Nursing homeActive
Colonial Manor of Elma
407 9th Street, Elma, IA 50628641393213440 certified beds · 34 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2024
Deficiencies
16
● 1● 13● 2
Penalties · 3 yrs
$44,768
2 fines
Last survey
2026-04-09
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-09 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2026-02-19 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2025-08-28 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-02-13 | Standard | 120 | CMS-2567 (Care Compare) | — |
| 2024-12-05 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-05-02 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-04-24Record 165386-20260409-F600
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-21Record 165386-20260219-F602
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-21Record 165386-20260219-F605
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-21Record 165386-20260219-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-21Record 165386-20260219-F644
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-21Record 165386-20260219-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-21Record 165386-20260219-F692
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-21Record 165386-20260219-F880
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-27Record 165386-20250828-F656
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-15Record 165386-20250213-F550
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-15Record 165386-20250213-F880
F637Assess the resident when there is a significant change in conditionScope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-03-15Record 165386-20250213-F637
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-17Record 165386-20241205-F689
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-02Record 165386-20240502-F658
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-02Record 165386-20240502-F688
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-02Record 165386-20240502-F801
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-04-09 | Civil money penalty | $36,750 | CMS · Penalties |
| 2024-12-05 | Civil money penalty | $8,018 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.57
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.56
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.14
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover62%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover86%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.1% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.4% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 30.8% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.7% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 21.8% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.7% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 31.8% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| 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 | — | — |
| Andera, Calee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cascade Capital Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cascade Capital Partners LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ccg Gorgona LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Deford, Colin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Friedman, Brian Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Propco Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Sub Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mn8 Rh Holdco LLC Organization | ADP 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 | — | — |
| Shabat, Menachem Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Legacy Healthcare — 89 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Howard.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Riceville Family Care and Therapy Center Riceville | 9.5 mi | 2026-03-19 | 050 |
| Accura Healthcare of New Hampton New Hampton | 14.9 mi | 2025-12-05 | 1160 |
| New Hampton Nursing & Rehab Center New Hampton | 14.8 mi | 2025-07-09 | 041 |
| Chautauqua Guest Home #3 Charles City | 17.4 mi | 2025-07-03 | 150 |
| Chautauqua Guest Home #2 Charles City | 17.6 mi | 2025-09-18 | 011 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |