Riceville Family Care and Therapy Center, Riceville
915 Woodland Avenue, Riceville, IA 50466 · 9.5 mi
5 of 5 CMS overall · Much above average
- Inspections4/5
- Staffing4/5
- Quality5/5
- 34 beds
- Government-owned
Nursing Home in Elma, IA · CMS Data August 2026
Colonial Manor of Elma
How Does Colonial Manor of Elma Rate?
Colonial Manor of Elma is a 40-bed for-profit nursing home in Elma, IA. CMS rates it 2 out of 5 stars overall (August 2026), with 2 for health inspections, 3 for staffing and 2 for quality measures. Residents got an average of 3.6 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on February 19, 2026, cited 9 health deficiencies.
- CMS overall rating
- 2 of 5
- Nursing per resident per day
- 3.6 hours
- Deficiencies at last inspection
- 9
- Certified beds
- 40
407 9th Street
Elma, IA 50628
2 of 5 CMS overall · Below average
From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.
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CMS Star Ratings
| Rating | Stars | CMS label |
|---|---|---|
| Overall rating | 2 of 5 | Below average |
| Health inspections | 2 of 5 | Below average |
| Staffing | 3 of 5 | Average |
| Quality measures | 2 of 5 | Below average |
| Quality for long-stay residents | 1 of 5 | Much below average |
| Quality for short-stay residents | 3 of 5 | Average |
CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.
Staffing and Turnover
| Measure | This home | National median |
|---|---|---|
| Total nursing hours per resident per day | 3.6 hours | 3.7 hours |
| Registered nurse hours per resident per day | 0.6 hours | 0.6 hours |
| Nurse aide hours per resident per day | 2.5 hours | 2.2 hours |
| Total nursing hours per resident on weekends | 3.1 hours | 3.3 hours |
| Nursing staff turnover (past year) | 62% | 45% |
| Registered nurse turnover (past year) | 86% | 42% |
Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.
Inspections and Penalties
| Last standard health inspection | February 19, 2026 |
|---|---|
| Health deficiencies cited at that inspection | 9 |
| Deficiencies from complaint inspections (same rating cycle) | 3 |
| Fines in the past 3 years | 2 totaling $44,768 |
| Payment denials in the past 3 years | 0 |
The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.
Quality Measures for Long-Stay Residents
The share of residents in long-term care (101 days or more) at Colonial Manor of Elma who, according to CMS's resident assessments (2025Q2 to 2026Q1):
| Residents who | This home | National median | Compared |
|---|---|---|---|
| Received an antipsychotic medication | 31% | 13% | Higher than the national median |
| Received an antianxiety or hypnotic medication | 32% | 18% | Higher than the national median |
| Had a fall with major injury | 5.4% | 2.8% | Higher than the national median |
| Have pressure ulcers | 7.1% | 4.2% | Higher than the national median |
| Lost too much weight | 5.7% | 4.7% | Higher than the national median |
| Were physically restrained | 0.0% | 0.0% | At the national median |
| Have depressive symptoms | 0.0% | 3.6% | Lower than the national median |
| Needed more help with daily activities over time | 22% | 13% | Higher than the national median |
Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.
About the Home
| Certified beds | 40 |
|---|---|
| Average residents per day | 34 |
| Ownership | For profit - Limited Liability company |
| Legal business name | ELMA IA SKILLED NURSING FACILITY LLC |
| Chain or affiliated group | LEGACY HEALTHCARE (89 homes) |
| Certified for | Medicare and Medicaid |
| First certified | June 1998 |
| Councils | Resident council |
Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Iowa's Office of the State Long-Term Care Ombudsman (866-236-1430) can answer questions about residents' rights. See all nursing homes and senior care in Iowa.
Other Nursing Homes Near Colonial Manor of Elma
Measured by straight-line distance. See every home on the Elma nursing homes page.
New Hampton Nursing &Amp; Rehab Center, New Hampton
703 South Fourth Avenue, New Hampton, IA 50659 · 15 mi
4 of 5 CMS overall · Above average
- Inspections4/5
- Staffing4/5
- Quality2/5
- 46 beds
- For-profit
Accura Healthcare of New Hampton, New Hampton
530 South Linn Avenue, New Hampton, IA 50659 · 15 mi
4 of 5 CMS overall · Above average
- Inspections3/5
- Staffing5/5
- Quality4/5
- 52 beds
- For-profit
Chautauqua Guest Home #3, Charles City
302 Ninth Street, Charles City, IA 50616 · 17 mi
5 of 5 CMS overall · Much above average
- Inspections5/5
- Staffing5/5
- Quality4/5
- 57 beds
- For-profit
Chautauqua Guest Home #2, Charles City
602 Eleventh Street, Charles City, IA 50616 · 18 mi
5 of 5 CMS overall · Much above average
- Inspections4/5
- Staffing5/5
- Quality4/5
- 53 beds
- For-profit
Faith Lutheran Home, Osage
914 Davidson Drive, Osage, IA 50461 · 18 mi
4 of 5 CMS overall · Above average
- Inspections4/5
- Staffing4/5
- Quality4/5
- 50 beds
- Nonprofit
- Continuing care community