Colonial Manor of Elma
Nursing home in Elma, Iowa, CMS certification number 165386
407 9th Street, Elma, IA 50628 · Howard County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 40
- Certified for
- Medicare and Medicaid
- Last standard inspection
- February 19, 2026
- Deficiencies at that inspection
- 8
- Fines in 3 years
- $31,906 (2)
Does Colonial Manor of Elma take Medicare and Medicaid?
Yes to both. Colonial Manor of Elma is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 1 of 5 |
| Long-stay quality | 1 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours Colonial Manor of Elma reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.86
- Registered nurse hours
- 0.51
- Licensed practical nurse hours
- 0.65
- Nurse aide hours
- 2.69
- Weekend total hours
- 3.42
- Nursing staff turnover
- 60.9%
- Registered nurse turnover
- 66.7%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on February 19, 2026 and cited 8 deficiencies, plus 2 from complaint visits.
The visit before, on February 13, 2025, found 3.
CMS shows an abuse icon for Colonial Manor of Elma. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Colonial Manor of Elma 2 times in the past 3 years, for $31,906 in total.
Beds and residents
On an average day 31.4 residents live here, about 78% of its 40 certified beds.
- Certified beds
- 40
- Average residents per day
- 31.4
- Certified since
- June 1, 1998
- Resident or family council
- Resident
Who owns Colonial Manor of Elma
- Legal business name
- Elma Ia Skilled Nursing Facility LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 96 homes nationally under Legacy Healthcare, 3-star chain average
Other nursing homes near Colonial Manor of Elma
- Riceville Family Care and Therapy Center915 Woodland Avenue, Riceville 50466
- New Hampton Nursing & Rehab Center703 South Fourth Avenue, New Hampton 50659
- Accura Healthcare of New Hampton530 South Linn Avenue, New Hampton 50659
- Chautauqua Guest Home #3302 Ninth Street, Charles City 50616
- Chautauqua Guest Home #2602 Eleventh Street, Charles City 50616
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Colonial Manor of Elma, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Colonial Manor of Elma
What is the CMS star rating of Colonial Manor of Elma?
1 out of 5 stars overall.
Does Colonial Manor of Elma accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Colonial Manor of Elma?
8 cited at the last standard visit.
Who owns Colonial Manor of Elma?
Elma Ia Skilled Nursing Facility LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.