All citations for Colonial Manor of Randolph

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Colonial Manor of Randolph

Last standard health inspection on record

December 10, 2025

Showing 1 to 25 of 30 citations

  1. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2026).

  2. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of November 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  3. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of November 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  4. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of November 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  5. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  6. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  7. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 10, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2026).

  8. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of November 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  9. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

  10. No harm, with potential for more than minimal harm

    Install properly constructed and protected linen or trash chutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0541, Services Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  11. No harm, with potential for more than minimal harm

    Meet requirements for the use of electrical equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

  12. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 14, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 9, 2023).

  13. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of September 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2023).

  14. No harm, with potential for more than minimal harm

    Install properly constructed and protected linen or trash chutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0541, Services Deficiencies. Inspection of September 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2023).

  15. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2023).

  16. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 14, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

  17. No harm, with potential for more than minimal harm

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0606, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 10, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2026).

  18. No harm, with potential for more than minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2026).

  19. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2026).

  20. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  21. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  22. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  23. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  24. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  25. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.