Colonial Manor Nursing Home
1815 East Skelly Drive, Tulsa, OK 74105 · Tulsa County · 120 certified beds · avg 53 residents/day · certified since Apr 16, 2004
Part of chain: SKYBLUE HEALTHCARE (12 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 21, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 4, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · from a complaint |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jul 21, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jul 21, 2025 | D · Potential for harm, one-off | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint |
| Jul 21, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jul 21, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jul 21, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 8, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Feb 8, 2024 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. · from a complaint |
| Feb 8, 2023 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Feb 8, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Feb 8, 2023 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2024 | 3 | 0 | E |
| 2025 | 6 | 1 | J ▲ |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $31,710, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jul 21, 2025 | Fine | $31,710 |
| Jul 21, 2025 | Payment Denial | 7 days from Aug 28, 2025 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Oklahoma avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.97 | 4.58 | 3.95 | bottom 18% in Oklahoma; top 41% in the U.S. |
| Registered Nurse hours | 0.45 | 0.41 | 0.69 | top 36% in Oklahoma; bottom 30% in the U.S. |
| Weekend total nurse staffing | 3.79 | 4.16 | 3.50 | bottom 27% in Oklahoma; top 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.28 | 0.48 | top 47% in Oklahoma; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.5 | 45.8 | — |
| RN turnover (%) | 0.0 | 53.6 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.43, RN 0.39, weekend 3.28. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ganz, David | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Hanover, Yaacov | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Kravetz, Avrohom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Operations III LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Partners II LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Colonial Manor Realty LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2025 |
| Colonial Manor Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Hanover, Yaacov | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Moore, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Moore, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Mullins, Terri | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Mullins, Terri | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Property Holdings III LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you track that every resident's quarterly assessment happens on time?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you manage residents' personal funds, and how often do families receive an accounting?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Villages at Southern Hills | 0.9 mi | Tulsa, OK | ★★★★★ | 5/5 | |
| Ambassador Manor Nursing Center | 1.0 mi | Tulsa, OK | ★★☆☆☆ | 2/5 | |
| Zarrow Pointe | 2.1 mi | Tulsa, OK | ★★★★★ | 4/5 | |
| Southern Hills Rehabilitation Center | 2.4 mi | Tulsa, OK | ★★★☆☆ | 3/5 | |
| Oklahoma Memory Care Institute | 2.7 mi | Tulsa, OK | ★★☆☆☆ | 2/5 | |
| Trinity Woods, INC. | 2.8 mi | Tulsa, OK | ★★★★★ | 5/5 | |
| Tulsa Center for Rehabilitation and Healthcare | 3.5 mi | Tulsa, OK | ★★☆☆☆ | 4/5 | |
| Gracewood Health & Rehab | 3.6 mi | Tulsa, OK | ★★☆☆☆ | 2/5 | abuse |
| Montereau, INC. | 3.6 mi | Tulsa, OK | ★★★☆☆ | 3/5 | |
| University Village Retirement Community | 3.6 mi | Tulsa, OK | ★★★★☆ | 3/5 | |
| Sherwood Manor Nursing Home | 3.6 mi | Tulsa, OK | ★★☆☆☆ | 2/5 | |
| Covenant Living at Inverness | 4.0 mi | Tulsa, OK | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 375465.