Occupancy rate
92%
In line with Iowa averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Assisted Living Home
Elm Crest Senior Living Community
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.
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.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
50
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
92%
Residents per day (avg)
44
Occupancy rate
92%
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 community
Operated by a church.
Home revenue
$7.1M
Operating deficit
-$1.6M
Voluntary non-profit community
Operated by a 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
50-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 50 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Occupancy
In line with Iowa averageOccupied beds
46 / 50
Average residents
51 per day
License details
Issuance
January 6, 2025
Expiration
January 6, 2026
County:
Shelby
Additional licensing details
License number:
830051
Year opened:
06/01/1959
CMS Certification Number:
165372
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
Contact Information
Email:
[email protected]
Fax:
7127555654
Amenities & Lifestyle
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: Studio / 1 Bed / 2 Bed
Building Type: 3-story
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
Show Inspection Reports
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
25 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Elm Crest Senior Living Community
The most recent inspection on January 6, 2026, identified a deficiency but resulted in certification of substantial compliance following acceptance of the facility’s plan of correction. Earlier inspections showed a pattern of deficiencies related primarily to resident care issues such as safe transferring techniques, fall prevention, care planning, and infection control. Complaint investigations included some substantiated findings, particularly concerning supervision and accident prevention, but enforcement actions such as fines or license suspensions were not listed in the available reports. Prior reports noted multiple deficiencies involving medication management, sanitation, and resident dignity, with some complaints substantiated and others not. The facility’s record shows ongoing challenges with care and safety practices, though recent corrective actions indicate efforts toward improvement.
Health Inspection History
Inspections
Total health inspections
5
Iowa average 4.9
Last Health inspection on Nov 2025
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.
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
Studio / 1 Bed / 2 Bed
Elm Crest Retirement Community
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
-
Studio / 1 Bed / 2 Bed
Living Spaces & Floor Plans
702 Sq Ft – Deluxe One Bedroom
Download PDF923 Sq Ft – Standard Two Bedroom
Download PDF640 Sq Ft – Standard One Bedroom
Download PDF1,009 Sq Ft – Deluxe Two Bedroom
Download PDFSample Assisted Living Floorplan Layout
Download PDFPlaces of interest near Elm Crest Senior Living Community
0.4 miles from city center
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 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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
43 residents
Residents by payment source
Medicare
6 residents (14%)
Medicaid
18 residents (41.9%)
Private pay or other
19 residents (44.2%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.32
Number of hospitalizations per 1,000 long-stay resident days.
1.32
11% better than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.43
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.43
16% worse than Iowa averageIowa average: 2.09
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
4.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
4.4%
79% better than Iowa averageIowa average: 21.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
19.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.2%
47% worse than Iowa averageIowa average: 13.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
160% worse than Iowa averageIowa average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
68.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
68.9%
28% better than Iowa averageIowa average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
49.9%
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.
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 Senior Living 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
Loading trend charts...
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