Nursing homes / skilled nursing facilities
Accura Healthcare of Franklin
Franklin, NE, 68939
CMS snapshot
Nursing homes / skilled nursing facilities
Colonial Manor of Randolph
Randolph, NE, 68771
811 South Main Street
Telephone 4023370444
CMS certification number (CCN) 285183
Ownership, as reported by CMS: For profit - Corporation
Last verified: 2026-09-30
Audience
Professional snapshot
What am I walking into if I work here? CareRecon shows the evidence. You make the decision.
Facility scale
- Certified beds
- 45
- Average number of residents per day
- 37.4
Measurement period: 2026-01-01 through 2026-03-31
Workforce hours
- Reported total nurse staffing hours per resident per day
- 3.62707
- Reported RN hours per resident per day
- 0.78380
- Reported LPN hours per resident per day
- 0.68495
- Reported nurse aide hours per resident per day
- 2.15832
Measurement period: 2026-01-01 through 2026-03-31
Measurement period: 2026-01-01 through 2026-03-31
Measurement period: 2026-01-01 through 2026-03-31
Measurement period: 2026-01-01 through 2026-03-31
Weekend RN hours and weekend total nurse hours are listed in the workforce section, not in this snapshot.
Stability
- Total nursing staff turnover
- Not reported in this source
- RN turnover
- Not reported in this source
- Administrators who left
- Not reported in this source
CMS regulatory history is in this record. It is listed below as separate inspections, deficiencies, penalties, and survey summaries. This is not a regulatory score.
Provider Information processing date: 2026-08-01. The Provider Information processing date is separate from the staffing period and the turnover period.
Source: CMS Provider Information (4pq5-n9py). Periods above are the stored measurement dates, not the processing date.
“Not reported in this source” is not zero, not none, and not a finding about this facility.
Workforce snapshot
These are reported hours per resident per day, not nurse-to-patient ratios.
“Not reported in this source” is not zero, not none, and not a finding about this facility.
Census
- Certified beds
- 45
- Average number of residents per day
- 37.4
Why this may matter
Bed count reported for this nursing home on the CMS snapshot.
Number of certified beds on the CMS Provider Information file. This is not available beds and not a daily census.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-30; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Resident census CMS used with the staffing hours for this period.
CMS census for the staffing measurement period. This is not current occupancy and not available beds.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-30; CMS processing date 2026-08-01
Reported hours
- Reported total nurse staffing hours per resident per day
- 3.62707
- Reported RN hours per resident per day
- 0.78380
- Reported LPN hours per resident per day
- 0.68495
- Reported nurse aide hours per resident per day
- 2.15832
- Reported RN hours per resident per day on the weekend
- 0.34137
- Reported total nurse staff hours per resident per day on the weekend
- 3.06102
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Workload context for total nurse staffing during this period.
CMS reported total nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-30; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Workload context for registered-nurse staffing during this period.
CMS reported registered-nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-30; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Workload context for LPN staffing during this period.
CMS reported LPN staffing hours per resident per day. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-30; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Workload context for nurse aide staffing during this period.
CMS reported nurse aide staffing hours per resident per day. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-30; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Weekend workload context for registered-nurse staffing during this period.
CMS reported weekend registered-nurse hours per resident per day. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-30; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Weekend workload context for total nurse staffing during this period.
CMS description for this column is “Total number of nurse staff hours per resident per day on the weekend.” The API column name is truncated. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-30; CMS processing date 2026-08-01
Workforce stability
Historical measures give context and do not predict an individual’s experience.
Administrators who left is a count, not a turnover rate.
“Not reported in this source” is not zero, not none, and not a finding about this facility.
- Total nursing staff turnover
- Not reported in this source
- RN turnover
- Not reported in this source
- Administrators who left
- Not reported in this source
Regulatory history
Inspections, health deficiencies, fire-safety findings, survey-summary counts, and penalties are separate CMS records. A deficiency is not proof of ongoing unsafe conditions. A penalty is not a deficiency. An inspection is not a deficiency.
A complaint-survey mark means CMS reported that the deficiency came from a complaint survey. It does not say the complaint was substantiated. Standard survey is shown only when CMS reported yes or no for that deficiency.
Inspections
Survey dates and survey types reported by CMS. An inspection date is not a deficiency.
Health Complaint · 2026-04-14
Survey cycle 1
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Fire Safety Standard · 2025-12-10
Survey cycle 1
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Complaint · 2025-12-10
Survey cycle 1
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Standard · 2025-12-10
Survey cycle 1
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Complaint · 2025-11-24
Survey cycle 1
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Fire Safety Standard · 2024-10-03
Survey cycle 2
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Complaint · 2024-10-03
Survey cycle 2
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Standard · 2024-10-03
Survey cycle 2
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Showing the 8 most recent rows in this snapshot. 11 rows are indexed.
Health deficiencies
Health citations from the CMS health deficiencies file. A deficiency is not proof of ongoing unsafe conditions.
Tag 0684 · 2026-04-14
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Survey type: Health
- Scope and severity code: D
- Complaint survey: Yes
- Standard survey: No
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2026-05-01
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0584 · 2025-12-10
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.
