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Colonial Manor of Randolph: Abuse Reporting Failures - NE

Healthcare Facility
Colonial Manor Of Randolph
Randolph, NE  ·  1/5 stars

The scene played out during lunch service on October 1 at Colonial Manor of Randolph, where inspectors watched kitchen staff repeatedly serve potentially cold food to the facility's residents. At 12:41 PM, the same worker pulled soup from the refrigerator, microwaved it for one minute, and served it without taking its temperature. Two minutes later, another hot dog got the same treatment — 50 seconds in the microwave, mustard and ketchup, straight to a resident.

The dietary worker confirmed to inspectors that all food items should have temperatures taken and recorded before serving. Reheated food needed to reach 165 degrees to ensure palatability. But that wasn't happening.

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"Staff had failed to obtain and/or document food temperatures at meals at times throughout the month of September due to staffing concerns," the worker told inspectors.

The temperature failures weren't isolated incidents. Food temperature logs revealed a pattern of neglect stretching back weeks, affecting all 24 residents who ate meals from the kitchen at the 44-bed facility.

From August 31 through September 6, no food temperatures were recorded for breakfast, lunch, or dinner on any day. The logs were completely blank.

The following week brought marginal improvement but continued gaps. No breakfast temperatures were documented September 7, 10, 11, 12, and 13. Lunch temperatures went unrecorded September 7, 9, 10, 11, 12, and 13. Evening meal temperatures were missing September 8, 9, 10, and 13.

September 14 through 20 showed similar patterns. No breakfast or lunch temperatures on the 14th, 15th, and 20th. No dinner temperatures on the 14th, 15th, 16th, and 18th.

The gaps continued into late September. September 21 and 26 had no recorded temperatures for breakfast or lunch. Evening temperatures were missing September 21, 22, and 27.

Even as the inspection approached, the problems persisted. September 29 had no recorded temperatures for any meal. September 30 was missing dinner temperatures.

Colonial Manor's own policy required staff to take and record food temperatures for each meal. Hot food items were supposed to be maintained at 135 degrees or higher. Food that had been cooked and refrigerated needed reheating to 165 degrees throughout.

The policy existed on paper. The execution was failing residents daily.

During the October 1 lunch service, inspectors documented the reality behind the missing temperature logs. Kitchen staff were heating food in microwaves for less than a minute and serving it immediately, with no verification that it had reached safe, palatable temperatures.

The dietary worker who served the cold hot dogs and soup knew the rules. The facility had clear policies. But staffing concerns had created a system where residents were routinely served food that may not have been properly heated.

Food temperature monitoring serves a dual purpose in nursing homes. Temperatures below 135 degrees create food safety risks, potentially harboring dangerous bacteria. But the regulation inspectors cited focused on palatability — ensuring residents receive meals that are actually appetizing and at temperatures that make eating enjoyable.

For elderly residents who may already struggle with appetite and nutrition, cold food represents more than an inconvenience. It can contribute to poor nutrition outcomes and reduced quality of life.

The inspection revealed a facility where basic food service standards had broken down over weeks. Temperature logs that should have been filled out three times daily sat blank. Kitchen staff continued serving food without the most basic safety check — confirming it was actually hot.

The violation affected residents during one of their most fundamental daily experiences: mealtime. Instead of receiving properly heated, palatable food, they were served whatever emerged from brief microwave sessions, regardless of temperature.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Colonial Manor of Randolph from 2025-11-24 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: June 20, 2026  ·  Our methodology

Quick Answer

Colonial Manor of Randolph in Randolph, NE was cited for abuse-related violations during a health inspection on November 24, 2025.

At 12:41 PM, the same worker pulled soup from the refrigerator, microwaved it for one minute, and served it without taking its temperature.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at Colonial Manor of Randolph?
At 12:41 PM, the same worker pulled soup from the refrigerator, microwaved it for one minute, and served it without taking its temperature.
How serious are these violations?
These are very serious violations that may indicate significant patient safety concerns. Federal regulations require nursing homes to maintain the highest standards of care. Families should review the full inspection report and consider whether this facility meets their safety expectations.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Randolph, NE, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Colonial Manor of Randolph or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 285183.
Has this facility had violations before?
To check Colonial Manor of Randolph's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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