Colby Operator, LLC
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 6 Google reviews
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What this means for your family
This facility is highly regarded for its warm environment and quality dining, which significantly impacts resident morale. Families should feel confident in the administration's transparency, as they are noted for being open to questions and thorough during safety inspections.
Google Reviews
Google Reviews
6 reviews on Google“Families report a positive environment where residents feel at home and express satisfaction with the care provided. Reviewers specifically highlight the friendly staff, effective leadership, and high-quality food services as key contributors to the facility's welcoming atmosphere.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and attentive staff
- Positive resident feedback regarding quality of life
- High-quality, well-regarded food service
- Proactive administration and safety oversight
Rating Trends
Tap a year to see what changed
Distribution · 6 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that you have 40 residents, how does your team ensure that each individual receives personalized attention to maintain the high quality of life mentioned by current families?
- 2I noticed the CMS staffing rating is currently lower; could you walk me through your current staffing model and how you ensure consistent care coverage throughout the day and night?
- 3With five recent state violations on record, what specific steps or process improvements has the administration implemented to address those concerns and prevent future issues?
- 4The food service here is highly praised; how do you incorporate resident preferences into the daily menu planning to keep mealtime an engaging part of their day?
- 5Since safety oversight is a priority for your administration, what is your specific protocol for handling medical emergencies or sudden changes in a resident's health status?
- 6How do you balance the proactive safety measures you have in place with maintaining a warm, home-like environment for the residents?
Personalized based on this facility's data
Key Review Excerpts
“This is the first home where all the residents continually say how they like living here and almost every time I’m there it’s mentioned how delicious the food is.”
“My sister has been there for a few months. I went to visit last Friday and was very impressed with the whole place and the friendly staff.”
“Joel Garcia. 2 thumbs up with inspections and safety checks. Walk through was complete and he let me ask dumb questions.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
4
measures
10
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents who got a urinary tract infection
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaint reports against this facility, with 64 total deficiencies found across recent inspections. The facility shows recurring problems with fire safety systems, medication management, and care planning that persist across multiple surveys despite reported corrections. Most concerning are issues with pressure ulcer care, nurse aide training, and accident prevention that triggered family complaints, suggesting ongoing care quality concerns that families should carefully evaluate.
Jun 11, 2025Routine13
Egress Deficiencies
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Jun 11, 2025Complaint1
Nursing and Physician Services Deficiencies
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Aug 12, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Sep 28, 2023Routine27
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
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.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
May 12, 2022Routine21
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies
Develop a communication plan.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Federal Penalties
Fine
Aug 12, 2024
$40,381
Payment Denial
Aug 12, 2024
1-day denial
Ownership & Operations
Who Operates This Facility
Colby Operator, LLC
for profit
Chain Affiliation
Mission Health Communities
33 facilities nationwide
Chain avg rating: 2.5/5 · Rank 13 of 40
Ownership & Management
Owners
Kansas Operator LLC
Owner · Organization
Barres, LLC
Owner (parent company) · Organization
T and C Capital Assets, LLC
Owner (parent company) · Organization
Windward Health Partners LLC
Owner (parent company) · Organization
Crino, Bryan
Owner (parent company)
Feuer, Scott
Owner (parent company)
Lindeman, Stuart
Owner (parent company)
Passero, Joseph
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
6 reviews from families & visitors
Official Website
Visit colbyhealthandrehab.com
Medicare data downloads
Original nursing home datasets
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