Colonial Manor of Elma
407 9th Street · Elma, IA · 50628 · 6413932134
40 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results are getting worse cycle over cycle, not better.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.33 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 1 · $8,018 |
Inspection citations (16 in the current record)
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Actual harm · G April 9, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 21, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2026
Ensure each resident receives an accurate assessment.
Corrected March 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 21, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 21, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026
Provide and implement an infection prevention and control program.
Corrected March 21, 2026 · Infection Control
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Potential for harm · D February 19, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 21, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 15, 2025 · Resident Rights
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Potential for harm · D February 13, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 15, 2025 · Infection Control
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No harm found · B February 13, 2025
Assess the resident when there is a significant change in condition
Corrected March 15, 2025 · Resident Assessment and Care Planning
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Actual harm · G December 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 17, 2024 · Quality of Life and Care
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Potential for harm · D May 2, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2024
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.
Corrected June 2, 2024 · Quality of Life and Care
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Potential for harm · E May 2, 2024
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.
Corrected June 2, 2024 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 5, 2024 | Fine | $8,018 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165386 · certified since June 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.