COLONIAL MANOR NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Colonial Manor Nursing Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

COLONIAL MANOR NURSING CENTER
2035 N GRANBURY ST
CLEBURNE, TX 76031
(817) 645-9134

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

51%

Number of Residents and Certified Beds

  • Residents: 75
  • Certified Beds: 147

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Keene | Alvarado | Burleson

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Colonial Manor Nursing Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 0-57.4%
Total Percent:7.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.7%
ADL Index Range: 6-1010.7%
ADL Index Range: 0-517.9%
Total Percent:39.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1630.9%
ADL Index Range: 6-105.0%
ADL Index Range: 0-510.0%
Total Percent:46.0%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 15-16
- Two or more restorative nursing on 6+ days/wk
3.5%
ADL Index Range: 11-14
- Two or more restorative nursing on 6+ days/wk
3.9%
Total Percent:7.4%
 

Rating Details For Colonial Manor Nursing Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours36 Minutes1 Hour and 1 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours59 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 5 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 35 Minutes1 Hour and 39 Minutes
Total Nurse Hours3 Hours and 40 Minutes4 Hours

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season87%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination79%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased20%18%
Percent of Long-Stay Residents Who Lose Too Much Weight4%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious17%13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder50%46%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain7%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination72%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season72%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain29%16%
Percent of Short-Stay Residents Who Have Pressure Sores12%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/23/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/24/2008
  • Correction Date: 11/24/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/23/2010
  • Correction Date: 10/22/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 09/23/2010
  • Correction Date: 10/22/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 09/23/2010
  • Correction Date: 10/22/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 10/24/2008
  • Correction Date: 11/24/2008

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 10/24/2008
  • Correction Date: 11/24/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Inspection Date: 10/24/2008
  • Correction Date: 11/24/2008

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 10/24/2008
  • Correction Date: 11/24/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 10/24/2008
  • Correction Date: 11/24/2008

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Colonial Manor Nursing Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Hire a Qualified Activities Director.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 04/02/2010
  • Correction Date: 05/01/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 11/12/2010
  • Correction Date: 12/03/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/31/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/16/2010
  • Correction Date: 12/18/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 04/02/2010
  • Correction Date: 05/01/2010

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 09/18/2009
  • Correction Date: 10/16/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 11/12/2010
  • Correction Date: 12/03/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Colonial Manor Nursing Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/22/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/31/2009
Portable Fire Extinguishers.
  • Inspection Date: 09/22/2010
  • Correction Date: 10/22/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 10/22/2008
  • Correction Date: 12/06/2008
An Externally Vented Heating System.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/31/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 09/22/2010
  • Correction Date: 10/22/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/22/2008
  • Correction Date: 12/06/2008

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/31/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/31/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/22/2010
  • Correction Date: 10/22/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/22/2008
  • Correction Date: 12/06/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/22/2010
  • Correction Date: 10/22/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/31/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 10/22/2008
  • Correction Date: 11/14/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/31/2009

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 09/22/2010
  • Correction Date: 10/22/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/22/2008
  • Correction Date: 10/31/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/31/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 10/22/2008
  • Correction Date: 12/06/2008
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011