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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Elm Crest Retirement Community is a 64-bed nursing facility at 2104 12th Street in Harlan, Iowa. Administered by Tim Nauslar and operated by American Baptist Homes of the Midwest, the campus provides a continuum of care including independent living, assisted living, and skilled nursing. While the facility was recently awarded a 5-star quality rating, current occupancy for the skilled nursing wing is reported at 94%, with 47 of 50 beds occupied, placing it in line with state averages. The location earns a Walk Score of 50, indicating moderate accessibility to local amenities in Shelby County.
In early 2026, the facility achieved substantial compliance following a survey, and the assisted living component previously recorded a citations-per-inspection rate of zero. However, the broader health center recorded 18 moderate citations over the last three years, including a Quality of Care deficiency in November 2025. A short payment denial was issued in late 2024, but the facility has since remediated several infection control and nutrition findings.
Clinical care is delivered by a team providing 3 hours and 53 minutes of total nursing time per resident daily, which is approximately 12% below the Iowa average. Professional services focus on short-term rehabilitation, with 82% of admissions coming from Medicare recipients who typically stay for one to two months. While long-stay metrics have shown challenges in mobility and urinary tract infection rates, the facility performs above state averages in pressure ulcer prevention and maintaining low antipsychotic medication use.
The residential environment is faith-based and features various floor plans with access to landscaped grounds and outdoor walking paths. Shared amenities include a library, beauty salon, and a health and wellness center. Social programming is provided through an activity center, offering arts and crafts and local outings. The community emphasizes a nurturing atmosphere, balancing professional healthcare with home-like amenities.
Prospective representatives should weigh the facility’s recent 5-star quality rating against its moderate deficiency history and staffing levels. Families are encouraged to ask directly about the specific improvements made following the 2025 quality of care citation and request current data on nurse aide staffing ratios before making a placement decision.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 166th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 53m per day | ▲ 20% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 25m per day | ▼ 26% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 41m per day | ▲ 6% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 32m per day | ▲ 6% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 41m per day | ▲ 37% State avg: 30m per day · National avg: 28m per day |
Lower than the Iowa average: 75.4%Elm Crest Retirement Community is administrated by Kathy Goede.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 38 | 27 | This facility has 41% more total deficiencies than a typical Iowa nursing home (38 vs. IA avg 27).↑ 41% worse |
|
Deficiencies per year
Average deficiencies per year since 2007.
| 2 | 1.4 | This facility has 43% more deficiencies per year than a typical Iowa nursing home (2 vs. IA avg 1.4).↑ 43% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.4 | 1.8 | This facility has 33% more deficiencies per inspection than a typical Iowa nursing home (2.4 vs. IA avg 1.8).↑ 33% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 15 | This facility has 7% more total inspections than a typical Iowa nursing home (16 vs. IA avg 15).↑ 7% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 4, 2024, found no deficiencies during the recertification visit for the Assisted Living Program. Earlier inspections showed a pattern of deficiencies mainly related to tenant evaluations, individualized service plans, and nurse reviews following changes in tenant conditions. Complaint investigations over the years were mostly unsubstantiated, with one substantiated case in 2012 involving medication administration and storage issues. Enforcement actions included a $1,000 civil penalty in 2010 for staff training and fire drill deficiencies, but no license suspensions or revocations were listed in the available reports. The facility’s record shows improvement over time, with recent inspections free of cited deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsFederal 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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.32
11% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.43
16% worse than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
4.4%
79% better than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.2%
47% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
160% worse than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
68.9%
28% better than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.9%
In line with Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Harlan's city center to Elm Crest Retirement Community's address, calculated via Google Maps.
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Elm Crest Retirement Community is located in Harlan, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The legal owner and operator of Elm Crest Retirement Community is No Related Entities Found.
Elm Crest Retirement Community has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Elm Crest Retirement Community's license number is S0059.
According to IA state health department records, Elm Crest Retirement Community's license expires on January 30, 2028.
Elm Crest Retirement Community's occupancy is 39%.
The team at Elm Crest Retirement Community can be reached at [email protected].
Kathy Goede is the administrator of Elm Crest Retirement Community.
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