Colonial Manor of Elma
Strong Medicare quality ratings. Still worth an in-person visit before deciding.
based on 2 Google reviews
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What this means for your family
Choosing Colonial Manor of Elma means your loved one is in a facility that ranks well on Medicare quality measures. While no facility is perfect, the clinical data here is encouraging.
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
6
measures
9
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints triggering four deficiencies at Colonial Manor of Elma, including concerns about safety hazards, resident rights, and infection control. The facility shows recurring issues with care planning and assessment, safety systems maintenance, and building safety features like sprinkler systems and exit doors. While all deficiencies have correction dates, the pattern of complaints and repeat safety violations across multiple surveys suggests ongoing quality concerns families should investigate thoroughly during visits.
Feb 19, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Aug 28, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Feb 13, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 13, 2025Routine3
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Dec 5, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 2, 2024Routine5
Nutrition and Dietary Deficiencies
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.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Federal Penalties
Fine
Dec 5, 2024
$8,018
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Apr 9, 2026ComplaintClean
Fed violations: 1, State violations: 0
Mar 31, 2026InspectionClean
Fed violations: 0, State violations: 0
Feb 19, 2026InspectionClean
Fed violations: 7, State violations: 0
Oct 23, 2025ComplaintClean
Fed violations: 0, State violations: 0
Sep 30, 2025ComplaintClean
Fed violations: 0, State violations: 0
Aug 28, 2025ComplaintClean
Fed violations: 1, State violations: 0
Mar 19, 2025InspectionClean
Fed violations: 0, State violations: 0
Feb 13, 2025InspectionClean
Fed violations: 3, State violations: 0
Ownership & Operations
Who Operates This Facility
Colonial Manor of Elma
for profit
Chain Affiliation
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 26 of 89
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
2 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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