Colonial Manor of Elma
407 9th Street, Elma, IA 50628
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
CMS Abuse/Neglect Flag
This facility has been flagged by CMS for abuse or neglect concerns. Please research carefully and contact the facility for current information.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Colonial Manor of Elma, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
Check your inbox!
Your facility vetting guide is on its way.
No spam. Unsubscribe anytime.
Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Colonial Manor of Elma Compares
Colonial Manor of Elma is a 40-bed for-profit nursing facility in Elma, Iowa. It holds an overall CMS rating of 2 out of 5 stars, below the Iowa average of 3.1 stars. Its lowest sub-rating is health inspections at 2 stars. Its rate of short-stay residents returning to the hospital (36.8%) is above the Iowa average of 20.8% — a measure worth asking the staff about. With 40 certified beds, it maintains moderate occupancy at roughly 86% occupied.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 30.8% — worse than the Iowa average of 19.5% (58% higher).
- Falls with major injury: 5.4% — worse than the Iowa average of 3.8% (40% higher).
- High-risk pressure ulcers: 7.1% — worse than the Iowa average of 4.2% (71% higher).
- Short-stay rehospitalization: 36.8% — worse than the Iowa average of 20.8% (77% higher).
CMS has flagged this facility with an abuse icon, indicating a recent citation involving abuse, neglect, or misappropriation of resident property. This is an important point to raise directly during any tour or call.
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Iowa averages across 387 facilities tracked by ElderVoice.
Questions to Ask Colonial Manor of Elma
Use these facility-specific questions when calling admissions, touring the building, or comparing Colonial Manor of Elma with other nursing homes in Elma.
What incident led to the CMS abuse icon for Colonial Manor of Elma, and what changed afterward?
Ask for the citation date, plan of correction, staff retraining steps, and how leadership monitors for repeat issues.
How is Colonial Manor of Elma addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Colonial Manor of Elma doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 30.8% here versus 19.5% across Iowa. Lower is generally better for this CMS measure.
What is Colonial Manor of Elma doing to reduce falls with major injury?
Falls with major injury is 5.4% here versus 3.8% across Iowa. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Colonial Manor of Elma?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Colonial Manor of Elma?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Elma
Elma sits in Howard County, where adults 65 and older make up about 20.4% of the population — a higher share of seniors than Iowa as a whole (17.1% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 1,874 (20.4%)
- Median age
- 40.9 years
- Median household income
- $56,709
- Median home value
- $105,800
Demographics for Howard County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Elma.
Facility Details
Give Them a Daily Friend
Our AI companion calls your loved one daily for friendly conversation and wellness check-ins. We detect mood changes and alert you if something seems off.
- AI calls them daily
- Friendly conversation
- Alerts if something's wrong
Works on any phone. No app needed.