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Nursing homeFAID #4294

Afton Oaks Independent Assisted Living

407 9TH STREET, ELMA, IA, 50628
(641) 393-2134
40 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

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Bed capacity
40
CMS facility ID
165386
Care type
Nursing home
County
Howard
Facility name
Afton Oaks Independent Assisted Living
Legal entity
Colonial Manor of Elma
Street address
407 9TH STREET
City / state / ZIP
Elma, IA 50628
Phone
(641) 393-2134

About this facility — Afton Oaks Independent Assisted Living

Afton Oaks Independent Assisted Living is a Medicare/Medicaid-certified skilled nursing facility in Elma, Iowa. It is licensed for 40 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 4 senior care facilities in Elma and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Afton Oaks Independent Assisted Living 27 times across 11 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $44,768 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
Timothy Roberts
Parent company
Legacy Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Andera, Calee
Operational control · Additional disclosable party — since 2024
Beasley, Karla
Operational control — since 2024
Behounek, Linsey
Operational control — since 2024
Borcherding, Jenny
Operational control — since 2024
Burken, Sheri
Operational control — since 2024
Cascade Capital Holdings Llc
Additional disclosable party — since 2024
Cascade Capital Partners Llc
Additional disclosable party — since 2024
Ccg Gorgona Llc
Additional disclosable party — since 2024
Deford, Colin
Operational control · Additional disclosable party — since 2025
Friedenberg, Laura
Operational control — since 2024
Friedman, Brian
Trustee — since 2012
Gorgona Holdco Llc
Additional disclosable party — since 2024
Gorgona Propco Holdings Llc
Additional disclosable party — since 2024
Gorgona Sub Holdco Llc
Additional disclosable party — since 2024
Hedberg, Jennifer
Operational control — since 2024
Heying, Larina
Operational control — since 2024
Houston, Mindy
Operational control — since 2024
Jaeger, Krystle
Operational control — since 2024
Larson, Melissa
Operational control — since 2024
Legacy Healthcare Financial Services Llc
Operational control — since 2024
Mcclure, Dorothy
Operational control — since 2024
Mn8 Rh Holdco Llc
Additional disclosable party — since 2024
Myhre, Lacey
Operational control — since 2024
Otterbeck, Patricia
Operational control — since 2024
Rajchenbach, Avrum
Trustee — since 2008
Rajchenbach, Chaim
Operational control — since 2024
Rajchenbach, Rivka
Trustee — since 2008
Shabat, Ahuva
Trustee — since 2012
Shabat, Menachem
Officer · Operational control — since 2024
Shear, Kiley
Operational control — since 2024
Van Veghel, Elizabeth
Operational control — since 2024
Wierschem, Bobbie
Operational control — since 2024

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1998-06-01
CMS overall rating
2 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$44,768 total
Last standard inspection
2026-02-19
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$281 per day (≈ $8,540/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
41% Medicaid · 7% Medicare · 53% private/other
Occupancy
58% (fiscal year 2023)
Vs. state median
18% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
40
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-04-09Health inspectionComplaint-triggered1 citation
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-04-24
2026-02-19Health inspectionComplaint-triggered7 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2026-03-21
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-03-21
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-03-21
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-03-21
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-03-21
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-03-21
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-03-21
7 earlier / fire-safety inspections (19 citations)
2025-08-28Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-27
2025-02-13Health inspectionComplaint-triggered3 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-15
F-0637
B · No harm found
Assess the resident when there is a significant change in condition
Corrected 2025-03-15
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-03-15
2024-12-05Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-17
2024-05-02Health inspection3 citations
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-02
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-06-02
F-0801
E · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-06-02
2026-02-19Fire-safety inspection7 citations
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-03-06
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-02-23
K-0354
D · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2026-02-23
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2026-02-19
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2026-05-04
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-19
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-03-18
2025-02-13Fire-safety inspection2 citations
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-05
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-13
2024-05-02Fire-safety inspection2 citations
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-05-14
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-14

Federal penalties

2026-04-09Fine$36,750
2024-12-05Fine$8,018
Total fines$44,768
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165386.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 27 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Federal NPI Registry (NPPES)
NPI 1043212715
Monthly federal file
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered