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
Nursing home report
Colonial Manor of Elma
Elma, IA · Medicare-certified · 40 beds
Needs attention
For-profitChain member
4 of 5 overall
Colonial Manor of Elma has a 4 out of 5 star overall rating, with 4 stars for health inspections, 3 stars for staffing, and 2 stars for quality measures. Its reported nurse staffing is 3.69 hours per resident per day, below the 4.1-hour federal benchmark, and it had $8,018 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6893 hrs/resident/day
Quality measures
Last inspection: February 19, 2026Penalties, last 24 months: $8,018recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6893.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.65
- Nurse aides
- 2.52
- Weekend nursing
- 3.33
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 75%
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
—35%—
Residents with a fall causing major injury
6.9%3.2%Improving
Residents with pressure ulcers (bedsores)
9.8%9.1%Improving
Residents with a urinary tract infection
0%3.2%Worsening
Residents who lost too much weight
0%8.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.5%30.4%Worsening
Residents whose ability to walk got worse
—20.3%—
Long-stay residents on antianxiety or sleep medication
41.7%33.3%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%2.9%Worsening
Residents with new or worsening incontinence
29.6%26.9%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
100%93.5%Worsening
Short-stay residents given the pneumonia vaccine
76%72.7%Worsening
What the inspectors found
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 nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
- 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: 1 fine · $8,018 in total fines.
- $8,018
Federal fine
Dec 5, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 34.5 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.