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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.

1815 East Skelly Drive, Tulsa, OK 74105120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 32 Google reviews

5
4
3
2
1
Colonial Manor Nursing Home Nursing Home in Tulsa, OK — 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 (2/5 stars)
  • Low staffing rating (2/5 stars)

Below average in OK · Below recommended RN staffing

Source: Medicare data

What this means for your family

While some families report positive experiences with specific staff members, the recent trend of reviews highlights critical concerns regarding staffing levels and medical oversight. We strongly recommend that you visit unannounced, specifically on weekends, and ask for proof of their current staffing ratios and medication administration protocols before making a decision.

Google Reviews

Google Reviews

32 reviews on Google
Colonial Manor Nursing Home receives highly polarized feedback, with some families praising the compassionate staff and clean environment, while others report severe neglect and staffing shortages. Recurring complaints focus on unprofessional administrative communication, poor medical oversight, and a dated facility that some find unacceptable for the cost. Families considering this facility should be aware of the significant divide between those who experience attentive care and those who report critical failures in resident safety.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean6.0Activities7.0Meds2.0MemoryN/AComms3.0Value2.0

Strengths

  • Compassionate and friendly nursing staff
  • Clean and well-maintained facility
  • Responsive and knowledgeable management members
  • Active engagement with residents

Concerns

  • Severe understaffing and reliance on agency workers (mentioned by 3 reviewers)
  • Unprofessional and rude administrative staff (mentioned by 3 reviewers)
  • Delayed medical response and medication management issues (mentioned by 3 reviewers)
  • Facility is dated and in need of physical improvements (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(6)'18(3)'20(6)'22(2)'24(3)'26(1)

Distribution · 35 analyzed

5
13
4
7
3
0
2
2
1
13

How They Respond to Reviews

70%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that you are quite active in responding to family feedback online; how do you incorporate that resident and family input into your day-to-day operations?
  • 2Given that you have a large community of 120 residents, how do you ensure consistent, high-quality care when relying on agency staff to supplement your permanent team?
  • 3Could you walk me through your current process for medication management and how you ensure accuracy and timely administration for residents?
  • 4I see that you have some exciting engagement programs for residents; how do you balance those activities with the current staffing levels to ensure everyone stays involved?
  • 5What is your plan for addressing the physical updates and maintenance needs of the building to ensure the environment remains comfortable and modern for residents?
  • 6How does your administrative team facilitate communication with families, and what is the best way to reach someone if we have a question or concern regarding our loved one's care?

Personalized based on this facility's data


Key Review Excerpts

It is an older, dated facility, but it is clean (I go 3 times a week if not more and always see someone cleaning). The only reason I took a star is because dad says the food if Meh (LOL).

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

My mother is a diabetic and she got sick while staying in this place. She couldn't keep food down for 3 days before they finally decided to do something about it.

Memory care family member · 2016☆☆☆☆

Management has done a great job of improving the previous reputation of the facility, and they continue to do everything possible in order to make this

Family member · 2018★★★★★
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.41hrs
55%
Registered nurses for medical care
Total Nursing
3.54hrs
86%
All nurses + aides combined

Both 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 · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

2

measures

Mixed Results

6

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.5%
OK
17.2%
Tulsa
12.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
93.4%
OK
90.6%
Tulsa
82.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
OK
3.3%
Tulsa
3.2%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.2%
Worse than Avg
Here
21.2%
US
14.4%
OK
13.8%
Tulsa
12.1%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
5.3%
OK
3.4%
Tulsa
3.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.0%
Mixed vs Avgs
Here
21.0%
US
19.5%
OK
25.4%
Tulsa
22.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.8%
Mixed vs Avgs
Here
77.8%
US
79.8%
OK
74.1%
Tulsa
68.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility72.3%
Mixed vs Avgs
Here
72.3%
US
81.8%
OK
75.0%
Tulsa
69.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OK
1.8%
Tulsa
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
2penalties
Above state avg (7.2)
14 complaint-triggered

Families have filed 12 complaints against this facility, with recent issues in July 2025 involving medication errors, care planning delays, and mishandling of residents' personal money. The most recurring problems involve fire safety violations, medication management, and care planning. While all deficiencies show correction dates, the pattern of repeated violations in fire safety and ongoing complaint-triggered issues in core care areas like medication safety suggest persistent operational challenges that warrant careful evaluation during any visit.

Mar 5, 2026Complaint
2
0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0656Potential for harm · IsolatedCorrected

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.

Jul 21, 2025Complaint
5
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0568Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Feb 6, 2025Routine
3
0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Oct 25, 2024Complaint
1
0600Potential for harm · IsolatedResolved (past non-compliance)

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.

Feb 8, 2024Complaint
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Dec 1, 2023Complaint
4
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

0848Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Federal Penalties

Fine

Jul 21, 2025

$48,785

Payment Denial

Jul 21, 2025

7-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Colonial Manor Nursing Home

Organization Type

for profit

Ownership & Management

Owners

Diakonos Group, LLC

Owner · Organization

100%

Key personnel

Pilgrim, ScottOfficer / DirectorDiakonos Group, LLCManagerBush, WilliamManagerMullins, TerriManagerDiakonos Group, LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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