Find a nursing home

Home / Iowa / Amana

Colonial Manor of Amana

3207 220th Trail, Amana, IA 52203 · Iowa County · (319) 622-3131

50 certified beds, about 43 residents a day · For profit - Corporation · Medicare and Medicaid since 1997

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165318 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 22, 2026, inspectors cited 4 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 7 health citations since October 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.43 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.93 of those hours.

34.8% of nursing staff left within the year CMS measured (Iowa average 44.0%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
2F
Potential for minimal harm
0A
0B
0C
July 22, 2026Standard inspection · 4 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 6, 2026
    Inspectors wroteBased on observation, interviews, facility documentation, and policy review the facility failed to store, prepare, and distribute food under sanitary conditions during 3 of 3 observations. The facility failed to ensure expired foods were discarded, maintain clean work spaces, and manage pest control. The facility reported a census of 43 residents.
  2. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 6, 2026
    Inspectors wroteBased on observation, staff interview, facility record review, and manufacturer instructions, the facility failed to properly maintain the commercial laundry equipment and ensure staff performed the required maintenance to prevent lint accumulation and fire hazards for 1 of 2 laundry dryers (Dryer 1) used for all the resident's laundry in the facility. The facility reported a census of 43 residents.
  3. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 6, 2026
    Inspectors wroteBased on clinical record review, observation, resident interview, staff interview, and facility policy review, the facility failed to keep call lights within reach for 2 of 3 residents reviewed for accommodation of needs (Residents #27, #20, and #7). The facility reported a census of 43 residents.
  4. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 6, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure staff submitted an updated Preadmission Screening and Resident Review (PASRR) when 1 of 1 resident reviewed experienced a change in mental health diagnosis and medication (Resident #8). The facility reported a census of 43 residents.
June 19, 2025Standard inspection · 0 citations
August 8, 2024Standard inspection · 0 citations
April 18, 2024Complaint inspection · 2 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to further assess and intervene after a change in mental status after a fall for 1 of 4 residents reviewed for assessment and intervention (Resident #2). The facility reported a census of 42 residents.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on observation, clinical record review, policy review, and staff and resident interviews, the facility failed to ensure staff utilized a gait belt in accordance with the care plan for 1 of 3 residents reviewed for transfers(Resident #1). The facility reported a census of 42 residents.
October 5, 2023Complaint inspection · 1 citation
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 17, 2023
    Inspectors wroteBased on clinical record review, observations, staff interviews and policy review the facility failed to provide complete perineal (groin and bottom) cares in a way to prevent contamination following an incontinent episode for 1 of 3 residents observed for incontinent cares (Resident #12). The facility reported a census of 37 residents. Finding Include: The Minimum Data Set (MDS) Assessment for Resident #12 completed on 9/07/23, included diagnoses of non-Alzheimer's Dementia, Diabetes Mellitus, and renal insufficiency/renal failure/end-stage renal disease. The Brief Interview for Mental Status (BIMS), revealed score of 2 out of 15 indicating severe cognitive impairment. The MDS identified the resident required total dependence with two or more staff assistance for toileting and extensive assistance of one staff for dressing and personal hygiene tasks. [...]

Fire safety inspections

7 fire safety citations on file: 2 on July 22, 2026, 2 on June 19, 2025, 3 on August 8, 2024.

Every fire safety citation7 citations
  1. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · July 22, 2026 · Corrected (the home has a date of correction)
  2. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · July 22, 2026 · Corrected (the home has a date of correction)
  3. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 19, 2025 · Corrected (the home has a date of correction)
  4. F
    Install corridor and hallway doors that block smoke.
    K 363 · June 19, 2025 · Corrected (the home has a date of correction)
  5. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · August 8, 2024 · Corrected (the home has a date of correction)
  6. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 8, 2024 · Corrected (the home has a date of correction)
  7. D
    Ensure proper usage of power strips and extension cords.
    K 920 · August 8, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)3.433.823.86
Registered nurses0.930.740.69
All nursing staff on weekends2.863.373.42
Nurse aides2.31
Licensed practical nurses0.19
Nursing staff turnover (share who left in a year)34.8%44.0%45.8%
Registered nurse turnover16.7%42.1%42.9%
Administrators who left0

