Colonial Manor of Elma
407 9th Street, Elma, IA, 50628
Yes. Federal inspectors cited 9 deficiencies against Colonial Manor of Elma in Elma, Iowa at its most recent standard inspection on 2026-02-19, 3 of them arising from complaints. 2 findings have been recorded at the actual-harm level. Medicare has fined it 2 times, totalling $44,768. CMS currently flags this home for abuse. Medicare rates it 2 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 16 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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 · F0600 · 2026-04-09 · from a complaint · Actual harm to a resident
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2026-02-19 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0605 · 2026-02-19 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2026-02-19 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2026-02-19 · standard survey · No actual harm, potential for more than minimal 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.
Quality of Life and Care Deficiencies · F0690 · 2026-02-19 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2026-02-19 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-19 · standard survey · No actual harm, potential for more than minimal harm
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 · F0656 · 2025-08-28 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-02-13 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-02-13 · from a complaint · No actual harm, potential for more than minimal harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · F0637 · 2025-02-13 · standard survey · No actual harm, potential for minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-12-05 · from a complaint · Actual harm to a resident
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 · F0801 · 2024-05-02 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2024-05-02 · standard survey · No actual harm, potential for more than minimal 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.
Quality of Life and Care Deficiencies · F0688 · 2024-05-02 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Colonial Manor of Elma
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| SHABAT, MENACHEM | Individual | NOT APPLICABLE | since 08/15/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | NOT APPLICABLE | since 08/15/2024 |
| ANDERA, CALEE | Individual | NOT APPLICABLE | since 08/15/2024 |
| BEASLEY, KARLA | Individual | NOT APPLICABLE | since 08/15/2024 |
| BEHOUNEK, LINSEY | Individual | NOT APPLICABLE | since 08/15/2024 |
| BORCHERDING, JENNY | Individual | NOT APPLICABLE | since 08/15/2024 |
| BURKEN, SHERI | Individual | NOT APPLICABLE | since 08/15/2024 |
| DEFORD, COLIN | Individual | NOT APPLICABLE | since 06/01/2025 |
| FRIEDENBERG, LAURA | Individual | NOT APPLICABLE | since 08/15/2024 |
| HEDBERG, JENNIFER | Individual | NOT APPLICABLE | since 08/15/2024 |
| HEYING, LARINA | Individual | NOT APPLICABLE | since 08/15/2024 |
| HOUSTON, MINDY | Individual | NOT APPLICABLE | since 08/15/2024 |
Part of the LEGACY HEALTHCARE group.
Ask Colonial Manor of Elma a question
This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.
Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165386.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction