Colonial Manor Nursing Home
403 Colonial Avenue · Lakefield, MN · 56150 · 5076626646
37 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
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Red flags
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.89 | 0.55–0.75 |
| Weekend hours / resident-day | 4.44 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · D January 29, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 24, 2026 · Resident Rights
-
Potential for harm · D January 29, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 24, 2026 · Resident Rights
-
Potential for harm · D January 29, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 24, 2026 · Quality of Life and Care
-
Potential for harm · F January 29, 2026
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected March 24, 2026 · Nursing and Physician Services
-
Potential for harm · D January 29, 2026
Post nurse staffing information every day.
Corrected March 24, 2026 · Nursing and Physician Services
-
Potential for harm · F January 29, 2026
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.
Corrected March 24, 2026 · Nutrition and Dietary
-
Potential for harm · F January 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 24, 2026 · Nutrition and Dietary
-
Potential for harm · F January 29, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 24, 2026 · Administration
-
Potential for harm · F January 29, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 24, 2026 · Administration
-
Potential for harm · F January 29, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected March 24, 2026 · Administration
-
Potential for harm · F January 29, 2026
Provide and implement an infection prevention and control program.
Corrected March 24, 2026 · Infection Control
-
Potential for harm · E January 29, 2026
Implement a program that monitors antibiotic use.
Corrected March 24, 2026 · Infection Control
-
Potential for harm · F January 29, 2026
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected March 24, 2026 · Infection Control
-
Potential for harm · D January 29, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 24, 2026 · Infection Control
-
Potential for harm · D November 21, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected January 10, 2025 · Resident Rights
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Potential for harm · D November 21, 2024
Ensure each resident receives an accurate assessment.
Corrected January 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected January 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D November 21, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected January 10, 2025 · Quality of Life and Care
-
Potential for harm · F November 21, 2024
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.
Corrected January 10, 2025 · Nutrition and Dietary
-
Potential for harm · F November 21, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected January 6, 2025 · Administration
-
Potential for harm · D November 21, 2024
Provide and implement an infection prevention and control program.
Corrected January 10, 2025 · Infection Control
-
Potential for harm · E November 21, 2024
Implement a program that monitors antibiotic use.
Corrected January 10, 2025 · Infection Control
-
Potential for harm · F November 21, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected January 15, 2025 · Infection Control
-
Potential for harm · D November 21, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 10, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245572 · certified since May 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.