Colonial Manor of Elma: Staffing, Turnover, and Inspection Record
Colonial Manor of Elma is a 40-bed for-profit nursing home in Elma, Iowa, part of Legacy Healthcare. In the CMS August 2026 release it reported 2.46 nurse aide hours per resident per day, about the same as the Iowa average of 2.51, and 62.2% nursing staff turnover (Iowa average 44.0%).
Colonial Manor of Elma
407 9th StreetElma, IA 50628
Howard County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Colonial Manor of Elma, nurse aides logged 2.46 hours per resident per day, about the same as the Iowa average. With about 34 residents a day, that works out to roughly 85 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.46 | 2.51 | 2.32 |
| Licensed practical nurses | 0.53 | 0.56 | 0.86 |
| Registered nurses | 0.57 | 0.74 | 0.69 |
| All nursing staff | 3.56 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.14 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
62.2% of nursing staff at Colonial Manor of Elma left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 85.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 19, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Iowa average 6.5). CMS lists 2 fines totaling $44,768 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 9, 2026 | Fine | $36,750 |
| Dec 5, 2024 | Fine | $8,018 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Colonial Manor of Elma holds 2 of 5 overall; the Iowa average is 3.1.
About Colonial Manor of Elma
- Ownership: For profit - Limited Liability company
- Chain: Legacy Healthcare, 89 homes
- Legal name: Elma Ia Skilled Nursing Facility LLC
- Medicare and Medicaid certified since: Jun 1, 1998
- Councils: resident council
- Area: rural
Nursing homes near Colonial Manor of Elma
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Riceville Family Care and Therapy Center Riceville | 9.5 | 34 | 2.22 | 3.48 | 25.9% | 5 | None |
| New Hampton Nursing & Rehab Center New Hampton | 14.8 | 46 | 2.01 | 3.32 | 27.6% | 4 | None |
| Accura Healthcare of New Hampton New Hampton | 14.9 | 52 | 3.75 | 6.02 | 21.4% | 4 | None |
| Chautauqua Guest Home #3 Charles City | 17.4 | 57 | 2.89 | 3.98 | 23.8% | 5 | None |
| Chautauqua Guest Home #2 Charles City | 17.6 | 53 | 2.70 | 4.02 | 41.3% | 5 | None |
| Faith Lutheran Home Osage | 18.4 | 50 | 2.48 | 4.06 | 56.1% | 4 | None |
| Osage Rehab and Health Care Center Osage | 18.7 | 46 | 1.68 | 3.06 | 56.3% | 1 | $14,433 |
| Evans Senior Living Community Cresco | 19.3 | 43 | 2.17 | 3.66 | 28.9% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.