Colonial Manor Nursing Home
1815 East Skelly Drive · Tulsa, OK · 74105 · 9187437838
120 certified beds For profit - Limited Liability company
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Federal penalties on record: $48,785 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.45 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $48,785 |
Inspection citations (18 in the current record)
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Potential for harm · D March 5, 2026 · found via complaint
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected April 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 17, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J July 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 4, 2025 · Quality of Life and Care
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Potential for harm · D July 21, 2025 · found via complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · D July 21, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · D July 21, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · D February 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 28, 2025 · Nutrition and Dietary
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Potential for harm · D October 25, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 8, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 15, 2024 · Infection Control
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Potential for harm · E February 8, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 15, 2024 · Environmental
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Potential for harm · D December 1, 2023 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 1, 2023 · found via complaint
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 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 1, 2023 · found via complaint
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected January 15, 2024 · Administration
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Potential for harm · E December 1, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 30, 2024 · Infection Control
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Potential for harm · D February 8, 2023
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 28, 2023 · Quality of Life and Care
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Potential for harm · E February 8, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 5, 2023 · Pharmacy Service
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Potential for harm · D February 8, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 5, 2023 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 21, 2025 | Fine | $48,785 |
| July 21, 2025 | Payment Denial | 7 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375465 · certified since April 16, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.