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Colonial Manor of Elma

407 9th Street, Elma, Iowa 50628

Overview

Colonial Manor of Elma has a Medicare overall rating of 1 out of 5, below the Iowa average of 3.1. It is the only Medicare-rated nursing home in Elma. It scores best on staffing (4 of 5) and lowest on quality of care (1 of 5).

Residents receive about 3.9 hours of nursing care per day, more than at 57% of nursing homes in Iowa (the state average is 3.9 hours). Of that, 0.5 hours come from registered nurses.

Its most recent standard inspection, on February 19, 2026, found 8 health deficiencies, more than the Iowa average of 6.5. 2 of them came from complaint investigations. Medicare records 2 fines totaling $31,906 in the past three years.

Colonial Manor of Elma is a for-profit facility with 40 certified beds, caring for about 31 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1998.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

Within 100 miles190th of 194 facilities

Top 98%

In Iowa375th of 385 facilities

Top 98%

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Inspections and penalties

Most recent standard inspection
February 19, 2026
Health deficiencies cited
8
Complaint-related deficiencies
2
Fines in the last 3 years
2 totaling $31,906
Payment denials
0
Total penalties
2

Staffing

Average hours of care each resident receives per day.

  • All nursing staff3.86 hrs
  • Registered nurses (RN)0.51 hrs
  • Licensed practical nurses (LPN)0.65 hrs
  • Nurse aides2.69 hrs
  • Physical therapists0.01 hrs

Facility details

Ownership
For profit - Limited Liability company
Certified beds
40
Average residents per day
31
Participates in
Medicare and Medicaid
Medicare/Medicaid since
June 1, 1998
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes