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Nursing homes › Iowa › Colonial Manor of Elma

Colonial Manor of Elma

407 9th Street, Elma, IA 50628 · (641) 393-2134 · 40 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★☆☆☆ 2/5
Staffing★★★☆☆ 3/5
Quality measures★★☆☆☆ 2/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

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Same-type reference in IA

CMS overall star rating: this provider 2/5; median among 385 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Colonial Manor of Elma

  • The snapshot includes a CMS abuse citation icon. Ask which inspection it relates to, what corrective action followed, and whether CMS has updated the designation.
  • The published staff-turnover figure is 62.2%. Ask which reporting period it covers and how the current staffing team compares.
  • Ask who is responsible for care decisions locally and at LEGACY HEALTHCARE. A shared affiliation does not establish identical care at every location.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 2.9/5, 12 abuse citation icons, 4 facilities on the Special Focus list, $3,742,782 in federal fines. This facility rates below its group average (2.9/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.56 (Iowa median: 3.68). RN hours: 0.57. Weekend total: 3.14. Nursing staff turnover: 62%.

Inspection deficiencies

In the downloaded CMS dataset: 16 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-09Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2026-04-24
2026-02-19Protect each resident from the wrongful use of the resident's belongings or money. Dcomplaintcorrected 2026-03-21
2026-02-19Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. DHealthcorrected 2026-03-21
2026-02-19Ensure each resident receives an accurate assessment. DHealthcorrected 2026-03-21
2026-02-19Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. DHealthcorrected 2026-03-21
2026-02-19Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2026-03-21
2026-02-19Provide enough food/fluids to maintain a resident's health. DHealthcorrected 2026-03-21
2026-02-19Provide and implement an infection prevention and control program. DHealthcorrected 2026-03-21
2025-08-28Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2025-09-27
2025-02-13Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2025-03-15
2025-02-13Provide and implement an infection prevention and control program. Dcomplaintcorrected 2025-03-15
2025-02-13Assess the resident when there is a significant change in condition BHealthcorrected 2025-03-15
2024-12-05Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2024-10-17
2024-05-02Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. EHealthcorrected 2024-06-02
2024-05-02Ensure services provided by the nursing facility meet professional standards of quality. DHealthcorrected 2024-06-02
2024-05-02Provide 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. DHealthcorrected 2024-06-02

Federal penalties

DateTypeAmount
2026-04-09Fine$36,750
2024-12-05Fine$8,018

Ownership & control records (CMS filings)

NameRoleType%Since
SHABAT, MENACHEMCorporate OfficerIndividualNOT APPLICABLEsince 08/15/2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 08/15/2024
ANDERA, CALEEOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
BEASLEY, KARLAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
BEHOUNEK, LINSEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
BORCHERDING, JENNYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
BURKEN, SHERIOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
DEFORD, COLINOperational/Managerial ControlIndividualNOT APPLICABLEsince 06/01/2025
FRIEDENBERG, LAURAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
HEDBERG, JENNIFEROperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
HEYING, LARINAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
HOUSTON, MINDYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
JAEGER, KRYSTLEOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
LARSON, MELISSAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
MCCLURE, DOROTHYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
MYHRE, LACEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
OTTERBECK, PATRICIAOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
RAJCHENBACH, CHAIMOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
SHABAT, MENACHEMOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
SHEAR, KILEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
VAN VEGHEL, ELIZABETHOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024
WIERSCHEM, BOBBIEOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/15/2024

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How to cite this page: CareRecords, “Colonial Manor of Elma — compliance, penalty and ownership record” (CCN 165386), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/colonial-manor-of-elma-elma-ia/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165386. Corrections: data@carerecords.org.