Senior Care Records.

Colonial Manor of Elma

407 9th Street, Elma, IA, 50628

Nursing home40 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

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.

2 / 5Medicare overall rating
40certified beds
9deficiencies at the last inspection
0immediate-jeopardy findings on record
2actual-harm findings on record
2federal fines, $44,768
What the inspectors found

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.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.13
Potential for minimal harmThe least serious band.1
Most recent

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

G

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

D

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

D

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

D

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

D

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

D

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

D

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

D

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

D

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

D

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

D

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

B

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

G

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

E

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

D

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

D
Medicare’s own rating

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.

OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.55806
Nursing staff turnoverShare of nursing staff who left in a year62.2%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS2
Total fined$44,768
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership

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.

OwnerRoleShareSince
SHABAT, MENACHEMIndividualNOT APPLICABLEsince 08/15/2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganizationNOT APPLICABLEsince 08/15/2024
ANDERA, CALEEIndividualNOT APPLICABLEsince 08/15/2024
BEASLEY, KARLAIndividualNOT APPLICABLEsince 08/15/2024
BEHOUNEK, LINSEYIndividualNOT APPLICABLEsince 08/15/2024
BORCHERDING, JENNYIndividualNOT APPLICABLEsince 08/15/2024
BURKEN, SHERIIndividualNOT APPLICABLEsince 08/15/2024
DEFORD, COLINIndividualNOT APPLICABLEsince 06/01/2025
FRIEDENBERG, LAURAIndividualNOT APPLICABLEsince 08/15/2024
HEDBERG, JENNIFERIndividualNOT APPLICABLEsince 08/15/2024
HEYING, LARINAIndividualNOT APPLICABLEsince 08/15/2024
HOUSTON, MINDYIndividualNOT APPLICABLEsince 08/15/2024

Part of the LEGACY HEALTHCARE group.

Contact

Ask Colonial Manor of Elma a question

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What is needed

Colonial Manor of Elma has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 6413932134 — the number is from their licence record.

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