CCN 165386 · Howard County, Iowa
Colonial Manor of Elma
407 9th Street, Elma, IA 50628
Colonial Manor of Elma is a 40-bed for-profit nursing home in Elma, Iowa, first certified for Medicare or Medicaid in 1998. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 34.4 residents a day, about 86% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 40
- Average residents per day
- 34.4 (86.0% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Elma Ia Skilled Nursing Facility LLC
- Certified since
- Jun 1, 1998
- Chain or affiliated group
- Legacy Healthcare (95 facilities, chain average 2.9 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Iowa median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.56 | 3.69 | 3.68 |
| RN hours per resident per day | 0.57 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 3.14 | ||
| Nursing staff turnover | 62.2% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 86.0% | 83.6% | 85.7% |
| Fines reported by CMS | 2 totaling $31,906 | ||
| Health deficiencies, latest standard survey | 8 (Feb 19, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Colonial Manor of Elma does not meet it today: the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Legacy Healthcare Financial Services LLCOrganization | Operational / Managerial Control | n/a | 08/15/2024 |
| Andera, CaleeIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| Beasley, KarlaIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| Behounek, LinseyIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| Borcherding, JennyIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| Burken, SheriIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| Deford, ColinIndividual | Operational / Managerial Control | n/a | 06/01/2025 |
| Friedenberg, LauraIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| Hedberg, JenniferIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| Heying, LarinaIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| Houston, MindyIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| Jaeger, KrystleIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| Larson, MelissaIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
| McClure, DorothyIndividual | Operational / Managerial Control | n/a | 08/15/2024 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Aug 15, 2024 | Elma Ia Skilled Nursing Facility LLC | Colonial Manor of Elma Inc |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.