nursing home in Elma, IA
Colonial Manor of Elma
407 9th Street, Elma, IA 50628 · (641) 393-2134
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★2
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Colonial Manor of Elma at a glance
Colonial Manor of Elma is a 40-bed for-profit nursing home in Elma, Iowa (Howard County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.6 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (February 19, 2026) found 8 health citations. The Iowa average is 6.5.
Federal regulators fined it 2 times in the past three years, totaling $31,906.
Nursing staff turnover is 62.2% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 40
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Legacy Healthcare
- Medicare-certified since
- June 1, 1998
- Resident/family council
- Resident
- County
- Howard County
- CMS Certification Number
- 165386
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.56 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.46 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.14 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62.2% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 85.7% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 44 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $31,906 | $19,286 | $30,972 | Average |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 40 | 65 | 107 | |
| Average residents per day | 34 | 52 | 86 | |
| Occupancy | 86% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.4% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7.1% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 30.8% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.7% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 21.8% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 28.6% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.7% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 31.8% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 36.2% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.3% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 80.7% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 9, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected April 24, 2026 |
| February 19, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected March 18, 2026 |
| February 19, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected February 19, 2026 |
| February 19, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected March 6, 2026 |
| February 19, 2026 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected February 19, 2026 |
| February 19, 2026 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected May 4, 2026 |
| February 19, 2026 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | D Potential harm, isolated | Corrected February 23, 2026 |
| February 19, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected February 23, 2026 |
| February 19, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 21, 2026 |
| February 19, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 21, 2026 |
| February 19, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected March 21, 2026 |
| February 19, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected March 21, 2026 |
| February 19, 2026 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected March 21, 2026 |
| February 19, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected March 21, 2026 |
| February 19, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected March 21, 2026 |
| August 28, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 27, 2025 |
| February 13, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected February 13, 2025 |
| February 13, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 5, 2025 |
| February 13, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 15, 2025 |
| February 13, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 15, 2025 |
| February 13, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | B No harm, pattern | Corrected March 15, 2025 |
| December 5, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected October 17, 2024 |
| May 2, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected May 14, 2024 |
| May 2, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 14, 2024 |
| May 2, 2024 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | E Potential harm, pattern | Corrected June 2, 2024 |
| May 2, 2024 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected June 2, 2024 |
| May 2, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 2, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $31,906 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 9, 2026 | Fine | $23,888 |
| December 5, 2024 | Fine | $8,018 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ANDERA, CALEE Individual | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CASCADE CAPITAL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CASCADE CAPITAL PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CCG GORGONA LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| DEFORD, COLIN Individual | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| GORGONA HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA PROPCO HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA SUB HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| MN8 RH HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SHABAT, MENACHEM Individual | corporate officer | NOT APPLICABLE | 08/15/2024 |
| ANDERA, CALEE Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| BEASLEY, KARLA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| BEHOUNEK, LINSEY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| BORCHERDING, JENNY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| BURKEN, SHERI Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| DEFORD, COLIN Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| FRIEDENBERG, LAURA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| HEDBERG, JENNIFER Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| HEYING, LARINA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| HOUSTON, MINDY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| JAEGER, KRYSTLE Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| LARSON, MELISSA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| MCCLURE, DOROTHY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| MYHRE, LACEY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| OTTERBECK, PATRICIA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| RAJCHENBACH, CHAIM Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| SHABAT, MENACHEM Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| SHEAR, KILEY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| VAN VEGHEL, ELIZABETH Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| WIERSCHEM, BOBBIE Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| FRIEDMAN, BRIAN Individual | trustee of the snf | NOT APPLICABLE | 01/03/2012 |
| RAJCHENBACH, AVRUM Individual | trustee of the snf | NOT APPLICABLE | 04/28/2008 |
| RAJCHENBACH, RIVKA Individual | trustee of the snf | NOT APPLICABLE | 04/28/2008 |
| SHABAT, AHUVA Individual | trustee of the snf | NOT APPLICABLE | 01/03/2012 |
Other nursing homes near Colonial Manor of Elma
Riceville Family Care and Therapy Center
915 Woodland Avenue, Riceville, IA 50466 · 9.5 mi
Government · 34 beds
- CMS high performer
★★★★★5Much above averageNew Hampton Nursing & Rehab Center
703 South Fourth Avenue, New Hampton, IA 50659 · 14.8 mi
For-profit · 46 beds · Part of Edgewood Convalescent Home
★★★★★4Above averageAccura Healthcare of New Hampton
530 South Linn Avenue, New Hampton, IA 50659 · 14.9 mi
For-profit · 52 beds · Part of Accura Healthcare
★★★★★4Above averageChautauqua Guest Home #3
302 Ninth Street, Charles City, IA 50616 · 17.4 mi
For-profit · 57 beds
- CMS high performer
★★★★★5Much above average- ★★★★★5Much above average
- ★★★★★4Above average
Frequently asked questions
What is Colonial Manor of Elma's rating?
Colonial Manor of Elma has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Colonial Manor of Elma receive?
Its most recent standard health inspection found 8 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Colonial Manor of Elma accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Colonial Manor of Elma?
It is for profit - limited liability company and part of Legacy Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Colonial Manor of Elma and how do I contact it?
Colonial Manor of Elma is at 407 9th Street, Elma, IA 50628. Phone: (641) 393-2134.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.