Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Colonial Park Manor

OKEMAH, OK · 80 certified beds · Last Life Safety survey March 26, 2025

CMS Certification Number 375327 · first certified January 1998

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within OK

11 citations — more than 70% of the 283 certified nursing homes in OK. Compared within OK rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (May 2026 to August 2026). Most OK facilities have been surveyed by November 2026. This facility’s last Life Safety survey was March 2025. Facilities in OK are typically surveyed 14–16 months after the last one (median 15), measured over 277 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in OK, and nationally. Surveyors differ markedly between states, so the OK figure is the meaningful one.

This facility11OK median8National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in OK8
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-0832023-1152025-03
Citations at each Life Safety survey
Survey dateCitations
August 4, 20223
November 30, 20233
March 26, 20255

Most-cited tags

Most-cited tags at this facility
K-03213K-03722K-03741K-03631K-03241K-03471K-07611K-03621
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32025-03-26
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22023-11-30
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-03-26
K-0363Install corridor and hallway doors that block smoke.12022-08-04
K-0324Provide properly protected cooking facilities.12025-03-26
K-0347Properly provide smoke detection systems in areas open to corridors.12025-03-26
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-11-30
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.12025-03-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 26, 2025 — 5 citations

Citations issued on March 26, 2025
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 2, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 2, 2025)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (May 2, 2025)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (May 2, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (May 2, 2025)

November 30, 2023 — 3 citations

Citations issued on November 30, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 24, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 24, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 24, 2024)

August 4, 2022 — 3 citations

Citations issued on August 4, 2022
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 15, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 15, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 15, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.