- Survey type: Health
- Scope and severity code: E
- Complaint survey: Yes
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2026-01-05
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0606 · 2025-12-10
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
- Survey type: Health
- Scope and severity code: D
- Complaint survey: Yes
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2026-01-05
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0628 · 2025-12-10
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Survey type: Health
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2026-01-05
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0641 · 2025-12-10
Ensure each resident receives an accurate assessment.
- Survey type: Health
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2026-01-05
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0732 · 2025-12-10
Post nurse staffing information every day.
- Survey type: Health
- Scope and severity code: C
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2026-01-05
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0812 · 2025-12-10
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Survey type: Health
- Scope and severity code: F
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2026-01-05
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0609 · 2025-11-24
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Survey type: Health
- Scope and severity code: D
- Complaint survey: Yes
- Standard survey: No
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2025-12-22
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Showing the 8 most recent rows in this snapshot. 23 rows are indexed.
Fire-safety findings
Fire-safety citations. These are not health deficiencies.
Tag 0039 · 2024-10-03
Conduct testing and exercise requirements.
- Survey type: Fire Safety
- Scope and severity code: F
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-11-15
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0353 · 2024-10-03
Inspect, test, and maintain automatic sprinkler systems.
- Survey type: Fire Safety
- Scope and severity code: E
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-10-02
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0541 · 2024-10-03
Install properly constructed and protected linen or trash chutes.
- Survey type: Fire Safety
- Scope and severity code: E
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-11-01
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0919 · 2024-10-03
Meet requirements for the use of electrical equipment.
- Survey type: Fire Safety
- Scope and severity code: E
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-10-02
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0222 · 2023-09-14
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.
- Survey type: Fire Safety
- Scope and severity code: E
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2023-10-09
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0541 · 2023-09-14
Install properly constructed and protected linen or trash chutes.
- Survey type: Fire Safety
- Scope and severity code: E
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2023-10-09
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0920 · 2023-09-14
Ensure proper usage of power strips and extension cords.
- Survey type: Fire Safety
- Scope and severity code: E
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2023-10-09
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Penalties
Fines and payment denials from the CMS penalties file. A penalty is not a deficiency.
Payment Denial · 2024-10-03
- Payment denial start: 2024-11-13
- Payment denial length in days: 2
Source: CMS Penalties (g6vv-u9sr). Last update: 2026-09-29; CMS processing date 2026-08-01.
Survey summary
Category totals from the CMS survey summary. These counts are not the citation list.
Inspection cycle 1
Counts from the CMS survey summary. A count is not a citation narrative.
- Health survey date: 2025-12-10
- Fire-safety survey date: 2025-12-10
- Health deficiencies in this survey summary: 13
- Fire-safety deficiencies in this survey summary: 0
- Infection-control deficiencies in this survey summary: 0
Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.
Inspection cycle 2
Counts from the CMS survey summary. A count is not a citation narrative.
- Health survey date: 2024-10-03
- Fire-safety survey date: 2024-10-03
- Health deficiencies in this survey summary: 7
- Fire-safety deficiencies in this survey summary: 4
- Infection-control deficiencies in this survey summary: 1
Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.
Inspection cycle 3
Counts from the CMS survey summary. A count is not a citation narrative.
- Health survey date: 2023-09-14
- Fire-safety survey date: 2023-09-14
- Health deficiencies in this survey summary: 3
- Fire-safety deficiencies in this survey summary: 3
- Infection-control deficiencies in this survey summary: 1
Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.
Job openings, pay, shifts, satisfaction, reviews, and workplace scores are not in this record. That is a limit of the catalog, not a finding about this facility.
Capacity and workload
Cost-report capacity and historical utilization are not currently available. A cost-report period is not a current census.
Pay and market context
Facility pay is not currently available. A BLS wage, when shown, is local market context and is not what this facility pays.
Contract labor / agencies
Contract labor is not currently available. Dollars, when shown, do not identify an agency.
Workplace safety
No OSHA inspection or severe-injury report is attached. An inspection would not mean the workplace is unsafe.
Legal matters
No federal docket is attached. A filed lawsuit would be an allegation, not a finding that the facility violated the law.
Ownership
- CMS source-backed
- For profit - Corporation
- Care Compare ownership category. Not the enrolled legal name.
Community reviews
Community reviews are not currently available.
Community-added information
Community-added factual information is not currently available.
Photos and video
User-submitted media is not currently available.
Sources
No additional professional sources are attached beyond the CMS facility record.
Where this data came from
- Source
- CMS
- Dataset
- Provider Information
- Last verified
- 2026-09-30
- CMS dataset modified
- 2026-08-01
Last verified is when CareRecon last included this facility in a successful CMS import. It is not a CMS endorsement of CareRecon. Empty sections are omitted. Missing source values are not shown as “no” or “not offered.”
Other Nursing homes / skilled nursing facilities in this state
Same-type listings from this state directory, in alphabetical order. Distance is not calculated. This is not a similarity score or a recommendation.
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CareRecon publishes public facility information. It does not provide medical advice, diagnoses, or treatment recommendations, and it does not tell you which facility to choose.