Colonial Manor of Elma
Nursing Home · Elma, IA
CMS certification number165386
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
407 9th StreetElma, IA 50628
Howard County
- Phone
- (641) 393-2134
- ZIP code
- 50628 – all care providers
Facility details
- Certified beds
- 40
- Residents per day
- 34.4 (86% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Elma Ia Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare (89 facilities, avg 2.9★)
- Medicare certified since
- June 1, 1998
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.56 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.57 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.53 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.46 (state 2.51 · U.S. 2.32)
- Weekend total
- 3.14 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 62.2 (state 44.0 · U.S. 45.8)%
- RN turnover
- 85.7 (state 42.1 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- February 19, 2026
- Health deficiencies (last cycle)
- 9.0 (state 6.5 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 16 health · 11 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-04-24 |
| 2026-02-19 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-21 |
| 2026-02-19 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-21 |
| 2026-02-19 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-21 |
| 2026-02-19 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-21 |
| 2026-02-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-21 |
| 2026-02-19 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-21 |
| 2026-02-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-21 |
| 2025-08-28 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-02-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-15 |
| 2025-02-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-15 |
| 2025-02-13 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2025-03-15 |
| 2024-12-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-10-17 |
| 2024-05-02 | 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. F0801 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-02 |
| 2024-05-02 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-02 |
| 2024-05-02 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-02 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $44,768 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-04-09 | Fine | $36,750 |
| 2024-12-05 | Fine | $8,018 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Andera, Calee (individual) | Administrator · NOT APPLICABLE | |
| Cascade Capital Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Cascade Capital Partners LLC (organization) | Administrator · NOT APPLICABLE | |
| CCG Gorgona LLC (organization) | Administrator · NOT APPLICABLE | |
| Deford, Colin (individual) | Administrator · NOT APPLICABLE | |
| Gorgona Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| Gorgona Propco Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Gorgona Sub Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| MN8 RH Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Corporate Officer · NOT APPLICABLE | |
| Andera, Calee (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Beasley, Karla (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Behounek, Linsey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Borcherding, Jenny (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Burken, Sheri (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Deford, Colin (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Friedenberg, Laura (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hedberg, Jennifer (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Heying, Larina (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Houston, Mindy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Jaeger, Krystle (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Larson, Melissa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Legacy Healthcare Financial Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| McClure, Dorothy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Myhre, Lacey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Otterbeck, Patricia (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shear, Kiley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Van Veghel, Elizabeth (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wierschem, Bobbie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Friedman, Brian (individual) | Trustee Of The Snf · NOT APPLICABLE | |
| Rajchenbach, Avrum (individual) | Trustee Of The Snf · NOT APPLICABLE | |
| Rajchenbach, Rivka (individual) | Trustee Of The Snf · NOT APPLICABLE | |
| Shabat, Ahuva (individual) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of Colonial Manor of Elma?
Colonial Manor of Elma has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Colonial Manor of Elma have?
It has 40 certified beds and cares for about 34 residents per day.
Has Colonial Manor of Elma been fined?
Yes. CMS lists 2 penalties totaling $44,768 in the last three years.
Who owns Colonial Manor of Elma?
It is part of Legacy Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Colonial Manor of Elma?
(641) 393-2134. The facility is located at 407 9th Street, Elma, IA 50628.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.