Colonial Manor of Elma
407 9th Street, Elma, IA 50628 · (641) 393-2134
For profit - Limited Liability company · 40 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Colonial Manor of Elma has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 7 citations (the Iowa average is 6.5). It was fined 2 times in the last three years, $31,906 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 19, 2026 found 7 citations. What an inspection citation means
- Protect each resident from the wrongful use of the resident's belongings or money.February 19, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.February 19, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.February 19, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.February 19, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 19, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.February 19, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.February 19, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 9, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.February 19, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 28, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 13, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.February 13, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 5, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $23,888April 9, 2026
- Fine of $8,018December 5, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.56 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.57 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.53 | 0.56 | 0.86 |
| Nurse aides | 2.46 | 2.52 | 2.32 |
| Total nursing staff turnover | 62.2% | 44% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 40 |
| Average residents per day | 34.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Evans Senior Living Community Cresco · ★★★★★ 5 out of 5 stars
- The Village of Ackley Ackley · ★★★★★ 3 out of 5 stars
- Rehabilitation Center of Allison Allison · ★★★★★ 3 out of 5 stars
- Maple Manor Village Aplington · ★★★★★ 4 out of 5 stars
- The Suites at Western Home Communities Cedar Falls · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Colonial Manor of Elma on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.