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Nursing home report

Colonial Manor of Randolph

Randolph, NE · Medicare-certified · 45 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Colonial Manor of Randolph has a 1 out of 5 overall rating, with a 1-star health inspection rating and an attention flag for the lowest overall rating. Staffing is rated 4 stars, but reported nurse staffing is 3.63 hours per resident per day, below the 4.1-hour federal benchmark; there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.6271 hrs/resident/day

Quality measures

Last inspection: April 14, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6271.

Staffing detail

Registered nurses
0.78
Licensed practical nurses
0.69
Nurse aides
2.16
Weekend nursing
3.06

Hours per resident per day.

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

24.1%25.9%Worsening

Residents with a fall causing major injury

2.6%7.9%Worsening

Residents with pressure ulcers (bedsores)

5.9%7.1%Worsening

Residents with a urinary tract infection

0%2.8%Worsening

Residents who lost too much weight

8.6%6.9%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

15.6%16.1%Worsening

Residents whose ability to walk got worse

22.5%

Long-stay residents on antianxiety or sleep medication

11.1%3.2%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

36.4%14.2%Improving

Residents with depressive symptoms

7.9%5.6%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

97.6%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the pneumonia vaccine

89.3%

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to have enough qualified staff to properly provide food and nutrition services. Cited November 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 801 — 42 CFR §483.60 — S/S: F

The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited November 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: F

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited November 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: F

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 payment denial.

  • Medicare/Medicaid payment denial

    Oct 3, 2024

    2 days

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
37.4 residents on an average day (83% of 45 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.