colonial Manor of Randolph been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Colonial Manor of Randolph compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.
Who operates Colonial Manor of Randolph?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Helping Hands Nursing Solution Inc, Onshift Inc and Tri State Nursing Enterprises, Inc.. Individual owners and managers are not listed on this site.
When was Colonial Manor of Randolph last inspected?
The most recent survey or investigation in the CMS record is dated 14 Apr 2026; the most recent standard health survey was 10 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.