Colonial Manor of Elma

407 9th Street, Elma, IA 50628 · CCN 165386 · 40 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing3 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-04-09 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-12-05 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

2.90

state median 3.10

Weekend staffing gap

−8%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.32

registered nurses only

Contract (agency) staff

31%

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

62%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $44,768 in fines.

Date	Type	Amount
2026-04-09	Fine	$36,750
2024-12-05	Fine	$8,018

Ownership

Ownership type: For profit - Limited Liability company. Part of the LEGACY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

GROVE OF FOX VALLEY,THE (AURORA, IL) — CMS overall4 of 5
Nexus at Berwyn (BERWYN, IL) — CMS overall1 of 5
BELLA TERRA MORTON GROVE (MORTON GROVE, IL) — CMS overall2 of 5
LAKEFRONT NURSING & REHAB CTR (CHICAGO, IL) — CMS overall4 of 5
GLENVIEW TERRACE (GLENVIEW, IL) — CMS overall3 of 5
GROVE OF LAGRANGE PARK, THE (LA GRANGE PARK, IL) — CMS overall3 of 5
WARREN BARR GOLD COAST (CHICAGO, IL) — CMS overall4 of 5
GROVE OF ELMHURST, THE (ELMHURST, IL) — CMS overall2 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 2 · Potential for more than minimal harm: 13

Survey date	Tag	Category	Severity	Corrected
2026-04-09	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2026-02-19	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-02-19	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-02-19	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-19	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-19	F0690	Quality of Life and Care Deficiencies	D	not recorded
2026-02-19	F0692	Quality of Life and Care Deficiencies	D	not recorded
2026-02-19	F0880	Infection Control Deficiencies	D	not recorded
2025-08-28	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-13	F0550	Resident Rights Deficiencies	D	not recorded
2025-02-13	F0637	Resident Assessment and Care Planning Deficiencies	B	not recorded
2025-02-13	F0880	Infection Control Deficiencies	D	not recorded
2024-12-05	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-05-02	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-05-02	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-05-02	F0801	Nutrition and Dietary Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Colonial Manor of Elma, Elma” at medicare.gov/care-compare.