Nursing home

Colonial Manor of Elma

407 9th Street, Elma, IA, 50628

CMS ownership records associate this facility with Legacy Healthcare · For profit - Limited Liability company.

CMS overall rating
CMS overall rating: 4 out of 54of 5

At a glance

CMS reports a 4-star overall rating for Colonial Manor of Elma, with 9 inspection citations on record (1 higher severity). Federal records include $8,018 in the current dataset.
CMS overall
4
of 5
Health inspection
4
of 5
Staffing
3
of 5
Quality measures
2
of 5
Certified beds
40
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall4 of 5
Health inspection4 of 5
Staffing3 of 5
Quality measures2 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 4
15
Howard Co. avg 3.33Iowa avg 3.13This facility
This facility: 4 of 5. Howard Co. avg: 3.33. Iowa avg: 3.13.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

9
Citations on record
1
Higher severity (G–L)
5
From complaints
0
Infection control
Citations by inspection year
42024
42025
12026
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

1 record · $8,018 total · Dec 5, 2024
  1. Dec 5, 2024$8,018

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

No payment-denial records are included in this data for this facility.

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)31.34%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)7.82%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)6.25%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Shabat, MenachemCORPORATE OFFICER
Legacy Healthcare Financial Services LLCOPERATIONAL/MANAGERIAL CONTROL
Andera, CaleeOPERATIONAL/MANAGERIAL CONTROL
Beasley, KarlaOPERATIONAL/MANAGERIAL CONTROL
Behounek, LinseyOPERATIONAL/MANAGERIAL CONTROL
Borcherding, JennyOPERATIONAL/MANAGERIAL CONTROL
Burken, SheriOPERATIONAL/MANAGERIAL CONTROL
Deford, ColinOPERATIONAL/MANAGERIAL CONTROL
Friedenberg, LauraOPERATIONAL/MANAGERIAL CONTROL
Hedberg, JenniferOPERATIONAL/MANAGERIAL CONTROL
Heying, LarinaOPERATIONAL/MANAGERIAL CONTROL
Houston, MindyOPERATIONAL/MANAGERIAL CONTROL
Jaeger, KrystleOPERATIONAL/MANAGERIAL CONTROL
Larson, MelissaOPERATIONAL/MANAGERIAL CONTROL
Mcclure, DorothyOPERATIONAL/MANAGERIAL CONTROL
Myhre, LaceyOPERATIONAL/MANAGERIAL CONTROL
Otterbeck, PatriciaOPERATIONAL/MANAGERIAL CONTROL
Rajchenbach, ChaimOPERATIONAL/MANAGERIAL CONTROL
Shabat, MenachemOPERATIONAL/MANAGERIAL CONTROL
Shear, KileyOPERATIONAL/MANAGERIAL CONTROL
Van Veghel, ElizabethOPERATIONAL/MANAGERIAL CONTROL
Wierschem, BobbieOPERATIONAL/MANAGERIAL CONTROL
Friedman, BrianTRUSTEE OF THE SNF
Rajchenbach, AvrumTRUSTEE OF THE SNF
Rajchenbach, RivkaTRUSTEE OF THE SNF
Shabat, AhuvaTRUSTEE OF THE SNF
Cascade Capital Holdings LLCADP OF THE SNF
Cascade Capital Partners LLCADP OF THE SNF
Ccg Gorgona LLCADP OF THE SNF
Gorgona Holdco LLCADP OF THE SNF
Gorgona Propco Holdings LLCADP OF THE SNF
Gorgona Sub Holdco LLCADP OF THE SNF
Mn8 Rh Holdco LLCADP OF THE SNF
Andera, CaleeADP OF THE SNF
Deford, ColinADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Howard County.

407 9th Street, Elma
Howard County · IA · 50628
40 certified beds43.2428, -92.4460

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Iowa Jewish Senior Life Center
CCN 165006
Des Moines, IA444Not shown$44,814
Harmony Cedar Rapids
CCN 165017
Cedar Rapids, IA112Not shown$61,400
Chautauqua Guest Home #2
CCN 165019
Charles City, IA545Not shown$0
Oaknoll Retirement Residence
CCN 165030
Iowa City, IA555Not shown$0
Harmony Davenport
CCN 165033
Davenport, IA223Not shown$30,186
Harmony Waterloo
CCN 165034
Waterloo, IA113Shown$146,830

Related research

Frequently asked questions

What is Colonial Manor of Elma's CMS rating?

Colonial Manor of Elma has a 4-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 4 for health inspections, 3 for staffing, and 2 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Colonial Manor of Elma located?

Colonial Manor of Elma is located at 407 9th Street, Elma, IA, 50628 in Howard County, and CMS lists 40 certified beds.

Does Colonial Manor of Elma have federal penalties or payment denials on record?

The CMS data includes $8,018 in federal fine amounts and 0 payment-denial records for Colonial Manor of Elma over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Colonial Manor of Elma's rating compare to nearby facilities?

Colonial Manor of Elma's CMS overall rating is 4 of 5. For comparison, the average CMS overall rating is 3.33 across 3 facilities in Howard County, and 3.13 across Iowa. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Colonial Manor of Elma's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Colonial Manor of Elma's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
165386
Ownership type
For profit - Limited Liability company
Certified beds
40
Data snapshot
2026-07-17
All 9 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Feb 19, 20260602DComplaintDeficient, Provider has date of correctionMar 21, 2026
Aug 28, 20250656DComplaintDeficient, Provider has date of correctionSep 27, 2025
Feb 13, 20250637BStandardDeficient, Provider has date of correctionMar 15, 2025
Feb 13, 20250550DComplaintDeficient, Provider has date of correctionMar 15, 2025
Feb 13, 20250880DComplaintDeficient, Provider has date of correctionMar 15, 2025
Dec 5, 20240689GComplaintPast Non-ComplianceOct 17, 2024
May 2, 20240658DStandardDeficient, Provider has date of correctionJun 2, 2024
May 2, 20240688DStandardDeficient, Provider has date of correctionJun 2, 2024
May 2, 20240801EStandardDeficient, Provider has date of correctionJun 2, 2024

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.