Show Inspection Reports
Total health inspections
5
Iowa average 4.9
Last Health inspection on Nov 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Elm Crest Retirement Community
Assisted Living Home
Elm Crest Retirement Community
Assisted Living Home
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
64
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
59.9%
Residents per day (avg)
44
Occupancy rate
59.9%
Residents per day (avg)
44
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.7M
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
26 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
License Status
ActiveFacility Type
Assisted Living Programs
License Date
October 12, 1999
License Expiration
January 29, 2026
Additional licensing details
License number:
S0059
CMS Certification Number:
165372
County:
Shelby
Ownership & operating entity
Elm Crest Retirement Community is administrated by Kathy Goede.
Owner name:
No Related Entities Found
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
7127555654
Programs & Activities
Specific Programs
Independent Living, Assisted Living, Skilled Care/Health Center, Rehab Therapy
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.
16 visits/inspections
Latest inspection
Date:April 4, 2024
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
-
-
-
-
-
-
-
-
-
-
-
Elm Crest Retirement Community
+1%
-10%
-21%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 515372023
71
No
-
AMERICAN BAPTIST HOMES OF THE MIDWEST
59.9%
$7,452,561.00
$3,196,703.00
42.9%
44.10
3.8811
19
1
+1%-10%-21%
Elm Crest Senior Living Community
+1%
-10%
-21%
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
3.8811
19
1
+1%-10%-21%
Elm Crest Retirement Community
Type of care:
SNF
AL
Community:
IA 515372023
Bed Count:
71
Pets Allowed:
No
Operator:
AMERICAN BAPTIST HOMES OF THE MIDWEST
CCN:
165372
Occupancy:
59.9%
Home Revenue:
$7,452,561.00
Payroll Costs:
$3,196,703.00
Payroll %:
42.9%
Avg Residents/Day:
44.10
Overall Rating:
Adj Nurse Hours:
3.8811
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
19
Severe Citations:
1
RN share vs State Avg:
+1%
+1%
Staffing vs State Avg:
-10%
-10%
Occupancy vs State Avg:
-21%
-21%
Elm Crest Senior Living Community
Type of care:
SNF
AL
Community:
Harlan
Bed Count:
71
Pets Allowed:
No
Operator:
AMERICAN BAPTIST HOMES OF THE MIDWEST
CCN:
165372
Occupancy:
59.9%
Home Revenue:
$7,452,561.00
Payroll Costs:
$3,196,703.00
Payroll %:
42.9%
Avg Residents/Day:
44.10
Overall Rating:
Adj Nurse Hours:
3.8811
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
19
Severe Citations:
1
RN share vs State Avg:
+1%
+1%
Staffing vs State Avg:
-10%
-10%
Occupancy vs State Avg:
-21%
-21%Places of interest near Elm Crest Retirement Community
0.0 miles from city center
Harlan, IA 515372023
Calculate Travel Distance to Elm Crest Retirement 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 Nurse | 14 | 8.8 | Yes |
| Licensed Practical Nurse | 5 | 8 | Yes |
| Certified Nursing Assistant | 82 | 7.4 | 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 Assistant | 44 | 38 | 82 | 11,094 | 91 | 100% | 7.4 |
| Registered Nurse | 8 | 6 | 14 | 3,056 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 2 | 3 | 5 | 1,254 | 80 | 88% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 526 | 69 | 76% | 7.6 |
| Speech Language Pathologist | 0 | 1 | 1 | 506 | 67 | 74% | 7.5 |
| Dietitian | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 454 | 39 | 43% | 7.1 |
| Nurse Practitioner | 1 | 1 | 2 | 365 | 43 | 47% | 8.5 |
| Dental Services Staff | 1 | 0 | 1 | 343 | 40 | 44% | 8.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 233 | 35 | 38% | 6.7 |
| Qualified Social Worker | 0 | 2 | 2 | 156 | 42 | 46% | 3.7 |
| RN Director of Nursing | 1 | 0 | 1 | 129 | 15 | 16% | 8.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 103 | 28 | 31% | 3.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 68 | 9 | 10% | 7.6 |
| Medication Aide/Technician | 2 | 0 | 2 | 38 | 5 | 5% | 6.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 32 | 8 | 9% | 3.9 |
| Medical Director | 0 | 1 | 1 | 4 | 5 | 5% | 0.7 |
Health Inspection History
Inspections
Total health citations
19
Citations per inspection
3.8
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 19 citations resulted from standard inspections; 3 of 19 resulted from complaint investigations; and 2 of 19 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
0 critical citations
1 serious citation
18 moderate citations
0 minor citations
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
31% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.0
30% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
25.8%
Percent of long-stay residents whose need for help with daily activities has increased
25.8%
37% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.1%
Percent of long-stay residents whose ability to move independently worsened
30.1%
53% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.1%
7% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
13% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.7%
Percent of long-stay high risk residents with pressure ulcers
0.7%
85% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.9%
Percent of long-stay residents with a urinary tract infection
4.9%
99% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.3%
Percent of long-stay residents who lose too much weight
6.3%
25% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
80% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.2%
Percent of long-stay residents who received an antipsychotic medication
7.2%
62% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.0%
6% worse than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
75.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
75.6%
11% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
60% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.1%
11% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
100% lower than Iowa averageIowa average: $48K
Number of fines
0
100% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$0
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 14, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 14, 2024
8 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Elm Crest Retirement Community based on CMS SNF Cost Reports.
Occupancy Rate
59.9%
↑ 5.1pp vs 2023
Net Income
-$1,590,026
↑ ~$254K vs 2023
Total Payroll
$5,554,312
↑ ~$150K vs 2023
Profit Margin
-21.3%
↑ 8.8pp vs 2023
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