Elm Crest Senior Living Community

Elm Crest Senior Living Community is an Assisted Living Home in Iowa

Elm Crest Senior Living… is an Assisted Living Home in Iowa

Elm Crest Senior Living Community

2104 12th St, Harlan, IA 51537 View Map

Elm Crest Senior Living Community is an Assisted Living Home in Iowa

Elm Crest Senior Living… is an Assisted Living Home in Iowa

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Overview of Elm Crest Senior Living Community

Committed to enhancing seniors’ quality of life, Elm Crest Senior Living Community is a distinct senior living community set in the harmonious city of Harlan, IA, providing a wide array of living options such as assisted living, independent living, memory care, health center, and rehabilitation therapy services. The community doubles its efforts to foster a warm and welcoming environment for seniors to make the most out of their days in beautifully designed and cozy one-bedroom and two-bedroom apartments. Receive top-notch care and support from a reliable and highly qualified team and live a glorious retirement without worries with Elm Crest.

With over 65 years of experience in helping seniors, Elm Crest continuously provides the finest experience to create wonderful moments. Moreover, the community meticulously crafts care plans that best fit residents’ unique needs and preferences to ensure they are well-cared for. Surrounded by refreshing spaces and placed near hospitals, Elm Crest provides easy access to medical needs and the utmost comfort that seniors deserve.

(515) 332-2200

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.88/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 50

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 59.9%
Residents per day (avg) 44
Occupancy rate
59.9%
Residents per day (avg)
44

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

82% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

14% of new residents, often for short stays.

Typical stay 3 years

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 8 - 9 years

Finances and operations

Voluntary non-profit home
Church
Home revenue
$7.1M
Operating deficit
-$1.6M
Voluntary non-profit home Church
Home revenue
$7,080,701.00
Operating deficit
$-1,590,026.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
45.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.5M
Total costs $8.7M
Bed community size
50-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 50 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

License Date
January 6, 2025
License Expiration
January 6, 2026

Additional licensing details

License number: 830051
Year opened: 06/01/1959
CMS Certification Number: 165372
County: Shelby

Ownership & operating entity

Elm Crest Senior Living Community is administrated by Pat Voelker.

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Tim Nausler

Care Services

Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
Licensed Nurses/CNAs

All Levels of Care

Independent Living
Assisted Living
Skilled Nursing
Rehab Therapy

Contact Information

Fax: 7127555654

Amenities & Lifestyle

Beauty shop
McKee Community Room
Lounges
Outdoor patios
Wellness program
Cable TV
Transportation through Elm Crest bus
Close to hospital
clinics
and pharmacy

Programs & Activities

Specific Programs
Independent Living, Assisted Living, Skilled Care/Health Center, Rehab Therapy, Volunteering Opportunities
Religious Services
Yes

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: 3-story

Transportation services icon
Transportation services icon

Transportation Services

Types of Care at Elm Crest Senior Living Community

Assisted Living Independent Living Memory Care Nursing Home

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

14 visits/inspections

2 visits/inspections triggered by complaints

Breakdown by inspection type
  • 7 renewal/recertification inspections
  • 2 complaint investigations
  • 5 incident investigations

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:January 2, 2026

Inspection history

01/02/2026 Complaint Revisit
Yes
11/13/2025 Complaint
12/17/2024 Recertification Revisit, Complaint Revisit, Incident Revisit
Yes
11/14/2024 Recertification, Complaint, Incident
08/21/2024 Incident Revisit
Yes
07/21/2024 Incident
10/05/2023 Recertification
10/19/2022 Recertification Revisit, Complaint Revisit
Yes
08/25/2022 Recertification, Complaint
03/11/2021 Recertification Revisit, Complaint Revisit
Yes
02/11/2021 Recertification, Complaint
11/18/2020 FIC
10/06/2020 FIC
06/04/2020 FIC

Compare Assisted Living around Harlan

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Hansen House Harlan
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Harlan
118
No
32
-
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed
Elm Crest Senior Living Community
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Harlan
71
No
50
AMERICAN BAPTIST HOMES OF THE MIDWEST
59.9%
$7,452,561.00
$3,196,703.00
42.9%
44.10
2/5
3.8811
2/5
3/5
3/5
Studio / 1 Bed / 2 Bed

Living Spaces & Floor Plans

702 Sq Ft – Deluxe One Bedroom
Download PDF
923 Sq Ft – Standard Two Bedroom
Download PDF
640 Sq Ft – Standard One Bedroom
Download PDF
1,009 Sq Ft – Deluxe Two Bedroom
Download PDF
Sample Assisted Living Floorplan Layout
Download PDF

