Home›Iowa›Howard County›Colonial Manor of Elma
C
Below Standard

Colonial Manor of Elma

407 9th Street · Elma, IA 50628

6413932134 · For profit - Limited Liability company

40 beds32.2 residents104 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Colonial Manor of Elma receives an overall staffing grade of C (Below Standard). With 3.6929 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4191 HPRD, below the recommended 0.75. It is 0.20 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.14% compared to weekdays. The facility relies heavily on temporary agency staff (22.46% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.4191 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️22.46% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
3.6929hrs/resident/day▼ 0.20
CMS benchmark: 3.48
RN HPRD
0.4191hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
14.14%
3.8467 weekday → 3.3026 weekend
Agency Staff
22.46%
11.91% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.0487hrs/resident/day
Direct care aides
LPN HPRD
0.7219hrs/resident/day
Licensed practical nurses
Consistency
0.3778std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Howard County Average-0.10 HPRD
3.79
03.69 HPRD
vs. Iowa State Average-0.12 HPRD
3.82
03.69 HPRD
vs. National Average-0.20 HPRD
3.90
03.69 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Colonial Manor of Elma ★
Elma · This facility
—
C
3.69290.4191★★★★☆
New Hampton Nursing & Rehab Center
New Hampton
14.8 mi
C
3.3671.1385★★★★☆
Accura Healthcare of New Hampton
New Hampton
14.8 mi
D
2.9960.6752★★☆☆☆
Chautauqua Guest Home #3
Charles City
17.3 mi
B
3.88760.7252★★★★★
Chautauqua Guest Home #2
Charles City
17.6 mi
A
4.23740.8534★★★★★
Osage Rehab and Health Care Center
Osage
18.7 mi
B
3.74330.7761★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
8
Total Deficiencies
$8,018
Fines Assessed
Aug 28, 2025Health
1 deficiency cited
▼
Feb 13, 2025Health
3 deficiencies cited
▼
Dec 5, 2024Health
1 deficiency cited· Includes actual harm
▼
May 2, 2024Health
3 deficiencies cited
▼

Penalty History

Dec 5, 2024Fine
$8,018
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.