Federal inspection record · CMS data as of October 1, 2026
Colonial Manor of Amana
3207 220th Trail, Amana, IA · (319) 622-3131
- Certified beds
- 50
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1997
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Colonial Manor of Amana carries 33 inspection points. That is fewer than 50% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1F
- F
Keep all essential equipment working safely.
Resident Rights1D
- D
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning1D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspection history
2026-07-22
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2025-06-19
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-08-08
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
3 h 27 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 2.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.6 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better | 3.8% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 0.7% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 2.9% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts worse | 21.7% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.3 pts better | 8.5% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.7 pts better | 3.5% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.3 pts better | 7.3% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 1.9% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 2.6% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.4 pts better | 10.6% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts worse | 7.5% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.9 pts better | 98.9% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 2.1% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.6 pts better | 100.0% | 74.4% | 80.1% |
·
Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Buch, Angela | 5% Or Greater Direct Ownership Interest · Individual | 44% | 1 facilities |
| Buch, Rodney | 5% Or Greater Direct Ownership Interest · Individual | 44% | 1 facilities |
| Ballard, Kimberly | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Blue Stone Therapy Inc | Adp Of The SNF · Organization | 0% | 27 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Buch, Angela | Corporate Officer · Individual | 0% | 1 facilities |
| Buch, Rodney | Corporate Officer · Individual | 0% | 1 facilities |
| Carlson, Cory | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Curphey, Richard | Corporate Officer · Individual | 0% | 1 facilities |
| Dahm, Knapp & Associates Pc | Adp Of The SNF · Organization | 0% | 4 facilities |
| Dose, Ronald | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Dose, Ronald | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Glass, Deanna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Glass, Joseph | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gulledge, Travis | Corporate Officer · Individual | 0% | 10 facilities |
| Houston, Mindy | Corporate Director · Individual | 0% | 30 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Morrison, Stardust | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pm Acquisition LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Powell, Tanya | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Powell, Tanya | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rt 2.0 LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Scholz, Dustin | Corporate Director · Individual | 0% | 1 facilities |
| Tjaden, Jason | Corporate Officer · Individual | 0% | 3 facilities |
| Tjaden, Jordan | Corporate Officer · Individual | 0% | 2 facilities |
| Two Rivers Bank & Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Vanetten, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vasey Larson, Charlene | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wilkes, James | Corporate Officer · Individual | 0% | 4 facilities |
| Wilkes, James | Adp Of The SNF · Individual | 0% | 4 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Egress2F
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness1F
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Rose Haven Nursing Home
Marengo, IA
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 15 min
- Fines
- $10,062
-
Highland Ridge Care Center, LLC
Williamsburg, IA · Presbyterian Homes & Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 1 min
- Fines
- $0
-
The Gardens Of Cedar Rapids
Cedar Rapids, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 2 min
- Fines
- $0