The nursing home failed to protect residents from abuse and neglect by others. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Colonial Manor of Elma
Elma, IA · Medicare-certified · 40 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall
Colonial Manor of Elma has a 2 out of 5 star overall rating, with 2-star health inspections and quality measures and 3-star staffing. It reports 3.56 nurse hours per resident per day versus the 4.1 federal benchmark, has $44,768 in fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.5581 hrs/resident/day
Quality measures
Last inspection: April 9, 2026Penalties, last 24 months: $44,768recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5581.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.53
- Nurse aides
- 2.46
- Weekend nursing
- 3.14
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 86%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—30.8%—
Residents with a fall causing major injury
7.7%3.4%Improving
Residents with pressure ulcers (bedsores)
4.8%7.1%Worsening
Residents with a urinary tract infection
0%3.4%Worsening
Residents who lost too much weight
4.8%4.5%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.3%22.7%Worsening
Residents whose ability to walk got worse
—28.6%—
Long-stay residents on antianxiety or sleep medication
38.1%22.7%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
34.7%34.2%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
96.2%100%Improving
Short-stay residents given the pneumonia vaccine
76%91.7%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: E
The home failed to protect residents from the wrongful use of their belongings or money. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: D
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
Recent history
- PENALTY
A federal fine of $36,750 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,018 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $44,768 in total fines.
- $36,750
Federal fine
Apr 9, 2026
- $8,018
Federal fine
Dec 5, 2024
Operator & ownership
Recent ownership change · Aug 15, 2024
Now operated by Elma Ia Skilled Nursing Facility LLC, previously Colonial Manor of Elma INC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 3 stars avg
- Occupancy
- 34.4 residents on an average day (86% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.