Colonial Manor of Elma
407 9th Street, Elma, IA 50628


Colonial Manor of Elma is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 165386. The address is 407 9th Street, Elma, IA 50628. The zip code is 50628. The phone number is 6413932134.


Colonial Manor of Elma · 407 9th Street, Elma, IA 50628

Federal Provider Number 165386
Provider Name COLONIAL MANOR OF ELMA
Address 407 9TH STREET
ELMA, IA 50628
Phone Number 6413932134
SSA County Code 440
County Name Howard
Ownership Type For profit - Corporation
Certified Beds 57
Certified Beds Residents 34
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name COLONIAL MANOR OF ELMA, INC.
Date First Approved to Provide Medicare Medicaid Services 06/01/1998
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.07794
Reported LPN Staffing Hours per Resident per Day 0.69559
Reported RN Staffing Hours per Resident per Day 0.94706
Reported Licensed Staffing Hours per Resident per Day 1.64265
Reported Total Nurse Staffing Hours per Resident per Day 3.72059
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01324
Expected CNA Staffing Hours per Resident per Day 2.03761
Expected LPN Staffing Hours per Resident per Day 0.54857
Expected RN Staffing Hours per Resident per Day 0.77591
Expected Total Nurse Staffing Hours per Resident per Day 3.36208
Adjusted CNA Staffing Hours per Resident per Day 2.50226
Adjusted LPN Staffing Hours per Resident per Day 1.05245
Adjusted RN Staffing Hours per Resident per Day 0.91202
Adjusted Total Nurse Staffing Hours per Resident per Day 4.46072
Cycle 1 Standard Survey Health Date 11/03/2016
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 11/12/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Standard Health Survey Date 10/02/2014
Total Weighted Health Survey Score 1.333
Number of Facility Reported Incidents 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Colonial Manor of Elma

Owner Name Role Association Date
ABCM CORPORATION (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/01/1997
ALLBEE, RICHARD (Individual) DIRECTOR since 08/07/1997
ALLBEE, TODD (Individual) DIRECTOR since 08/07/1997
ALLBEE, TODD (Individual) MANAGING EMPLOYEE since 06/01/1996
KLOSTERMANN, KRYSTAL (Individual) MANAGING EMPLOYEE since 04/15/2013
MAYNER, ALEXA (Individual) MANAGING EMPLOYEE since 01/01/1987
MAYNER, ALEXA (Individual) OFFICER since 08/07/1997
MEYER-ALLBEE, KATHY (Individual) DIRECTOR since 08/07/1997
MEYER-ALLBEE, KATHY (Individual) MANAGING EMPLOYEE since 06/05/1991
ROBERTS, TIMOTHY (Individual) MANAGING EMPLOYEE since 11/01/1988
ROBERTS, TIMOTHY (Individual) OFFICER since 08/07/1997

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