Maple Crest Manor — nursing home in Fayette, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 46 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 36.7 CMS, MDS-derived
CMS Certification Number: 165437
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 2001
Ownership type: For profit - Corporation
Operator (legal business name): Colonial Manors of Fayette, Inc
CMS chain: Not part of a CMS-reported chain
Phone: (563) 425-3336
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jul 9, 2026

Citations

11

9 health · 2 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D7	E2	F2
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165437
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 46
First approved: Apr 1, 2001
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 9, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jul 9, 2026	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →
May 22, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 22, 2025	Health	Health Standard	2	Potential harm	—	Open →
Aug 1, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Aug 1, 2024	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D7	E2	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 9, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 31, 2026	Complaint
Jul 9, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 9, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2026
Jul 9, 2026	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 15, 2026
Jul 9, 2026	F-0810	Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 15, 2026
Jul 9, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 15, 2026
Jul 9, 2026	F-0849	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jul 10, 2026
May 22, 2025	E-0013	Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 29, 2025
May 22, 2025	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jun 4, 2025
May 22, 2025	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 10, 2025
May 22, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 10, 2025

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.91

State avg 3.86US avg 3.90

Registered nurse (RN)0.61

State avg 0.74US avg 0.69

Licensed practical nurse0.63

State avg 0.56US avg 0.86

Nurse aide2.68

State avg 2.56US avg 2.35

Weekend total nurse3.22

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.97 (case-mix index 1.38).

Staff turnover

Total nursing staff turnover41.9%

State avg 44.1%US avg 45.3%

Registered nurse turnover33.3%

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jul 9, 2026
Cycle 1 health score: 36
Total weighted score: 29

Operating entity

Colonial Manors of Fayette, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

30

Organizations

10

Individuals

19

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Lauritz Larson	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	8%	Apr 1, 1976
Aspen Farms LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Apr 1, 1976
William Kauten Revocable Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	May 23, 2014
Patricia Humeston	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Apr 1, 1976
Dennis Martin	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Apr 1, 1976
Susan Martin	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Aug 16, 2019
Mary Jean Martin Estate	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2022
Arnetta M Pattison Living Trust	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	May 5, 2022
Edgar Traeger	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Nov 2, 2020
Mary Jean Martin Estate	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2022

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Lauritz Larson	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	8%	Apr 1, 1976
Aspen Farms LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Apr 1, 1976
William Kauten Revocable Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	May 23, 2014
Patricia Humeston	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Apr 1, 1976
Dennis Martin	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Apr 1, 1976
Susan Martin	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Aug 16, 2019
Mary Jean Martin Estate	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2022
Arnetta M Pattison Living Trust	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	May 5, 2022
Edgar Traeger	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Nov 2, 2020
Mary Jean Martin Estate	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2022
Brett Ingersoll	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 10, 2025
Mordechai Lederman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2024
Janan Brown	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 6, 2023
Jeffrey Ingles	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 4, 2024
Lauritz Larson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 1976
Kathleen Lynch-Martin	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 17, 2025
Dennis Martin	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 17, 2012
Chad Ingels	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2018
Dennis Martin	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 1976
Kyle Pattison	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 6, 2023
Karla Sprague	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 24, 2022
Edgar Traeger	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 5, 2022
Bcg Holdings Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Brighton Consulting Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Cattail Bcg LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Cattail Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Ecsi Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Iowa Health Care Association	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Brett Ingersoll	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 21, 2026
Mordechai Lederman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2024

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 100 Bolger Drive, Fayette, IA 52142
ZIP: 52142
County: Fayette County FIPS 19065
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Good Samaritan - West Union 201 Hall Street, West Union, IA 52175 CCN 165187	14.5 km	52		May 20, 2026	32	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165437	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165437	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165437

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction