Elma, IA

Colonial Manor of Elma

4-star overall rating with 4-star inspections with $8,018 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

407 9th Street, Elma, IA

(641) 393-2134

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

32

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1998-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing

LPN hours / resident day

0.72

Licensed practical nurse staffing

Aide hours / resident day

2.54

Nurse aide staffing

Weekend hours

3.29

Weekend nurse staffing

RN turnover

75%

Annual RN turnover

Total nurse turnover

64%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	1.5 0.1 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	2.1 0.6 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	94.0% 5.1 pts better	93.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	7.2%	3.7% 3.5 pts worse	3.3% 3.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	0.0%	4.0% 4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	3.4%	4.9% 1.5 pts better	5.4% 2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	39.1%	20.6% 18.5 pts worse	19.6% 19.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	34.7%	19.8% 14.9 pts worse	16.7% 18 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	19.0%	18.5% 0.5 pts worse	16.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	21.7%	18.3% 3.4 pts worse	14.9% 6.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	1.7% 0.5 pts better	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	2.8%	2.5% 0.3 pts worse	1.7% 1.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	35.2%	26.0% 9.2 pts worse	19.8% 15.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	7.8%	4.3% 3.5 pts worse	5.1% 2.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	80.6%	84.3% 3.7 pts worse	81.7% 1.1 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	22.5%	13.1% 9.4 pts worse	12.0% 10.5 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.6%	21.3% 12.3 pts worse	23.9% 9.7 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-05-02 · Fire 2024-05-02

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-03-02 · Fire 2023-03-02

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-02-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-02-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-13

E · Potential for more than minimal harm 2024-05-02

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-05-14

D · Potential for more than minimal harm 2024-05-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-14

F · Potential for more than minimal harm 2023-03-02

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-03-14

F · Potential for more than minimal harm 2023-03-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-08

E · Potential for more than minimal harm 2023-03-02

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-03-08

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-09-27

D · Potential for more than minimal harm 2025-02-13

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-15

D · Potential for more than minimal harm 2025-02-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-15

B · Minimal harm 2025-02-13

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-03-15

G · Actual harm 2024-12-05

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-05-02

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-06-02

D · Potential for more than minimal harm 2024-05-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-06-02

D · Potential for more than minimal harm 2024-05-02

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-06-02

Penalties and ownership

What sits behind the stars

$8,018 2024-12-05

Fine

Fine · fine $8,018

Fine

Ownership

Iowa Portfolio Opco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 20 facilities 2024-08-15

Chaim Rajchenbach Descendants Tr Ua 04282008

5% Or Greater Indirect Ownership Interest · Organization

68% 83 facilities 2024-08-15

Oakway Operations LLC

5% Or Greater Indirect Ownership Interest · Organization

23% 48 facilities 2024-08-15

Doros Generation Trust U/A/D 1/3/12

5% Or Greater Indirect Ownership Interest · Organization

5% 78 facilities 2024-08-15

Andera, Calee