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Colonial Manor of Elma

407 9th Street
Elma, IA 50628 · 6413932134 · Howard County
⚠ Abuse citation on record. This facility has been cited for abuse or neglect in the CMS data — see the citation list below.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds40
OwnershipFor profit - Limited Liability company
State rank#299

By the numbers

16
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
2
Actual-harm (G/H/I)
$44,768
Federal fines (CMPs)
The trend: Citations are rising — 9 in the most recent cycle versus 3 two cycles ago.

Recent Health Citations

Apr 9, 2026 · Health survey · F-tag 0600
G — Actual harm
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.
Details
Correction status: Corrected Apr 24, 2026 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Feb 19, 2026 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 19, 2026 · Health survey · F-tag 0692
D — No actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Feb 19, 2026 · Health survey · F-tag 0690
D — No actual harm
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.
Feb 19, 2026 · Health survey · F-tag 0644
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Feb 19, 2026 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Feb 19, 2026 · Health survey · F-tag 0605
D — No actual harm
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.
Feb 19, 2026 · Health survey · F-tag 0602
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Aug 28, 2025 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Feb 13, 2025 · Health survey · F-tag 0637
B — Cited
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Feb 13, 2025 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 13, 2025 · Health survey · F-tag 0550
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Dec 5, 2024 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Oct 17, 2024 — Past Non-Compliance
Inspection cycle: 2
Survey origin: Complaint investigation
May 2, 2024 · Health survey · F-tag 0688
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
May 2, 2024 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
May 2, 2024 · Health survey · F-tag 0801
E — No actual harm
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Showing the 16 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Iowa →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.