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HomeIowaColonial Manor of Elma

Colonial Manor of Elma

407 9th Street, Elma, IA 506286413932134Google Maps
5.0on Google(2 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
3/5
Quality
2/5
Beds
40
certified
This facility has been flagged for abuse.
2 fine(s) totaling $44,768

How Colonial Manor of Elma Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
IA average
3.1/5
Below state average
Health inspection rating
2/5
IA average
2.8/5
Below state average
Staffing rating
3/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.56 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.57 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
62.2%
IA average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 2/5 health inspection rating is below the Iowa average of 2.8/5.
Reported nursing time is 3.56 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.57 hours per resident per day, below the state average of 0.74.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
4
deficiency citations
Inspected Feb 13, 2025
Most recent cycle
9
deficiency citations
Inspected Feb 19, 2026
The most recent cycle recorded 5 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Howard County 65+
1,934
20.4% of county
County Population
9,479
Howard County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Colonial Manor of Elma is a 2-star Medicare and Medicaid certified nursing home in Elma, Iowa with 40 certified beds. It has been operating since 1998. Its overall CMS rating is 2 out of 5.

Beds
40
Avg Residents/Day
34.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 1, 1998
Sprinklers
Yes
Council
Resident
County
Howard
Last Inspection
Feb 19, 2026
Deficiencies (Cycle 1)
9
Weighted Score
46.0
Infection Citations
0

Deficiency Citations (16)

F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Apr 9, 2026Corrected: NoCycle: 1
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0644Potential for Harm

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

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 28, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Feb 13, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 13, 2025Corrected: NoCycle: 2
F0637Minimal Harm

Assess the resident when there is a significant change in condition

Survey: Feb 13, 2025Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 5, 2024Corrected: NoCycle: 2
F0801Potential for Harm

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.

Survey: May 2, 2024Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: May 2, 2024Corrected: NoCycle: 3
F0688Potential for Harm

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.

Survey: May 2, 2024Corrected: NoCycle: 3
Total Fines
$44,768
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineDec 5, 2024
$8,018
FineApr 9, 2026
$36,750

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.46 hrs
National avg: 2.32 hrs
LPN0.53 hrs
National avg: 0.86 hrs
RN0.57 hrs
National avg: 0.69 hrs
Total Nursing3.56 hrs
National avg: 3.86 hrs
Weekend Total3.14 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
62.2%
RN Turnover
85.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (35)

NameRoleTypeOwnership %Since
SHABAT, MENACHEMCORPORATE OFFICERIndividualN/AAug 15, 2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 15, 2024
ANDERA, CALEEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
BEASLEY, KARLAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
BEHOUNEK, LINSEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
BORCHERDING, JENNYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
BURKEN, SHERIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
DEFORD, COLINOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2025
FRIEDENBERG, LAURAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HEDBERG, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HEYING, LARINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HOUSTON, MINDYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
JAEGER, KRYSTLEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
LARSON, MELISSAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
MCCLURE, DOROTHYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
MYHRE, LACEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
OTTERBECK, PATRICIAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
SHEAR, KILEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
VAN VEGHEL, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
WIERSCHEM, BOBBIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
FRIEDMAN, BRIANTRUSTEE OF THE SNFIndividualN/AJan 3, 2012
RAJCHENBACH, AVRUMTRUSTEE OF THE SNFIndividualN/AApr 28, 2008
RAJCHENBACH, RIVKATRUSTEE OF THE SNFIndividualN/AApr 28, 2008
SHABAT, AHUVATRUSTEE OF THE SNFIndividualN/AJan 3, 2012
CASCADE CAPITAL HOLDINGS LLCADP OF THE SNFOrganizationN/AAug 15, 2024
CASCADE CAPITAL PARTNERS LLCADP OF THE SNFOrganizationN/AAug 15, 2024
CCG GORGONA LLCADP OF THE SNFOrganizationN/AAug 15, 2024
GORGONA HOLDCO LLCADP OF THE SNFOrganizationN/AAug 15, 2024
GORGONA PROPCO HOLDINGS LLCADP OF THE SNFOrganizationN/AAug 15, 2024
GORGONA SUB HOLDCO LLCADP OF THE SNFOrganizationN/AAug 15, 2024
MN8 RH HOLDCO LLCADP OF THE SNFOrganizationN/AAug 15, 2024
ANDERA, CALEEADP OF THE SNFIndividualN/AAug 15, 2024
DEFORD, COLINADP OF THE SNFIndividualN/AJun 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Colonial Manor of Elma and nearby alternatives.

All Iowa facilities
Colonial Manor of Elma
Elma, IACurrent facilityAbuse flag
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $44,768
Riceville Family Care and Therapy Center
Riceville, IA9.5 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
New Hampton Nursing & Rehab Center
New Hampton, IA14.8 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
Accura Healthcare of New Hampton
New Hampton, IA14.9 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: None
Chautauqua Guest Home #3
Charles City, IA17.4 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
Chautauqua Guest Home #2
Charles City, IA17.6 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Accura Healthcare of Cresco
Cresco, IA18.3 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Colonial Manor of Elma
Elma, IA · Current facility
—2/52/53/5$44,768
Riceville Family Care and Therapy Center
Riceville, IA
9.5 mi5/54/54/5None recorded
New Hampton Nursing & Rehab Center
New Hampton, IA
14.8 mi4/54/54/5None recorded
Accura Healthcare of New Hampton
New Hampton, IA
14.9 mi4/53/55/5None recorded
Chautauqua Guest Home #3
Charles City, IA
17.4 mi5/55/55/5None recorded
Chautauqua Guest Home #2
Charles City, IA
17.6 mi5/54/55/5None recorded
Accura Healthcare of Cresco
Cresco, IA
18.3 mi1/51/51/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Colonial Manor of Elma?▾
Colonial Manor of Elma has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Colonial Manor of Elma cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Colonial Manor of Elma participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Colonial Manor of Elma had any health inspection violations?▾
Colonial Manor of Elma had 9 deficiency citations in its most recent health inspection (Feb 19, 2026). The current CMS dataset records 2 fine(s) totaling $44,768.
What are the staffing levels at Colonial Manor of Elma?▾
Colonial Manor of Elma provides 3.56 total nursing staff hours per resident per day, including 0.57 RN hours, 0.53 LPN hours, and 2.46 nurse aide hours. The total staff turnover rate is 62.2%.
How many beds does Colonial Manor of Elma have?▾
Colonial Manor of Elma has 40 certified beds with an average of 34.4 residents per day, resulting in approximately 86% occupancy. The facility is For profit - Limited Liability company owned and is part of the Legacy Healthcare chain.
Are there other nursing homes near Colonial Manor of Elma?▾
Yes. This page lists 6 nearby nursing homes in Iowa. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Colonial Manor of Elma?▾
On Google Maps, Colonial Manor of Elma has a rating of 5.0 out of 5 based on 2 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Legacy Healthcare

This chain operates 89 facilities. View all →