Nursing home
Colonial Manor of Elma
407 9Th Street, Elma, IA 50628 · Map
For profit - Limited Liability company · Part of Legacy Healthcare (90 facilities) · 40 certified beds
Colonial Manor of Elma is a Medicare-certified nursing home in Elma, Iowa. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.68 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Feb 13, 2025 cited 4 deficiencies.
- 1 fine totaling $8,018In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Colonial Manor of Elma compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.68 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.42 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.54 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 64.1% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $8,018, 1 total penalty.
What inspectors found at Colonial Manor of Elma
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for 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 · Aug 28, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Feb 13, 2025 · Full report (PDF) - Minimal
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Feb 13, 2025 · Full report (PDF)
Show all 9 deficiencies
- Actual 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 · Dec 5, 2024 · Full report (PDF) - Potential for harm
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 · May 2, 2024 · Full report (PDF) - Potential for 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 · May 2, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · May 2, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 407 9Th Street
Elma, IA 50628 - CMS certification #
- 165386
- Ownership
- For profit - Limited Liability company
- Certified beds
- 40
- Avg residents/day
- 32.2
- Provider type
- Medicare and Medicaid
- First certified
- 1998-06-01
- Chain
- Legacy Healthcare (90 facilities)
- Setting
- Rural
Part of Legacy Healthcare
Legacy Healthcare operates 90 nursing facilities across the United States. View all Legacy Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Colonial Manor of Elma using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Medical Center-New Hampton, New Hampton. 14.0 miles away, straight line.
- Nearest Medicare nursing home
- Riceville Family Care and Therapy Center, Riceville. 9.5 miles away, straight line.
- Nearest home health agency office
- Chickasaw Co Public Health & Home Care Services, New Hampton. 14.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Towncrest Pharmacy New Hampton. 14.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50628 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 50628.
St Croix Hospice, office in Charles City, 16.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Howard County Community Hospice, office in Cresco, 19.0 miles away, straight line - Nearest geriatric medicine practice
- Mayo Clinic Health System-Southeast Minnesota Region, Austin. 40.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding very high, wildfire relatively low, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Colonial Manor of Elma a good nursing home?
CMS gives Colonial Manor of Elma an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Colonial Manor of Elma staffed?
Colonial Manor of Elma reports 3.68 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Colonial Manor of Elma had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Colonial Manor of Elma have?
Colonial Manor of Elma is certified for 40 beds.