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Colonial Manor Of Elma

Nursing Home Facility

407 9th Street, Elma, IA 50628

Nursing Home Care Senior Living
Colonial Manor Of Elma

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 80 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.

Medicare five-star ratings

  • Overall 2/5
  • Health inspections 2/5
  • Staffing 3/5
  • Quality measures 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

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

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