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Best Assisted Living in Harlan, IA

Reviewed by Dr. Jordan Weiss
Updated Mar 2026

Sources: CMS Centers for Medicare and Medicaid Services, and Iowa Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Harlan, Iowa.

Watch this Video to see Harlan's Top-rated Senior Communities
Avg. Monthly cost: $4,300
National average: $5,600
Monthly cost range: $3,800–$6,400
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:15
National average: 1:6
Other Senior care options:

Compare Assisted Living around Harlan The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

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Hansen House Harlan
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Harlan
118No 32 Studio / 1 Bed / 2 Bed15 44.9% -731
Elm Crest Senior Living Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Harlan (12Th Street)
71No 50 Studio / 1 Bed / 2 Bed- 92.0% -1414
Elm Crest Retirement Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Harlan
71No--32 39.1% -1680

Enjoy the finest retirement with the esteemed senior living community of Hansen House Senior Living in Dye Street, Harlan, IA, providing independent living, assisted living, and memory care. The community features snug and sophisticated residences with various floor plans, ensuring seniors live comfortably and safely. With a cheerful and reliable team, seniors can rest assured of having fun companions and genuine care in their golden years.

Explore new interests and meet people with diverse backgrounds through carefully planned activities and programs. Here, residents enjoy mealtimes that satisfy dietary needs and tastes with healthy and delicious meals. Hansen House Senior Living is ideal for seniors in need of assistance to live every day without trouble.

Overview of Hansen House Harlan

Enjoy the finest retirement with the esteemed senior living community of Hansen House Senior Living in Dye Street, Harlan, IA, providing independent living, assisted living, and memory care. The community features snug and sophisticated residences with various floor plans, ensuring seniors live comfortably and safely. With a cheerful and reliable team, seniors can rest assured of having fun companions and genuine care in their golden years.

Explore new interests and meet people with diverse backgrounds through carefully planned activities and programs. Here, residents enjoy mealtimes that satisfy dietary needs and tastes with healthy and delicious meals. Hansen House Senior Living is ideal for seniors in need of assistance to live every day without trouble.

What does this home offer?

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Single-story

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Fitness and Recreation

Contact Hansen House Harlan

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.

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.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed

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Building type icon

Building Type: 3-story

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Transportation Services

Elm Crest Retirement Community is a senior living community in Harlan, Iowa. It offers a variety of living options including independent living, assisted living, skilled nursing, and rehabilitation therapy. The community is committed to providing quality care and a comfortable living environment for seniors.
Overview of Elm Crest Retirement Community
Elm Crest Retirement Community is a senior living community in Harlan, Iowa. It offers a variety of living options including independent living, assisted living, skilled nursing, and rehabilitation therapy. The community is committed to providing quality care and a comfortable living environment for seniors.

Contact Elm Crest Retirement Community

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How We Score & Rank Senior Living Communities

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence. Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest portion of every community’s score comes from resident feedback and online reputation (40%), which reflects real experiences shared by families and caregivers.

An additional 45% of the score comes from a combination of transparency and operational quality signals, including:

  • Photos, videos, and virtual tours (visual transparency)
  • Website quality and digital trust indicators
  • Occupancy levels and number of units (community scale & stability)

These factors help us evaluate how well a community presents itself and how consistently it meets resident needs.

Balancing Additional Factors

The final 15% of the score comes from supportive context data, including: walkability and local accessibility, estimated property value, and pricing information.

These elements provide helpful context but carry less weight because our rankings prioritize real-world satisfaction and care consistency first.

The result is a fair, clear, and data-driven ranking system for families researching senior living options.

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

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Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.