Iowa › Shelby County › Harlan
Elm Crest Retirement Community
2104 12th Street, Harlan, IA 51537
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 50 beds, Elm Crest Retirement Community serves Harlan in Shelby County, Iowa and has taken Medicare and Medicaid residents since 1997.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 19 health deficiencies across the three most recent survey cycles (5, 8, 6 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 38.0 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 4.0 hours per resident per day (0.7 RN), close to the Iowa median of 3.7; nursing staff turnover is 71.7%.
Compared with county, state and nation
| Measure | This facility | Shelby Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 19 | 46 | 16 | 28.7 |
| Citations per 100 beds | 38.0 | 71.9 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 71.7% | 71.7% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (2 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Jan 2026, 14 Nov 2024.
Severity mix: G ×2 D ×9 E ×8
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | Past Non-Compliance |
| 14 Jan 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 12 Feb 2026 |
| 14 Jan 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 12 Feb 2026 |
| 14 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Feb 2026 |
| 13 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Jan 2026 |
| 14 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 3 Dec 2024 |
| 14 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Dec 2024 |
| 14 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Dec 2024 |
| 14 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 3 Dec 2024 |
| 14 Nov 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 3 Dec 2024 |
| 14 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Dec 2024 |
| 14 Nov 2024 | F0688 | 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. | D | Standard survey | 3 Dec 2024 |
| 14 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Dec 2024 |
| 21 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 21 Aug 2024 |
| 21 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Aug 2024 |
| 5 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Nov 2023 |
| 5 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Nov 2023 |
| 5 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Nov 2023 |
| 5 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Nov 2024 | Payment denial | — | 8 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 71.7%, RNs 50.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 32.8% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 32.3% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.4% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, other. Legal business name: American Baptist Homes Of The Midwest. Chain: American Baptist Homes Of The Midwest (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| American Baptist Homes of the Midwest | 5% or greater direct ownership interest | 100% | 03/03/1967 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Shelby County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Salem Lutheran Home | Elk Horn | 64 | 1 | 1 | 4 | 46 | 71.9 | — | 22 May 2026 |
All 2 facilities in Shelby County
Questions and answers
How many deficiencies has Elm Crest Retirement Community been cited for?
19 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Elm Crest Retirement Community been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Elm Crest Retirement Community compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Elm Crest Retirement Community?
It is part of the American Baptist Homes Of The Midwest chain. Ownership type is non-profit, other. Organisations in the CMS ownership record include American Baptist Homes of the Midwest. Individual owners and managers are not listed on this site.
When was Elm Crest Retirement Community last inspected?
The most recent survey or investigation in the CMS record is dated 10 Jun 2026; the most recent standard health survey was 14 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.