CMS expects 3.34 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.66 on weekdays and 2.86 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.43 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.430.933.662.86 5.3%0 of 9043
Oct to Dec 20253.440.963.662.88 6.7%0 of 9243
Jul to Sep 20253.540.803.782.94 6.2%0 of 9242
Apr to Jun 20253.440.753.712.78 7.2%0 of 9143
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Iowa, Jan to Mar 20263.800.713.983.364.7%0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIowaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.117.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.51.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.32.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.33.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.32.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.716.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.24.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.719.415.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.22.11.8

Owners and operators

Legal business name: COLONIAL MANOR OF AMANA INC.

NameRoleTypeShareSince
Ballard, Kimberly5% or greater direct ownership interestIndividual01/01/2025
Buch, Angela5% or greater direct ownership interestIndividual44%06/22/2011
Buch, Rodney5% or greater direct ownership interestIndividual44%06/22/2011
Two Rivers Bank & Trust5% or greater mortgage interestOrganization03/30/2017
Houston, MindyCorporate directorIndividual10/01/2024
Scholz, DustinCorporate directorIndividual10/01/2024
Buch, AngelaCorporate officerIndividual01/02/2015
Buch, RodneyCorporate officerIndividual01/02/2015
Curphey, RichardCorporate officerIndividual10/01/2024
Gulledge, TravisCorporate officerIndividual10/01/2024
Tjaden, JasonCorporate officerIndividual10/01/2024
Tjaden, JordanCorporate officerIndividual10/01/2024
Wilkes, JamesCorporate officerIndividual10/16/2020
Carlson, CoryOperational/managerial controlIndividual01/09/2023
Dose, RonaldOperational/managerial controlIndividual01/01/2012
Glass, DeannaOperational/managerial controlIndividual12/18/2022
Glass, JosephOperational/managerial controlIndividual04/20/2015
Morrison, StardustOperational/managerial controlIndividual05/04/2022
Powell, TanyaOperational/managerial controlIndividual07/01/2016
Vanetten, MichaelOperational/managerial controlIndividual04/11/2000
Bcg Holdings IncAdp of the SNFOrganization10/01/2024
Blue Stone Therapy IncAdp of the SNFOrganization11/22/2022
Brighton Consulting Group LLCAdp of the SNFOrganization10/01/2024
Cattail Bcg LLCAdp of the SNFOrganization10/01/2024
Cattail IncAdp of the SNFOrganization10/01/2024
Dahm, Knapp & Associates PCAdp of the SNFOrganization10/01/2011
Ecsi IncAdp of the SNFOrganization10/01/2024
Iowa Health Care AssociationAdp of the SNFOrganization10/01/2024
Pm Acquisition LLCAdp of the SNFOrganization03/31/2022
Rt 2.0 LLCAdp of the SNFOrganization01/01/2020
Dose, RonaldAdp of the SNFIndividual11/14/2025
Powell, TanyaAdp of the SNFIndividual11/14/2025
Vasey Larson, CharleneAdp of the SNFIndividual01/01/2024
Wilkes, JamesAdp of the SNFIndividual10/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 18, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on July 22, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on July 22, 2026: "Keep all essential equipment working safely."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on July 22, 2026: "Reasonably accommodate the needs and preferences of each resident."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.86 hours per resident per day, below the Iowa average of 3.37.

Other nursing homes nearby

Iowa contacts for a concern about a nursing home

These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.

Common questions

What is Colonial Manor of Amana's Medicare star rating?
CMS rates Colonial Manor of Amana 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Colonial Manor of Amana get at its last inspection?
4 health deficiencies at the standard inspection on July 22, 2026. The Iowa average is 6.5.
Has Colonial Manor of Amana been fined?
CMS lists no fines in the last three years.
Does Colonial Manor of Amana accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Colonial Manor of Amana?
CMS lists 34 owners and managers. Legal business name: COLONIAL MANOR OF AMANA INC.

Sources

Find a nursing home Read an inspection