Nursing homes in Shelby County, Iowa
There are 2 certified nursing homes in Shelby County, Iowa, with 114 beds between them.
100% of them are rated 1 or 2 stars overall, a larger share than the state (38%). Inspectors recorded 65 health deficiencies over three cycles, 57.0 per 100 beds against 31.7 statewide.
No fines are listed for facilities in the county in the period covered.
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 | Shelby County | Iowa | US |
|---|---|---|---|
| Facilities | 2 | 387 | 14690 |
| Rated 1–2 stars overall | 100% | 38% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 57.0 | 31.7 | 26.8 |
| Median nurse hours per resident day | 4.0 | 3.7 | 3.7 |
| Fines listed | $0 | $7.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Elm Crest Retirement Community | Harlan | 50 | 2 | 2 | 3 | 19 | 38.0 | — | 10 Jun 2026 |
| Salem Lutheran Home | Elk Horn | 64 | 1 | 1 | 4 | 46 | 71.9 | — | 22 May 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. | 6 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 5 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 4 |
| F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 3 |
| F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 3 |
Ownership
| Type | Facilities |
|---|---|
| Non profit | 1 |
| For profit | 1 |
Chains present: American Baptist Homes Of The Midwest (1), Good Samaritan Society (1).
Questions and answers
How many nursing homes are in Shelby County, Iowa?
2 Medicare-certified nursing homes with 114 certified beds.
Which nursing homes in Shelby County have the highest CMS ratings?
Elm Crest Retirement Community (2 stars), Salem Lutheran Home (1 stars)
How do Shelby County nursing homes compare with Iowa?
100% are rated 1–2 stars overall against 38% statewide; citations run at 57.0 per 100 beds against 31.7 statewide.