Colonial Manor Of Elma
Elma, IA · Medicare and Medicaid-certified nursing home (CCN 165386) · 40 certified beds
Health inspection: 2 · Quality measures: 2 · Staffing: 3
Federal fines: 2 totaling $44,768
Phone: (641) 393-2134 · Verify on Medicare Care Compare ↗
Colonial Manor Of Elma has a CMS overall star rating of 2, below the Iowa state average of 3.07. Its health inspection rating is 2 stars and its staffing rating is 3 stars.
Colonial Manor Of Elma reports 3.56 total nurse hours per resident per day, including 0.57 RN hours per resident per day, with a staffing star rating of 3. Nursing staff turnover is reported at 62.2%.
Colonial Manor Of Elma has 2 federal fines on record totaling $44,768.00, with 0 payment denials. CMS also displays its abuse warning icon for this facility, so families should review the inspection record on Care Compare.
About this facility
Colonial Manor Of Elma is a 40-bed Medicare and Medicaid certified nursing home in Elma, Howard County, Iowa, with an average of 34.4 residents. The facility is operated under a for-profit limited liability company structure and has been certified since June 1998. It is part of the Legacy Healthcare chain, which includes 89 facilities nationwide with an average CMS rating of 2.9 stars; ownership has not changed in the past 12 months.
According to CMS Care Compare, Colonial Manor Of Elma holds an overall star rating of 2, which is below the Iowa state average of 3.07. Its component ratings are: health inspection rating of 2 stars, quality measure (QM) rating of 2 stars, and staffing rating of 3 stars.
Nurse staffing levels are reported at 3.56 total nurse hours per resident per day, including 0.57 RN hours per resident per day. Nursing staff turnover is reported at 62.2%.
On penalties, CMS records show 2 federal fines totaling $44,768.00, and 0 payment denials.
CMS displays its abuse warning icon for this facility, indicating a finding related to abuse; families are advised to review the full inspection record on Care Compare for details.
This profile is based on CMS Care Compare data and reflects the most recently published data vintage available from that source.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Colonial Manor Of Elma has an overall rating of 2 stars, which is below the Iowa state average of 3.07.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.56 hours per resident per day, including 0.57 RN hours per resident per day, with staff turnover at 62.2% and a staffing star rating of 3.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 2 fines totaling $44,768.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
CMS displays its abuse warning icon for this facility; no Special Focus program status is listed in the data.
How large is this facility and how many residents live there?
It has 40 certified beds and an average daily population of 34.4 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit limited liability company and is part of the Legacy Healthcare chain, which has 89 facilities with an average rating of 2.9 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since June 1, 1998.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus three component ratings — health inspections, staffing, and quality measures — each rated 1 to 5 stars; this facility scores 2, 2, 3, and 2 respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service lines; contact the facility at 6413932134 and verify current offerings on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not include tour guidance; contact the facility at 6413932134 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current data at https://www.medicare.gov/care-compare/details/nursing-home/165386?state=IA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.