IowaColumbus Junction

Colonial Manors of Columbus Community

814 Springer Avenue, Columbus Junction, IA 52738 · Louisa County · 39 certified beds · avg 31 residents/day · certified since Apr 1, 2003

4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.84
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Jul 24, 2025D · Potential for harm, one-offThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jul 24, 2025D · Potential for harm, one-offThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Aug 15, 2024E · Potential for harm, repeatedThe facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Aug 15, 2024E · Potential for harm, repeatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 15, 2024D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 15, 2024D · Potential for harm, one-offThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Aug 15, 2024D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 15, 2024D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 15, 2024D · Potential for harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 15, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 15, 2024D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 15, 2024C · Minimal risk, facility-wideThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Oct 12, 2023E · Potential for harm, repeatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 12, 2023D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Oct 12, 2023D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 12, 2023D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 12, 2023D · Potential for harm, one-offThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Oct 12, 2023D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 12, 2023D · Potential for harm, one-offThe facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Oct 12, 2023D · Potential for harm, one-offThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 2).

YearCitationsSerious (G–L)Worst severity that year
202380E
2024100E
202520D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.844.373.95top 24% in Iowa; top 16% in the U.S.
Registered Nurse hours0.520.850.69bottom 14% in Iowa; bottom 41% in the U.S.
Weekend total nurse staffing4.453.863.50top 18% in Iowa; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)0.310.510.48bottom 19% in Iowa; bottom 34% in the U.S.
Total nursing staff turnover (%)21.244.045.8top 3% in Iowa; top 4% in the U.S.
RN turnover (%)50.042.142.9bottom 41% in Iowa; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.46, RN 0.37, weekend 3.18. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Bohling, DianneIndividualCorporate DirectorNOT APPLICABLE09/18/2014
Brighton Consulting Group LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2024
Buser, LamoyneIndividualCorporate DirectorNOT APPLICABLE10/01/2023
Cutler Hand, Sarah KIndividualOperational/Managerial ControlNOT APPLICABLE11/12/2007
Cutler Hand, Sarah KIndividualADP of the SNFNOT APPLICABLE10/23/2025
Digital Stew Services INCOrganizationADP of the SNFNOT APPLICABLE01/01/2023
Healthcare of Iowa INCOrganizationADP of the SNFNOT APPLICABLE10/31/2017
Houston, JosephIndividualCorporate OfficerNOT APPLICABLE10/04/2022
Huston, Thomas MIndividualCorporate OfficerNOT APPLICABLE11/18/2020
Keltner, KaseyIndividualCorporate DirectorNOT APPLICABLE02/22/2017
Keltner, KaseyIndividualCorporate OfficerNOT APPLICABLE10/01/2018
Kristina GeorgeOrganizationADP of the SNFNOT APPLICABLE04/14/2025
McFarland, Christine aIndividualCorporate DirectorNOT APPLICABLE10/01/2005
McFarland, ElyssaIndividualCorporate DirectorNOT APPLICABLE10/04/2022
Millennium Rehab & Consulting INCOrganizationADP of the SNFNOT APPLICABLE10/31/2017
Nacos, GeorgeIndividualOperational/Managerial ControlNOT APPLICABLE11/12/2007
Nacos, GeorgeIndividualADP of the SNFNOT APPLICABLE10/23/2025
Sents, Steven aIndividualCorporate OfficerNOT APPLICABLE10/01/2005
Skubal, AmandaIndividualOperational/Managerial ControlNOT APPLICABLE01/10/2019
Skubal, BrianaIndividualOperational/Managerial ControlNOT APPLICABLE03/03/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Sunrise Terrace Nursing & Rehabilitation Center10.7 miWinfield, IA★★★★★4/5
Lone Tree Health Care Center INC14.8 miLone Tree, IA★★★★★4/5
United Presbyterian Home16.1 miWashington, IA★★★★★4/5
Halcyon House16.7 miWashington, IA★★★★☆2/5
Wapello Specialty Care16.8 miWapello, IA★★★★★3/5
Lutheran Living Senior Campus17.4 miMuscatine, IA★☆☆☆☆1/5
Parkview Home17.6 miWayland, IA★★★★★5/5
Accura Healthcare of Muscatine19.2 miMuscatine, IA★★☆☆☆3/5

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Facility data as of CMS processing date 2026-08-01. CCN 165476.