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Colonial Oaks Health Care Center

1725 S Colonial Oaks Dr, Marion, IN 46953 · Grant County · (765) 674-9791

127 certified beds, about 108 residents a day · For profit - Corporation · Medicare and Medicaid since 1986

Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155289 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 26, 2024, inspectors cited 0 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 4 health citations since June 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.40 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.

26.6% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to Tlc Management, an affiliated group of 20 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
0E
0F
Potential for minimal harm
0A
0B
0C
July 26, 2024Standard inspection · 0 citations
August 25, 2023Standard inspection · 1 citation
  1. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure nonpharmacological interventions were attempted prior to the administration of an as needed (PRN) psychoactive medication for 1 of 2 residents reviewed for dementia care (Resident 6).
June 17, 2022Standard inspection · 3 citations
  1. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2022
    Inspectors wroteBased on record review and interview, the facility failed to provide notification of transfer or discharge to a resident or the resident's representative and failed to provide notification to the Long Term Care Ombudsman for 1 of 5 residents reviewed for hospitalizations (Resident 66).
  2. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents did not receive psychotropic medications without indication for use for 1 of 5 residents reviewed for unnecessary medications (Resident 67).
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a urinary catheter was managed in a hygienic manner for 1 of 1 residents reviewed with a urinary catheter (Resident 33).

Fire safety inspections

19 fire safety citations on file: 13 on July 26, 2024, 1 on August 25, 2023, 5 on June 17, 2022.

Every fire safety citation19 citations
  1. E
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · July 26, 2024 · Corrected (the home has a date of correction)
  2. E
    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.
    K 222 · July 26, 2024 · Corrected (the home has a date of correction)
  3. E
    Have properly located and lighted "Exit" signs.
    K 293 · July 26, 2024 · Corrected (the home has a date of correction)
  4. E
    Install an approved automatic sprinkler system.
    K 351 · July 26, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 26, 2024 · Corrected (the home has a date of correction)
  6. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 26, 2024 · Corrected (the home has a date of correction)
  7. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 26, 2024 · Corrected (the home has a date of correction)
  8. D
    Install corridor and hallway doors that block smoke.
    K 363 · July 26, 2024 · Corrected (the home has a date of correction)
  9. D
    Ensure proper usage of power strips and extension cords.
    K 920 · July 26, 2024 · Corrected (the home has a date of correction)
  10. D
    Have proper medical gas storage and administration areas.
    K 923 · July 26, 2024 · Corrected (the home has a date of correction)
  11. C
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · July 26, 2024 · Corrected (the home has a date of correction)
  12. C
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · July 26, 2024 · Corrected (the home has a date of correction)
  13. C
    Provide a written emergency evacuation plan.
    K 711 · July 26, 2024 · Corrected (the home has a date of correction)
  14. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · August 25, 2023 · Corrected (the home has a date of correction)
  15. E
    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.
    K 222 · June 17, 2022 · Corrected (the home has a date of correction)
  16. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 17, 2022 · Corrected (the home has a date of correction)
  17. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · June 17, 2022 · Corrected (the home has a date of correction)
  18. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 17, 2022 · Corrected (the home has a date of correction)
  19. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 17, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.403.693.86
Registered nurses0.370.670.69
All nursing staff on weekends2.923.253.42
Nurse aides2.16
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)26.6%45.9%45.8%
Registered nurse turnover36.4%40.3%42.9%
Administrators who left0

CMS expects 3.66 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.59 on weekdays and 2.92 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.72 in April to June 2025 to 3.40 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.400.373.592.92 0.0%0 of 90108
Oct to Dec 20253.480.313.682.99 0.0%0 of 92106
Jul to Sep 20253.540.333.762.97 0.0%0 of 92104
Apr to Jun 20253.720.333.973.09 0.6%0 of 9199
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.911.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.50.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.61.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.43.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.711.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.63.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.713.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
13.522.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.010.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.41.8

Owners and operators

Legal business name: RIVERVIEW HOSPITAL. CMS links this home to Tlc Management, a group of 20 nursing homes averaging 3.8 stars overall.

NameRoleTypeShareSince
Riverview Hospital5% or greater direct ownership interestOrganization100%08/01/2012
Friend, JaynaManaging control - governing bodyIndividual06/03/2021
Hyatt, DavidManaging control - governing bodyIndividual01/28/2022
Colonial Oaks Health Care LLCOperational/managerial controlOrganization08/01/2012
Tender Loving Care Management IncOperational/managerial controlOrganization08/01/2012
Friend, JaynaOperational/managerial controlIndividual06/03/2021
Hyatt, DavidOperational/managerial controlIndividual08/01/2012
Livingston, ChristianOperational/managerial controlIndividual08/01/2012
Srikanth, ShankaranOperational/managerial controlIndividual08/01/2012
Gibson, CullenIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/11/2025
Ott, ConnieIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/25/2025
Ott, DwightIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/25/2025
Ott, GaryIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/25/2025
Ott, JesseIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/11/2025
Ott, RyanIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/11/2025
Dwight a. Ott and Gloria OttTrustee of the SNFOrganization08/01/2012
Ott Family TrustTrustee of the SNFOrganization08/01/2012
Colonial Oaks Health Care LLCAdp of the SNFOrganization09/24/2025
Colonial Oaks Properties LLCAdp of the SNFOrganization08/01/2012
Tender Loving Care Management IncAdp of the SNFOrganization07/11/2025
Livingston, ChristianAdp of the SNFIndividual08/01/2012
Srikanth, ShankaranAdp of the SNFIndividual08/01/2012

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on August 25, 2023: "Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 17, 2022: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 17, 2022: "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."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 17, 2022: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.92 hours per resident per day, below the Indiana average of 3.25.

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Common questions

What is Colonial Oaks Health Care Center's Medicare star rating?
CMS rates Colonial Oaks Health Care Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Colonial Oaks Health Care Center get at its last inspection?
0 health deficiencies at the standard inspection on July 26, 2024. The Indiana average is 7.2.
Has Colonial Oaks Health Care Center been fined?
CMS lists no fines in the last three years.
Does Colonial Oaks Health Care Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Colonial Oaks Health Care Center?
CMS lists 22 owners and managers, and links the home to Tlc Management. Legal business name: RIVERVIEW HOSPITAL.

Sources

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