Places of interest near Elm Crest Senior Living Community

Address 0.4 miles from city center

Address 2104 12th St, Harlan, IA 51537

Calculate Travel Distance to Elm Crest Senior Living Community

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

120
Total Staff
64
Employees
56
Contractors
19,342
Total Hours (Quarter)
28
Avg Staff/Day
7.6
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse148.8 Yes
Licensed Practical Nurse58 Yes
Certified Nursing Assistant827.4 Yes
Staff by Category
Administration
2 staff
7.4hs shift avg
Nursing Staff
104 staff
7.7hs shift avg
Physicians & Practitioners
2 staff
8.5hs shift avg
Therapy Services
5 staff
6.8hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
3.7hs shift avg
Dietary Services
3 staff
7.5hs shift avg
Other Services
2 staff
8.4hs shift avg
Contractor Analysis
32%
of total hours from contractors
6,186 contractor hours this quarter
Qualified Social Worker: 2 Certified Nursing Assistant: 38 Registered Nurse: 6 Nurse Practitioner: 1 Respiratory Therapy Technician: 1 Licensed Practical Nurse: 3 Occupational Therapy Aide: 1 Physical Therapy Assistant: 1 Speech Language Pathologist: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant44388211,09491100%7.4
Registered Nurse86143,05691100%8.8
Licensed Practical Nurse2351,2548088%8
Physical Therapy Assistant0115266976%7.6
Speech Language Pathologist0115066774%7.5
Dietitian1015046369%8
Administrator1014806066%8
Other Dietary Services Staff2024543943%7.1
Nurse Practitioner1123654347%8.5
Dental Services Staff1013434044%8.6
Occupational Therapy Aide0112333538%6.7
Qualified Social Worker0221564246%3.7
RN Director of Nursing1011291516%8.6
Respiratory Therapy Technician0111032831%3.7
Mental Health Service Worker10168910%7.6
Medication Aide/Technician2023855%6.3
Occupational Therapy Assistant0113289%3.9
Medical Director011455%0.7

Health Inspection History

Total Health inspections 5
Near Iowa average
Iowa average: 4.9

Last Health inspection on Nov 2025

Total Health citations 19
12% below Iowa average
Iowa average: 21.7

3.8 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 16 citations
Complaint investigations 5 citations
Breakdown of citations
Critical Health citations 0
100% below Iowa average
Iowa average: 0.6
Serious Health citations 1
11% above Iowa average
Iowa average: 0.9
Moderate Health citations 18

Minor Health citations 0
Citations history (last 3 years)
Quality of Care moderate citation Nov 13, 2025

Infection Control moderate citation Nov 14, 2024
Corrected

Nutrition moderate citation Nov 14, 2024
Corrected

Quality of Care moderate citation Nov 14, 2024
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: Non-Profit Corporation
Resident Census by Payment Source
43 Total Residents
Medicare 6 (14%)
Medicaid 18 (41.9%)
Private Pay/Other 19 (44.2%)
Programs & Services
Residents' Group
CCRC
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score 13.4
31% worse than Iowa average
Iowa average: 10.2
Functional decline score 28.0
30% worse than Iowa average
Iowa average: 21.6
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 25.8%
37% above Iowa average.

Walking Ability Worsened 30.1%
53% above Iowa average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 28.1%
7% above Iowa average.
Safety & clinical stability

Falls with Major Injury 4.1%
13% above Iowa average.

High Risk Residents with Pressure Ulcers 0.7%
85% below Iowa average.

Urinary Tract Infection 4.9%
99% above Iowa average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.8%
80% below Iowa average.

Antipsychotic Use 7.2%
62% below Iowa average.
Preventive care

Pneumococcal Vaccine 99.3%
5% above Iowa average.

Influenza Vaccine 90.0%
6% below Iowa average.
Nutrition & physical health

Lost Too Much Weight 6.3%
25% above Iowa average.
Short-stay resident measures
Pneumococcal Vaccine 75.6%

11% worse than Iowa average
Antipsychotic medication increase 2.9%

60% worse than Iowa average
Influenza Vaccine 81.1%

11% better than Iowa average

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $0
This home paid 100% less in fines than the state average.
Iowa average: $48K
Number of Fines 0
This home received 100% fewer fines than the state average.
Iowa average: 1.7
Payment Denials 1
This home had 88% more payment denials than the state average.
Iowa average: 0.5
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Payment Denial Nov 14, 2024
8 days

Last updated: Jan 2026

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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