Average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Colonial Manor Of Amana during CMS and state inspections, most recent first.
Surveyors found expired food items left in storage, food debris and sticky residue throughout the kitchen, dead bugs and fly activity in food areas, and missed cleaning tasks on the kitchen cleaning schedule. Staff reported the need for reminders to complete cleaning, acknowledged worsening fly activity, and confirmed the facility did not have a kitchen cleaning policy.
Laundry dryer maintenance was not properly performed for 1 of 2 dryers used for all resident laundry. Staff observed heavy lint and insulation buildup on and inside Dryer 1, including a basketball-sized pile of lint and dangling insulation, while the Laundry Supervisor said the unit had long-standing issues and staff had no formal cleaning log or policy. The Maintenance Director was unaware of the problem, and the dryer manual required daily lint screen cleaning and removal of lint from multiple compartments to prevent lint buildup creating a fire hazard.
Call lights were not kept within reach for two residents reviewed for accommodation of needs. One resident with moderately impaired cognition and self-care deficits had her call light placed out of reach and said she often had to call out or rely on her roommate for help, while another resident with dementia and a history of falls was observed with the call light in the middle of the bed and unable to reach it. Staff stated residents should have call lights next to them, and the Administrator said the facility did not have a call light policy.
A resident with anxiety and depression later developed a psychotic disorder and was placed on additional psychotropic medications, including an antipsychotic. Staff acknowledged the PASRR was not updated after the diagnosis and medication change, despite facility responsibility for monitoring mental health changes and reporting PASRR-related updates.
A resident with multiple diagnoses experienced a fall and subsequent mental status changes, but the facility failed to notify the physician or further assess the resident, leading to a deterioration in condition and eventual death. The facility did not follow its policy requiring physician notification for behavior changes.
A resident with heart failure, arthritis, and Alzheimer's disease experienced multiple falls due to staff not using a gait belt as required by the care plan. Despite the care plan's directive, a staff member attempted to assist the resident without a gait belt, resulting in a fall. The DON confirmed that staff should use a gait belt for transfers.
Unsanitary kitchen storage and food preparation conditions
Penalty
Summary
The facility failed to store, prepare, and distribute food under sanitary conditions during 3 of 3 observations. During a kitchen observation, surveyors found reduced calorie cream cheese icing and reduced calorie butter vanilla icing expired on 5/5/26, along with 6 containers of bread crumbs expired on 6/2/26. Onion skins and white food debris were on the floor of the walk-in cooler, under the pie filling storage shelf, and in the dry storage area. A dead cricket and two dead flies were behind a bug trap next to the storage shelf, and flies landed on a cart, a spatula used to make an omelet, the hood above the omelet station, the coffee machine, and food preparation surfaces. The floor felt sticky with food debris throughout the kitchen, and a yellow powdery substance was noted near the coffee machine with tracked debris extending toward the cooktop and service window. Additional food debris, including a tater tot and a cube of cheese, was found under counter drawers and under the counter with the toaster. On later observations, the expired items remained in storage, and the dry storage and walk-in cooler floors still contained food debris, onion skins, dead bugs, webs, and debris pushed against baseboards under counters and sinks. The convection oven contained food debris where the bottom met the side, and a yellow-brown sticky substance remained on the door and base of the oven. The July 2026 cleaning schedule documented missed weekly cleaning tasks for the walk-in fridge and freezer, dessert cart, cart, grill and stove top, toaster, floor behind the dish room, walls behind the dish room garbage, and metal table under the toaster. Staff stated they needed to follow the cleaning schedule, that expired food should be thrown out when seen, and that fly activity had become much worse over the past two weeks. The Certified Dietary Manager stated staff needed many reminders, that mopping should occur every shift, and that the facility did not have a kitchen cleaning policy.
Laundry Dryer Not Properly Maintained
Penalty
Summary
The facility failed to properly maintain the commercial laundry equipment and ensure required maintenance was performed to prevent lint accumulation and fire hazards for 1 of 2 laundry dryers used for all resident laundry. During observation, staff found dark grey insulation material mixed with lint on the side of Dryer 1, and a basketball-sized pile of lint and insulation material was removed from the unit. Staff also observed particles falling off the insulation into the compartment below the dryer where the lint trap sits, and later observed dangling insulation on the right-hand side of the dryer measuring approximately one foot long and over one inch thick. The Laundry Supervisor stated the dryer had 12 years of use, was the worst unit, and that all laundry staff and maintenance knew about the issue, but no proof of prior contact with a servicing company was available. The Maintenance Director stated he was unaware of the current equipment issue and that laundry staff had not informed him. Staff reported cleaning the lint trap every two loads, cleaning better at the end of the night, cleaning the side once a day, and vacuuming underneath the lint trap once a month, but the facility did not have a cleaning log or formal cleaning policy. The operator's manual instructed daily lint screen cleaning and removal of lint accumulation from the lint screen compartment, front control compartment, exhaust system, and areas above, below, and around the burners to prevent lint buildup creating a fire hazard.
