# Colonial Manor II

Colonial Manor II is a Medicare/Medicaid-certified nursing home (Nursing facility · Medicaid only) in Hollis, OK, CMS Certification Number 37E109, with 92 certified beds and about 37 residents per day. CMS rates it 2/5 overall (health inspections 4/5, staffing 1/5, quality measures 1/5).

## Key facts
- Status: Active CMS certification
- Address: 120 West Versa, Hollis, OK 73550 (Harmon County)
- Ownership type: Government - County

- Operator (legal business name): not published
- CMS chain: not part of a CMS-reported chain

- Phone: 5806889431
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/37E109

## Inspection record
8 inspections in the CMS window (latest 2026-01-08); 24 citations (13 health, 11 fire safety); 0 at actual harm and 1 at immediate jeopardy; 1 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2023-04-17 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected
- 2026-01-08 — [F-0698](https://carefield.site/deficiency/cms-f0698) Provide safe, appropriate dialysis care/services for a resident who requires such services. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-01-08 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-15 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-06-07 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-06-07 — [F-0943](https://carefield.site/deficiency/cms-f0943) Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-06-01 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-01 — [F-0640](https://carefield.site/deficiency/cms-f0640) Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-01 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-01 — [F-0758](https://carefield.site/deficiency/cms-f0758) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-01 — [F-0851](https://carefield.site/deficiency/cms-f0851) Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-01 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2023-04-17 — [K-0222](https://carefield.site/deficiency/cms-k0222) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2023-04-17 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-04-17 — [F-0761](https://carefield.site/deficiency/cms-f0761) Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2022-04-22 — [K-0291](https://carefield.site/deficiency/cms-k0291) Install emergency lighting that can last at least 1 1/2 hours. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2022-04-22 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2022-04-22 — [K-0347](https://carefield.site/deficiency/cms-k0347) Properly provide smoke detection systems in areas open to corridors. — scope/severity F (No actual harm, potential for more than minimal harm); Plan of correction, not yet verified
- 2022-04-22 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2022-04-22 — [K-0372](https://carefield.site/deficiency/cms-k0372) Ensure smoke barriers are constructed to a 1 hour fire resistance rating. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- …and 4 more on the source page.

## Penalties
- 2024-06-01 — Denial of payment for new admissions (18 days)

## Staffing (PBJ, hours per resident per day)
- Total nurse: n/a (state avg 3.81512, US 3.90085)
- RN: n/a
- Nursing staff turnover: n/a%

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=37E109&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=37E109&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=37E109&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=37E109&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=37E109&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=37E109&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-37e109 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.