nursing home in Harlan, IA
Elm Crest Retirement Community
2104 12th Street, Harlan, IA 51537 · (712) 755-5174
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Elm Crest Retirement Community at a glance
Elm Crest Retirement Community is a 50-bed non-profit nursing home in Harlan, Iowa (Shelby County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 4 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (January 14, 2026) found 5 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $14,380.
Nursing staff turnover is 71.7% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Other
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- American Baptist Homes of the Midwest
- Medicare-certified since
- October 1, 1997
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Shelby County
- CMS Certification Number
- 165372
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.99 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.74 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.69 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.45 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 71.7% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 53 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,380 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 65 | 107 | |
| Average residents per day | 46 | 52 | 86 | |
| Occupancy | 91.6% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.9% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.7% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13.4% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 32.8% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 32.3% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.6% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.2% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 8.4% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 29.6% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 90% | 95.3% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.4% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 81.1% | 73.3% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.6% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 19 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 10, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Past Non-Compliance |
| January 14, 2026 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected January 28, 2026 |
| January 14, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected January 22, 2026 |
| January 14, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 26, 2026 |
| January 14, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected January 14, 2026 |
| January 14, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected February 12, 2026 |
| January 14, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 12, 2026 |
| January 14, 2026 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | E Potential harm, pattern | Corrected February 12, 2026 |
| November 13, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 6, 2026 |
| November 14, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected November 14, 2024 |
| November 14, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 20, 2024 |
| November 14, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected December 14, 2024 |
| November 14, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected November 14, 2024 |
| November 14, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected December 3, 2024 |
| November 14, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 3, 2024 |
| November 14, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 3, 2024 |
| November 14, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 3, 2024 |
| November 14, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected December 3, 2024 |
| November 14, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 3, 2024 |
| November 14, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected December 3, 2024 |
| November 14, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 3, 2024 |
| July 21, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected August 21, 2024 |
| July 21, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 21, 2024 |
| October 5, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 11, 2023 |
| October 5, 2023 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | D Potential harm, isolated | Corrected October 11, 2023 |
| October 5, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 3, 2023 |
| October 5, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 3, 2023 |
| October 5, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 5, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 3, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $14,380 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 10, 2026 | Fine | $14,380 |
| November 14, 2024 | Payment Denial | 8 days from December 6, 2024 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AMERICAN BAPTIST HOMES OF THE MIDWEST Organization | 5% or greater direct ownership interest | 100% | 03/03/1967 |
| ALLEN, RYAN Individual | corporate director | NOT APPLICABLE | 05/01/2012 |
| DAVIDSON, ROGER Individual | corporate director | NOT APPLICABLE | 08/01/2019 |
| FORD, ASHLEY Individual | corporate director | NOT APPLICABLE | 08/01/2019 |
| HANSON, PHILLIP Individual | corporate director | NOT APPLICABLE | 05/01/2012 |
| HONGSLO, JEFFREY Individual | corporate director | NOT APPLICABLE | 11/01/2006 |
| JOHNSON, DOROTHY Individual | corporate director | NOT APPLICABLE | 08/01/2019 |
| JOHNSON, JAMES Individual | corporate director | NOT APPLICABLE | 08/01/2019 |
| KILLIAN, GEORGE Individual | corporate director | NOT APPLICABLE | 08/01/2019 |
| NEIMAN, RUTH Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| PETERS, MARSHALL Individual | corporate director | NOT APPLICABLE | 05/01/2012 |
| VAN DER BEEK, BRUCE Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| VANOSTRAM, STEVEN Individual | corporate director | NOT APPLICABLE | 05/01/2012 |
| VAUGHN-GRAY, STEPHANIE Individual | corporate director | NOT APPLICABLE | 08/01/2019 |
| WAGONER FORD, ANNE Individual | corporate director | NOT APPLICABLE | 08/01/2019 |
| WHITAKER, BRUCE Individual | corporate director | NOT APPLICABLE | 01/01/2014 |
| BLATNIK, ANDREA Individual | corporate officer | NOT APPLICABLE | 07/01/2013 |
| ZYGARLICKE, MELISSA Individual | corporate officer | NOT APPLICABLE | 08/01/2019 |
| KOTZ, CHRISTINA Individual | w-2 managing employee | NOT APPLICABLE | 08/01/2019 |
| NAUSLAR, TIM Individual | w-2 managing employee | NOT APPLICABLE | 05/01/2014 |
Other nursing homes near Elm Crest Retirement Community
Avoca Specialty Care
610 East York Street, Avoca, IA 51521 · 10.3 mi
Non-profit · 46 beds · Part of Care Initiatives
★★★★★2Below averageSalem Lutheran Home
2027 College Avenue, Elk Horn, IA 51531 · 14.3 mi
For-profit · 64 beds · Part of Good Samaritan Society
★★★★★1Much below averageDunlap Specialty Care
1403 Harrison Road, Dunlap, IA 51529 · 19.3 mi
Non-profit · 46 beds · Part of Care Initiatives
★★★★★4Above averageAzria Health Rose Vista
1109 Normal Street, Woodbine, IA 51579 · 20.8 mi
For-profit · 76 beds · Part of Azria Health
★★★★★1Much below average- ★★★★★3Average
Oakland Manor
737 North Highway St., Oakland, IA 51560 · 23.2 mi
For-profit · 61 beds · Part of Campbell Street Services
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Elm Crest Retirement Community's rating?
Elm Crest Retirement Community has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Elm Crest Retirement Community receive?
Its most recent standard health inspection found 5 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Elm Crest Retirement Community accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Elm Crest Retirement Community?
It is non profit - other and part of American Baptist Homes of the Midwest. The ownership section on this page lists the owners and managers reported to CMS.
Where is Elm Crest Retirement Community and how do I contact it?
Elm Crest Retirement Community is at 2104 12th Street, Harlan, IA 51537. Phone: (712) 755-5174.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.