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Colonial Manor of Elma

407 9th Street, Elma, IA 50628

2 out of 5 in Medicare’s overall rating

Summary

Colonial Manor of Elma is a nursing home in Elma, Iowa, in Howard County. According to Medicare (CMS), it has 40 certified beds and it cares for an average of 34 residents a day. It has been certified by Medicare and Medicaid since 1998. It is a privately owned, for-profit home. It belongs to Legacy Healthcare, an organization with 95 nursing homes. The closest hospital with an emergency room is Mercy Medical Center-New Hampton, about 14 miles away in a straight line.

What it offers

Resident council
Yes, residents have an organized council
Residents counted on a certification survey date
36 (10 on Medicaid and 9 on Medicare), on February 13, 2025

Public data from CMS — Long-Term Care Facility Characteristics (Form 671), 2nd quarter of 2026, CMS — Nursing Homes: Provider Information, September 30, 2026. Confirm the details when you call.

Medicare ratings

Medicare (CMS) rates certified nursing homes from 1 to 5 stars. Colonial Manor of Elma has 2 out of 5 in the overall rating.

Overall
2/5
Health inspections
2/5
Staffing
3/5
Quality measures
2/5
Long-stay residents
1/5
Short-stay residents (rehab)
3/5

Star ratings are a useful reference, not a final verdict: it’s best to visit, meet the staff and ask your questions. Source: CMS, September 1, 2026.

Key facts

Certified beds40
Residents per day (average)34
Nursing hours per resident per day3.6
Ownership
For-profit (limited liability company)Part of Legacy Healthcare (95 nursing homes)
Certification
Medicare and Medicaid
Resident or family council
Resident council
Certified since
June 1, 1998
CMS certification number (CCN)
165386

What certification means. A certified nursing home meets the federal requirements of the Centers for Medicare & Medicaid Services (CMS) to receive payments from Medicare, as a skilled nursing facility, or from Medicaid, as a nursing facility. Federal rules require it to have enough nursing staff 24 hours a day, and the state agency inspects it without advance notice. Medicare covers only short stays for skilled care (nursing or therapy), usually after an inpatient hospital stay of at least 3 days, for up to 100 days per benefit period. For long stays, ask whether your family member qualifies for Medicaid.

Source: CMS — Nursing Homes (certification); 42 CFR §483.35 (text via LII/Cornell); Medicare.gov — Skilled nursing facility care.

Services and features

Colonial Manor of Elma hasn’t shared information about its services, prices, languages or availability yet. When you call, ask who they serve, what the rate includes, whether any staff speak Spanish and whether they have an opening now. Use our checklist.

Questions to ask when you call

Marisol’s tip: a ten-minute call clears up a lot. Keep these questions handy and write down the answers so you can compare with other places.

  1. Do you have a bed available now, and for what kind of stay: rehab after the hospital or long-term care?
  2. Do you accept Medicaid from admission, or only after a period of private pay? Do you take my relative’s Medicare plan?
  3. Is there staff who speaks Spanish on every shift, including nights?
  4. What therapies do you offer (physical, occupational, speech), and how many days a week?
  5. How do you keep the family informed, and when is the care plan meeting?
  6. What are the visiting hours, and can several family members visit at once?

Visit checklist · Compare up to three places

Location and what’s nearby

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Address
407 9th Street, Elma, IA 50628Howard County
Closest hospital with an emergency room
Mercy Medical Center-New Hampton308 North Maple Avenue, New Hampton · 14 miles in a straight line · source: CMS Hospital General Information

Ask which hospital they send residents to and who goes with them.

Medicare inspections

Like every certified nursing home, Colonial Manor of Elma gets regular inspections that the state carries out on Medicare’s behalf. We show you the public summary so you have the full picture. Each place can tell you how it works and what improvements it has made: it’s a good conversation to have during your visit.

Last standard inspection
February 19, 2026 · 8 deficiencies cited
Fines (last 3 years)
2 · $31,906
Resident protection
Medicare shows its abuse icon for this home, which means it was cited for abuse or neglect in recent inspections. Ask the staff how those issues were addressed.

See the full reports on Medicare Care Compare. Source: CMS, September 1, 2026. Do you run this nursing home? Add your information so families can learn about your work.

Who to call in Iowa

Long-Term Care Ombudsman
Iowa Office of the State Long-Term Care Ombudsman. A free, confidential service that advises residents and families of nursing homes and assisted living and helps resolve concerns with the facility.(866) 236-1430 · Official website
Free Medicare counseling (SHIP)
Senior Health Insurance Information Program (SHIIP) – Iowa Insurance Division. They explain what Medicare covers and how to compare plans, without selling insurance.(800) 351-4664 · Official website
Medicaid
Iowa Department of Health and Human Services (Iowa HHS). Long-term care programs: HCBS Elderly Waiver.(800) 338-8366 · Official website
Licensing and inspections
Iowa Department of Inspections, Appeals, and Licensing (DIAL) – Health Facilities Division.Look up a license
Services for older adults
Iowa HHS – Area Agencies on Aging and ADRC network (Iowa Compass).(800) 779-2001 · Official website
Eldercare Locator (nationwide)
A free national line that connects you with your local Area Agency on Aging.(800) 677-1116 · Official website

Contact information checked against official sources on October 15, 2026. These are free public services; hogaresparamayores.com is not affiliated with them.

Official data and sources

See a mistake? Let us know and we’ll fix it. Being listed in an official registry doesn’t mean hogaresparamayores.com knows or recommends the place.

Frequently asked questions

Does Colonial Manor of Elma accept Medicaid?
It is certified by Medicaid, according to CMS. That doesn’t guarantee an open Medicaid bed: ask when you call (641) 393-2134.
Where is Colonial Manor of Elma located?
At 407 9th Street, Elma, IA 50628 (Howard County).
What is Colonial Manor of Elma’s Medicare rating?
2 out of 5 stars in CMS’s overall rating, 2 for health inspections and 3 for staffing.
What hospital is near Colonial Manor of Elma?
The closest hospital with emergency services, according to CMS, is Mercy Medical Center-New Hampton, 14 miles away in a straight line.
How much does Colonial Manor of Elma cost?
The facility hasn’t shared its prices with us. Cost depends on the type of room and the care needed. See typical costs.

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