Colonial Manor of Randolph

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

38.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 37 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.52 therapist hours per resident per day in 2026Q1 — more than 83% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 45 beds and averages 37.4 residents a day — about 83% occupied, or roughly 8 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.06 hrs/resident/day on weekends vs 3.86 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.96 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · Dcited before2026-04-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number: 175 NAC 12-006.09H Based on record review and interview: the facility failed to administer medications for Resident 1 as ordered by the Primary Care Practitioner (PCP). The sample size was 4 and the facility census was 39.Findings are: A. Review of the facility policy Physician Orders, Pharmacy/Nursing Services with a revision date of 1/18 revealed it was the policy of this facility that medications and treatments were to be administered only upon the written order of a person who was licensed and authorized to prescribe medications. The following procedure was identified:-no drugs or biologicals were to be administered except upon the order of a person lawfully authorized to prescribe for and treat human illness.-all drug and biological orders were to be written, dated and signed by the person lawfully authorized to give such an order. -medications, treatments and procedures are to be administered per physician order. B. Review of Resident 1's Minimum Data Set (MDS-a federally…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-12-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12.006.11EBased on observation, record review and interview; the facility failed to store and prepare food in a manner to prevent the potential for food borne illness. This practice had the potential to affect all residents who were served snacks and meals from the kitchen. The facility identified census was 40. Findings are:A. Review of the undated facility policy Food Safety Requirements revealed the following:-It was the policy of the facility that food would be stored, prepared, distributed and served in accordance with professional standards for food service safety. Food service safety referred to the handling, preparing, and storing of food in ways that prevent foodborne illness. -Foods that required refrigeration should be refrigerated immediately upon receipt. Foods should be labeled, dated and monitored so it is used by its use-by date. B. Observation conducted during the initial kitchen tour on 12/8/25 at 8:20 AM revealed the following prepared undated food items in the refrigerator:-2 bags of bologna meat which were undated and-7…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-10 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 12-006.19(A) Based on observation, and interview; the facility failed to maintain the cleanliness and condition of walls, floors, doors, and bathrooms in 3 (North 1, 2, and 12) of 28 occupied rooms. This had the potential to affect 6 residents who resided in those rooms. The total sample size was 18 and the facility census was 40. Findings are: Observations on 12/10/25 at 8:24 AM with the Administrator revealed the following environmental issues:Bathroom of resident room North 1:-wall between the stool and the handwashing sink with a hole which was approximately 3 centimeters (cm) by 6 cm with exposed piping visible. Bathroom of resident room North 2: -scrapped area with a hole to the bathroom door. -concrete floor with missing linoleum in the bathroom underneath the handwashing sink. 2 uncovered bedpans and a package of disposable urinary incontinence products were stored directly on the concrete.-the wall covering around the handwashing sink had been removed with exposed dry…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0606 — failed to not employ staff found guilty of abuse — isolated
  Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.04(A)(iii)(2) Based on record review and interview; the facility failed to ensure background checks were completed through the State Nurse Aide (NA) registry for 2 (NA-Q and NA-R) of 5 employees. The total sample size was 18. The facility census was 40. Findings are: Review of the facility policy Freedom from Abuse, Neglect, Exploitation and Misappropriation with a revised date of 10/2022 revealed it was the policy of the facility to protect residents from abuse, neglect, exploitation, and misappropriation of resident property. The facility sought to protect its residents from being subjected to incidents of crime and to ensure that any such incidents were reported in a timely manner to the State Agency and local law enforcement. Further review revealed, the facility would conduct background checks and not knowingly employ or otherwise engage any individual who:-had been found guilty of abuse, neglect, exploitation, misappropriation of property, or mistreatment by a court of law.-had a negative finding in the State Nurse Aide registry…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.05 Based on record review and interview; the facility failed to provide evidence that a bed hold notice was provided to Resident 1 related to a hospitalization. The sample size was 2 and the facility census was 40. Findings are: Review of the facility policy Bed Hold dated 12/2023 revealed the facility was to inform the resident or the resident representative in writing of the right to exercise the bed hold provision upon admission and provide a second notice prior to transfer to a general acute care hospital or before the resident goes on therapeutic leave. In the event of an emergency transfer, the second notice would be provided within 24 hours. A copy of the notification would be part of the resident's health record at the time of the transfer. Each notice would include the following:-the duration of the State bed-hold policy and/or the facility policy that the resident bed would be held for the duration of