Colonial Manor Of Elma
Nursing Home Facility
407 9th Street, Elma, IA 50628
Colonial Manor Of Elma is a senior care community located in Elma, IA. It provides nursing home care and senior living for older adults in the Elma area. To learn more or schedule a tour, call (641) 393-2134.
Operated by Legacy Healthcare, which runs 81 communities in our directory.
Colonial Manor Of Elma is licensed for 40 beds, about typical for the area, where senior care communities in Howard County average about 41 beds.
Federal reporting puts occupancy at about 86% of its licensed beds. That is above the Howard County average of roughly 75%.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Howard County average about 3.2 stars. Its most recent standard health inspection was in February 2026 and recorded 9 deficiencies.
Residents receive about 3.6 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 62%, which is high and can affect continuity of care.
The community is located in Howard County, IA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 16 problems at Colonial Manor Of Elma. 2 findings involved harm to a resident. 6 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $44,768.
Findings from the most recent inspection cycle
-
Caused harm to a resident, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from the wrongful use of the resident's belongings or money.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
-
Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
Show 1 more
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Colonial Manor Of Elma offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 40
- Occupancy 86%
- Nursing hours per resident/day 3.6
- Annual staff turnover 62%
- Last health inspection February 2026
Resident & family reviews
No one has shared a review of Colonial Manor Of Elma yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.