Colonial Manor Of Elma
407 9Th Street, Elma, IA, 50628
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Legacy Healthcare
- Certified beds
- 40 · avg 35 residents/day
- Total nursing staff turnover
- 62.8% — higher than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 75% — higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,018 total
Medicare certification
- CMS Certification Number
- 165386
- Certified beds
- 40 beds · avg 35 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Elma Ia Skilled Nursing Facility Llc
- Chain affiliation
- Legacy Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Legacy Healthcare chain — 89 facilities across 3 states. Chain-wide average overall rating 2.9 / 5.
Parent entity
Iowa Portfolio Opco Holdings Llc
Disclosed owners (36 on record)
- Colin Deford
Operational/managerial Control · since 2025
- Bobbie Wierschem
Operational/managerial Control · since 2024
- Calee Andera
Operational/managerial Control · since 2024
- Cascade Capital Holdings LlcHolding
Adp of The Snf · since 2024
- Cascade Capital Partners LlcHolding
Adp of The Snf · since 2024
- Ccg Gorgona LlcHolding
Adp of The Snf · since 2024
+ 30 additional owners on the federal record.
Recent change of ownership
August 2024 (1 year ago) · acquired from Colonial Manor of Elma
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 16)
- G0600·Apr 9, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0602·Feb 19, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0880·Feb 19, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0692·Feb 19, 2026
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- D0690·Feb 19, 2026
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0644·Feb 19, 2026
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0641·Feb 19, 2026
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0605·Feb 19, 2026
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Federal penalties
By year
- 20241 fine · $8,018
Most recent events
- Dec 5, 2024Fine · $8,018
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Feb 19, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Colonial Manor Of Elmainto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.