days, during which time the resident would be permitted to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09BBased on record review and interview; the facility failed to accurately code Resident 8's assessment related to Pre-admission Screening and Resident Review (PASRR) status. The sample size was 1 and the facility census was 40. Findings are: Review of the facility policy Preadmission Screening last revised 4/2021 revealed the following: -the facility would not admit any new residents with a mental illness until unless the State Mental Health Authority had determined, based on an independent physical and mental evaluation performed by a person or entity other than the State Mental Health Authority prior to admission,-because of the physical and mental condition of the individual, the individual required the level of services provided by a nursing facility, -if the individual required such level of services, whether the individual required specialized services for mental retardation,-a PASRR would be completed on every resident upon admission and as needed per the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-11-24 · tag F0801 — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference number 175 NAC 12-006.04D2 Based on record review and interview; the facility failed to ensure the Dietary Manager (DM) held the required certification credentials for the position or employed a full time dietician. In addition, the facility failed to ensure staff had received training and/or were competent to serve as a cook at the facility. This had the potential to affect all residents that resided in the facility and who ate food from the kitchen. The facility census was 44.Findings are: A. Review of the facility Job Description for the DM revealed the following regarding the essential duties and responsibilities for the position of a DM: -plans, develops, organizes, implements, evaluates and directs the Dietary Department, its programs and activities.-receives frequently scheduled consultations from a qualified dietician/nutritional professional.-develops and maintains written dietary policies and procedures.-interviews residents or family members as necessary to obtain diet history, visit residents periodically to evaluate the quality of meals served, likes…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-11-24 · tag F0803 — failed to meet residents' dietary needs — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference: 175 NAC 12-006.11A1 Based on observation, interview, and record review, the facility failed to follow planned menus for all residents who consumed food from the facility kitchen. The facility had a total census of 44 residents.Findings are:Review of the facility Month at a Glance noon meal menu for 10/1/25 revealed the noon meal was listed as breaded chicken patty on a bun, mini baker potatoes, cream gravy, country trio vegetables, bread with margarine and flamingo cake. Observation of the noon meal service on 10/1/25 from 11:45 AM to 1:27 PM revealed the residents were served Salisbury steak, au gratin potatoes, country trio vegetables, white gravy, and a cookie. An interview with Dietary [NAME] (DC)-L on 10/1/25 at 12:09 PM revealed the facility was not following the preapproved/planned menus as the Operations Manager (OM) was ordering the food for the kitchen and had failed to order enough food for the designated menus. DC-L had replaced items on the menu with food that was available in the facility freezers and storeroom.An interview on 10/2/25 at 9:30 AM…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-11-24 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.11D Based on observations, record review and interviews; the facility failed to ensure that hot foods were served at a palatable temperature for facility residents. This had the potential to affect all 24 residents in the facility that ate food served out of the kitchen. The facility census was 44. Findings are: A. Review of the facility policy Food Temperatures (undated) revealed it was the policy of this facility to take and record food temperatures for each meal to ensure food was served at the proper temperature. The following guidelines were to be followed:-food temperatures were to be recorded on all items prepared in the dietary department.-hot food items were to be maintained at 135 degrees Fahrenheit (F) or higher.-food that was cooked and then cooled was to be reheated so that all parts of the food reached an internal temperature of 165 degrees (F). B. Review of a Food Temperature Log from 8/31/25 to 9/6/25 revealed no evidence food temperatures were obtained and/or recorded for the breakfast, noon, and the evening meals from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-24 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.04(D) Based on record review and interview; the facility failed to ensure timely call light response times for residents 4, 1, and 2. The facility census was 44 and the sample size was 4. Findings are:A. Review of the facility policy Resident Call Light Policy last reviewed 9/2025 revealed the following: -the purpose was to ensure all residents had timely access to assistance by maintaining functional, accessible, and responsive call light system in accordance with federal and state regulations, -call lights would be installed at each resident's bedside, in bathrooms, bathing areas, and in commons areas, -call lights would be within reach of the residents, -staff were to respond to call lights as timely as possible when activated, and -staff were to report and malfunctioning call lights immediately to the maintenance supervisor. B. Review of Resident 4's Care Plan, last revised 8/28/25 revealed the resident was cognitively intact; diagnoses included: Pressure Ulcers, Diabetes, Quadriplegia (paralysis or severe weakness in all four limbs);…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2024-11-13 for 2 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to THE ENSIGN GROUP — 342 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $481K paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE