Nursing homes in Howard County, Iowa
There are 2 certified nursing homes in Howard County, Iowa, with 83 beds between them.
50% of them are rated 1 or 2 stars overall, a larger share than the state (38%). Inspectors recorded 17 health deficiencies over three cycles, 20.5 per 100 beds against 31.7 statewide.
Fines in the period covered total $45K across 2 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Howard County | Iowa | US |
|---|---|---|---|
| Facilities | 2 | 387 | 14690 |
| Rated 1–2 stars overall | 50% | 38% | 41% |
| Median overall rating | 5 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 20.5 | 31.7 | 26.8 |
| Median nurse hours per resident day | 3.7 | 3.7 | 3.7 |
| Fines listed | $45K | $7.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Evans Senior Living Community | Cresco | 43 | 5 | 5 | 5 | 1 | 2.3 | — | 15 Jun 2023 |
| Colonial Manor of Elmaabuse icon | Elma | 40 | 2 | 2 | 3 | 16 | 40.0 | $45K | 9 Apr 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 2 |
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | 2 |
| F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 1 |
| F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | 1 |
| F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | 1 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 1 |
| Non profit | 1 |
Chains present: Legacy Healthcare (1), Edgewood Convalescent Home (1).
Questions and answers
How many nursing homes are in Howard County, Iowa?
2 Medicare-certified nursing homes with 83 certified beds.
Which nursing homes in Howard County have the highest CMS ratings?
Evans Senior Living Community (5 stars), Colonial Manor of Elma (2 stars)
How do Howard County nursing homes compare with Iowa?
50% are rated 1–2 stars overall against 38% statewide; citations run at 20.5 per 100 beds against 31.7 statewide.