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Nursing HomeMedicaid Top Rated

Colonial Manor of Amana

Strong Medicare quality ratings; families often praise warm, home-like atmosphere. Still worth an in-person visit.

3207 220th Trail, Amana, IA 5220350 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 7 Google reviews

5
4
3
2
1
Colonial Manor of Amana Nursing Home in Amana, IA — Street View
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What this means for your family

While recent feedback suggests a warm and caring environment, the facility has a history of reported staffing shortages and limited activity programming. If you are considering this facility, specifically ask how they manage resident engagement and whether they can guarantee accommodations for couples if that is a priority for your family.

Google Reviews

Google Reviews

7 reviews on Google
Colonial Manor of Amana receives polarized feedback, with recent reviews praising the facility as a caring, home-like environment while older reports highlight significant operational failures. Families should be aware of past concerns regarding staffing shortages, resident isolation, and the inability to accommodate couples in shared rooms.

Quality Themes

Tap a score for details
Food5.0Staff5.0CleanN/AActivities2.0MedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Warm, home-like atmosphere
  • Caring staff environment

Concerns

  • Understaffing leading to delayed care
  • Lack of meaningful resident activities

Rating Trends

Tap a year to see what changed

2343.02017(2)5.02022(1)2.02026(4)

Distribution · 7 analyzed

5
3
4
0
3
0
2
0
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the cozy, home-like atmosphere here, how do you balance that intimate feel with the demands of managing care for 50 residents?
  • 2I noticed that your CMS staffing rating is a 4 out of 5; could you walk me through how your team manages daily workflows to ensure residents receive timely assistance?
  • 3I’m interested in how you keep residents engaged throughout the day—could you share some examples of the types of activities or social events currently offered?
  • 4With five state violations recorded over the past year, what specific steps has the facility taken to address those findings and improve internal processes?
  • 5In the event of a medical emergency, what is the immediate protocol for notifying family members and coordinating with local medical services?
  • 6How do you ensure that staff members have enough time to provide personalized attention to each resident, especially during busier times of the day?

Personalized based on this facility's data


Key Review Excerpts

They didn't have a room where they could stay together so they were separated. They are understaffed resulting in long delays in caring for their residents.

Long-term resident's family · 2017☆☆☆☆

Wonderful caring facility that feels like home!

Family member · 2026★★★★★
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.96hrs
OK
Registered nurses for medical care
Total Nursing
3.44hrs
84%
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.8%
Better than Avg
Here
13.8%
US
19.4%
IA
25.9%
Iowa
27.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
12.1%
IA
4.1%
Iowa
0.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
15.3%
IA
17.5%
Iowa
15.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
15.5%
IA
19.4%
Iowa
12.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
14.4%
IA
17.6%
Iowa
12.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
19.5%
IA
20.7%
Iowa
13.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.4%
Better than Avg
Here
97.4%
US
79.8%
IA
73.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
81.8%
IA
84.1%
Iowa
90.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility6.7%
Worse than Avg
Here
6.7%
US
1.6%
IA
2.0%
Iowa
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (6.2)
3 complaint-triggered
Clean record — no deficiencies

Colonial Manor of Amana has persistent fire safety problems, with smoke detection and door issues recurring across multiple surveys and families have filed complaints about resident care and safety supervision. The facility shows ongoing deficiencies in fire safety systems, emergency preparedness, and daily care assistance, though all violations have correction dates from the provider.

Jun 19, 2025Routine
2
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Aug 8, 2024Routine
3
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Apr 18, 2024Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Oct 5, 2023Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Oct 5, 2023Routine
5
0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
5deficiencies
Oct 7, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jun 19, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Aug 8, 2024Inspection
Clean

Fed violations: 0, State violations: 0

May 1, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Apr 18, 2024Complaint
Clean

Fed violations: 2, State violations: 0

Oct 17, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Oct 5, 2023Inspection
Clean

Fed violations: 1, State violations: 0

Sep 27, 2022Complaint
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Colonial Manor of Amana

Organization Type

for profit

Ownership & Management

Owners

Ballard, Kimberly

Owner

Buch, Angela

Owner

44%

Buch, Rodney

Owner

44%

Key personnel

Two Rivers Bank & Trust5% or Greater Mortgage InterestHouston, MindyOfficer / DirectorScholz, DustinOfficer / DirectorBuch, AngelaOfficer / DirectorBuch, RodneyOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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