Call Lights Not Kept Within Reach
Penalty
Summary
The facility failed to keep call lights within reach for 2 of 3 residents reviewed for accommodation of needs. Resident #27 had a quarterly MDS showing a BIMS score of 8, indicating moderately impaired cognition, and required limited physical assistance from one person for toileting, dressing, and personal hygiene. Her care plan identified a self-care deficit and instructed staff to assist her with toileting and ADLs, noting that she calls for help to use the bathroom. During observation, Resident #27 was sitting in her room with the call light placed under her pillow and out of reach, and she stated she had to holler for help or ask her roommate to signal staff when she could not reach it herself. Resident #20, who had a BIMS score of 14, stated she helped her roommate get staff when the roommate's call light was not in reach and said this happened at least once a week. Resident #7 had a BIMS score of 6, dementia, and a history of falling, with a care plan addressing potential for trauma and falls related to orthostatic hypotension, vertigo, and prior falls. Staff were observed and interviewed regarding call light placement, with a CNA stating everyone should have their call light next to them in their room and the DON stating no resident should go without a call light and that staff should ensure it is in reach. The Administrator stated the facility did not have a call light policy.
Failure to Update PASRR After Mental Health Diagnosis and Medication Change
Penalty
Summary
The facility failed to ensure staff submitted an updated Preadmission Screening and Resident Review (PASRR) when one resident experienced a change in mental health diagnosis and medication. The resident’s prior PASRR listed anxiety and depression, and the resident was receiving fluoxetine and trazodone at that time. Later records showed the resident had diagnoses of anxiety disorder, depression, and psychotic disorder, and the medication regimen included fluoxetine, mirtazapine, and quetiapine for psychosis. Care plan documentation identified concerns related to psychotropic medication use and ineffective coping related to delusions. The Administrator stated the social worker was responsible for completing the PASRR when a resident’s mental health diagnoses changed. The Social Worker stated they received psychiatric nurse practitioner session notes and informed the MDS coordinator when diagnosis or medication changes occurred, but after reviewing the resident’s records confirmed the resident had been diagnosed with psychosis and started quetiapine without a PASRR being completed for that change. The PASRR Provider Manual stated facility staff were to contact PASRR to report changes whenever a nursing facility resident with mental illness experienced changes that could affect placement or service decisions.
Failure to Assess and Intervene After Mental Status Change
Penalty
Summary
The facility failed to further assess and intervene after a change in mental status following a fall for one resident. The resident, who had diagnoses including high blood pressure, stroke, respiratory failure, insomnia, and cognitive communication deficit, was initially found on the floor with multiple injuries. Despite conducting neurological assessments with normal results, the resident exhibited a change in mental status, becoming disoriented and later showing signs of severe distress, including frothing at the mouth and apneic spells. The facility did not document any provider notification or further assessment after the initial mental status change was noted. The facility's policy required staff to notify the physician when a behavior change occurred, but this was not followed. The Director of Nursing confirmed that staff should have notified the physician of the resident's mental status change. The resident's condition deteriorated, leading to an emergency hospital transfer where the resident eventually passed away. The lack of timely intervention and communication with the physician contributed to the deficiency identified in the report.
Failure to Use Gait Belt During Transfer
Penalty
Summary
The facility failed to ensure staff utilized a gait belt in accordance with the care plan for a resident who required assistance with transfers. The resident, who had diagnoses including heart failure, arthritis, and Alzheimer's disease, experienced multiple falls. The resident's care plan indicated the need for a gait belt during transfers, but staff did not consistently follow this directive. On one occasion, a staff member attempted to assist the resident from the toilet without a gait belt, resulting in the resident falling to the floor. The staff member admitted to not having a gait belt at the time of the incident. The resident's clinical records and staff interviews revealed that the resident had a history of falls while attempting to reach for items. Despite the care plan's requirement for a gait belt, staff failed to use it during a critical transfer, leading to the resident's fall. The Director of Nursing confirmed that staff should use a gait belt for transfers and should locate one if not immediately available. This failure to adhere to the care plan and facility policy resulted in the resident's fall and potential injury.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Amana
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rose Haven Nursing Home | 7.8 mi | ★★★★★ | 11 | 0 |
| Highland Ridge Care Center, Llc | 10.9 mi | ★★★★★ | 4 | 0 |
| The Gardens Of Cedar Rapids | 12.5 mi | ★★★★★ | 3 | 0 |
| Heritage Specialty Care | 14.6 mi | ★★★★★ | 14 | 0 |
| West Ridge Care Center | 15.6 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.