Colonial Manor Of Elma
Colonial Manor of Elma in Elma, IA — inspection on August 28, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the Witness Statement for Staff A License Practical Nurse (LPN) dated 4/30/25 at 11:45 AM documented on 4/25/25 she watched Resident #3 stand up impulsively from the wheelchair and immediately fall over.
The statement lacked if the chair alarm was in place.
During an interview on 8/26/25 at 3:12 PM with Staff C, Staffing Coordinator and Activities Director revealed she helped with Resident #3 fall on 4/25/25 and did not recall seeing the chair alarm in his wheelchair.
During an interview on 8/26/25 and 4:14 PM with Staff D, Social Services Designee revealed she did not recall a wheelchair in alarm in place during Resident #3 fall on 4/25/25.
During an interview on 8/28/25 at 12:59 PM with the Director of Nursing (DON) revealed if he had a chair alarm on his Care Plan that should of been in place at the time of the fall.
She revealed she was not the Director of Nursing at the facility when the fall occurred.
During an interview on 8/28/25 at 2:44 PM the Administrator revealed she would of expected the chair alarm to be used when Resident #3 fell, however it would of not of changed the outcome because it was an observed fall.
Review of the facilities policy and procedure for Alarms, Voice Activated Devices, Monitoring Devices, last revised 4/25/25 instructed: The use of any type of alarming device, including audio devices (such as personal alarms, monitors and voice activated chair commands), used to alert staff of a change in position, will be assessed for appropriateness and continued effectiveness. (Alarming devices do not generally prevent a resident from falling but may alter staff of position changes with residents who have diminished cognition related to self-safety.)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
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