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Nursing HomeMedicaid Investigative

Colonial Manor Nursing Home

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

403 Colonial Avenue, Lakefield, MN 5615037 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 5 Google reviews

5
4
3
2
1
Colonial Manor Nursing Home Nursing Home in Lakefield, MN — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (14 vs median 6.5)

Bottom 25% in MN · Meets national RN staffing standard · Above recommended total nurse staffing · No penalties on record

Source: Medicare data

What this means for your family

While recent reviews highlight a clean environment and responsive communication, the presence of serious allegations regarding resident neglect is concerning. We recommend that families conduct an unannounced visit and specifically ask to see the facility's most recent state survey reports to verify safety standards.

Google Reviews

Google Reviews

5 reviews on Google
Colonial Manor Nursing Home receives polarized feedback, with recent visitors praising the cleanliness and responsiveness of the staff, while others report serious allegations of neglect and poor communication. Families should be aware of the stark contrast between reports of attentive, high-quality care and claims of systemic safety issues.

Quality Themes

Tap a score for details
Food9.0Staff7.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms6.0Value1.0

Strengths

  • Clean and well-maintained facility
  • Responsive and communicative nursing staff
  • High-quality food options

Concerns

  • Allegations of resident neglect and poor safety standards (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02023(1)5.02024(2)5.02025(1)5.02026(1)

Distribution · 5 analyzed

5
4
4
0
3
0
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on safety standards, could you walk me through your specific protocols for ensuring resident supervision and fall prevention?
  • 2I noticed the facility has a high staffing rating; how does this translate into the daily one-on-one attention and social engagement residents receive?
  • 3With 14 state violations recorded over the past year, what concrete steps has the leadership team taken to address these findings and improve your overall quality of care?
  • 4I've heard wonderful things about the food quality here; how do you incorporate resident feedback into your menu planning to ensure it meets individual nutritional needs?
  • 5In the event of a medical emergency, what is your specific process for notifying family members and coordinating with local hospitals?
  • 6Since the facility is smaller with 37 residents, how do you foster a sense of community and keep residents active throughout the day?

Personalized based on this facility's data


Key Review Excerpts

They are extremely responsive to my concerns and keep in close touch with me about her care by phone and in person. No one has ever dismissed my concerns.

Long-term resident's family · 2025★★★★★

One of the nicest and cleanest well maintained nursing homes I’ve been to. Staff seem friendly well mannered and knowledgeable

Visitor · 2024★★★★★

They neglect their residents + collect cash. When I repeatedly brought forth my concerns to the staff I was ignored and even physically assaulted.

Family member · 2023☆☆☆☆
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.89hrs
OK
Registered nurses for medical care
Total Nursing
5.33hrs
OK
All nurses + aides combined
Staff Turnover
64%
Lower is better (< 30% = good)
RN Turnover
71%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
3/ 5
Better Than Avg

5

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility5.3%
Better than Avg
Here
5.3%
US
19.5%
MN
12.5%
Jackson
24.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility34.4%
Worse than Avg
Here
34.4%
US
19.4%
MN
24.5%
Jackson
20.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility13.3%
Mixed vs Avgs
Here
13.3%
US
12.1%
MN
4.3%
Jackson
18.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility89.0%
Worse than Avg
Here
89.0%
US
93.4%
MN
97.3%
Jackson
90.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.5%
Worse than Avg
Here
88.5%
US
95.5%
MN
96.1%
Jackson
93.8%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility10.3%
Worse than Avg
Here
10.3%
US
4.9%
MN
5.3%
Jackson
4.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.6%
Worse than Avg
Here
75.6%
US
81.8%
MN
88.3%
Jackson
78.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MN
1.8%
Jackson
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
Well above state avg (8.0)
5 complaint-triggered

Colonial Manor has serious ongoing problems with families filing multiple complaints about nursing staffing, wound care, and neglect reporting. The facility shows a troubling pattern of repeated deficiencies in nursing staffing, infection control, and safety systems across multiple surveys. Most concerning, the most recent survey found numerous uncorrected violations with no correction plans for critical areas including nursing coverage and dietary operations.

Jan 29, 2026Routine
21
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Nov 21, 2024Routine
17
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

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.

0661Potential for harm · IsolatedCorrected

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Nov 21, 2024Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Oct 28, 2024Complaint
1
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Jul 24, 2024Complaint
3
0657Potential for harm · IsolatedCorrected

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0690Potential for harm · IsolatedCorrected

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.

Oct 19, 2023Routine
4
0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Colonial Manor Nursing Home

Organization Type

for profit

Ownership & Management

Owners

Gr Partner Companies, INC

Owner · Organization

100%

Gruber, Kari

Owner (parent company)

25%

Gruber, Nathan

Owner (parent company)

25%

Rocheleau, Dean

Owner (parent company)

25%

Rocheleau, Paula

Owner (parent company)

25%

Key personnel

Gruber, KariManaging Control - Governing BodyRocheleau, PaulaManaging Control - Governing BodyGruber, KariOfficer / DirectorGruber, NathanOfficer / DirectorRocheleau, DeanOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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