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
Home Information Elm Crest Retirement Community
  • Occupancy trails most facilities in the state, suggesting excess open capacity. Bed capacity aligns with the typical community size in the state, allowing steady admissions. Resident stays are comparable to other state facilities, implying stable turnover.

  • Home revenue lands near the state median, signaling steady but not standout inflows. Payroll spending sits in the top tier, showing a strong investment in staffing resources. Total income trails most communities, suggesting tighter operating margins.

  • Medicare nights track the statewide midpoint, keeping volumes steady. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights hover around the statewide average, supporting a diversified mix.

Occupancy
Beds
50
Occupancy
61.8%
Total Bed Days Available
25915
Avg. Length of Stay
156 days
Avg. Residents per Day
44
Finance
Home Revenue
$6,112,721.00
Payroll Costs
$3,163,852.00
Profit
$-1,844,404.00
Total Home Costs
$7,733,872.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
51.8%
House Specifics:
CCN
165372
Owner Name
AMERICAN BAPTIST HOMES OF THE MIDWEST
Rural vs. Urban
Rural
County
Shelby
Type of Control
Governmental — City
Operations
Total Admissions
88
Total Discharges
91
% Medicaid Admissions
2%
% Medicare Admissions
48%
% Private Pay Admissions
50%
% Medicaid Discharges
8%
% Medicare Discharges
37%
% Private Pay Discharges
55%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
2 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
2 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
3 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
3 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
3.88 hrs
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
5954
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
1942
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
6305
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.

Administrator: Pat Voelker
Nonprofit ownership: No

Staffing

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

Leadership

Contact: Tim Nausler

Contact Information

Fax: 7127555654

What does this home offer?

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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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 Social Services (for ALFs) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.

15 visits/inspections

8 visits/inspections triggered by complaints

7 other visits

Iowa average: 15 visits/inspections

Latest inspection

Date:January 2, 2026

Inspection history

Visit Date Visit Type
Revisit
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

Places of interest near Elm Crest Senior Living Community

Address 0.4 miles from city center

Address 2104 12th St, Harlan, IA 51537

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Comparison Chart

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

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

IL

For self-sufficient seniors seeking community and minimal assistance.

MC

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

SNF

24/7 care needed

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

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

Harlan
50
No
50
AMERICAN BAPTIST HOMES OF THE MIDWEST
61.8%
$6,112,721.00
$3,163,852.00
51.8%
44.10
2/5
3.8811
2/5
3/5
3/5
Studio / 1 Bed / 2 Bed

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

Source: CMS Health Citations (Aug 2022 – Nov 2025)

5
Inspections
19
Total Citations
0
Critical (J-L)
1
Serious (G-I)
3.8
Citations/Inspection
Nov 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
18
Serious (G-I)
1
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
7
37% of total
Pharmacy Services
4
21% of total
Infection Control
2
11% of total
Resident Rights
1
5% of total
Citation Sources
Standard Inspections 16
Complaint Investigations 5
State Comparison (IA)
Avg Citations (State)
21.7
This Facility: 19
Avg Critical (State)
0.6
This Facility: 0
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Nov 13, 2025 D Quality of CareF0689 Open
Nov 14, 2024 E Infection ControlF0880 Corrected
Nov 14, 2024 E NutritionF0812 Corrected
Nov 14, 2024 D Quality of CareF0688 Corrected
Nov 14, 2024 G Quality of CareF0689 Corrected
Nov 14, 2024 D Quality of CareF0695 Corrected
Nov 14, 2024 D Care PlanningF0636 Corrected
Nov 14, 2024 D Care PlanningF0656 Corrected
Nov 14, 2024 D Resident RightsF0550 Corrected
Jul 21, 2024 D Quality of CareF0684 Corrected
Jul 21, 2024 E Care PlanningF0657 Corrected
Oct 05, 2023 E Infection ControlF0880 Corrected
Oct 05, 2023 E NutritionF0812 Corrected
Oct 05, 2023 D PharmacyF0755 Corrected
Oct 05, 2023 D Quality of CareF0689 Corrected
Aug 25, 2022 D PharmacyF0757 Corrected
Aug 25, 2022 D PharmacyF0760 Corrected
Aug 25, 2022 E PharmacyF0761 Corrected
Aug 25, 2022 D Quality of CareF0689 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.

Check out this article

Guides for Better Senior Living

From costs to care, explore the most important topics to make informed decisions about your future.

Claim What’s Yours: Financial Aid for Iowa Seniors

Program
State Program Name
Eligibility
Benefits
Elderly Waiver
Iowa Medicaid Elderly Waiver
Official government program page
  • General: Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • IA Specifics: Rural focus; waitlists possible.
  • Services: In-home care (5-7 hours/day), meals ($6/meal), respite (240 hours/year), adult day care ($60/day).
Iowa Family Caregiver Support
IA NFCSP
  • General: Caregiver of someone 60+, Iowa resident.
  • Income Limits: No strict limit; prioritizes low-income.
  • Asset Limits: Not applicable.
  • IA Specifics: Limited slots; rural emphasis.
  • Services: In-home respite (4-6 hours/day), adult day care (~$60/day), short-term facility care (up to 5 days).
Medicare Savings Program (MSP)
Iowa Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, Iowa resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • IA Specifics: Three tiers; no waitlist.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Program of All-Inclusive Care for the Elderly (PACE)
  • General: Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.
  • Income Limits (2025): ~$2,829/month (300% FBR, Medicaid-eligible).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • IA Specifics: Limited to western Iowa (e.g., Council Bluffs); expanding slowly.
  • Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy, respite.
Senior Community Service Employment Program (SCSEP)
  • General: Age 55+, unemployed, low-income, Iowa resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • IA Specifics: Priority for veterans, rural residents.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Iowa VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • IA Specifics: High veteran demand in rural areas.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Able Up Iowa
  • General: Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.
  • Income Limits (2025): No strict limit; must demonstrate repayment capacity.
  • Asset Limits: Not specified; credit-based.
  • IA Specifics: Loans up to $25,000; statewide via Easterseals partnership.
  • Services: Loans for wheelchairs, ramps, walk-in tubs (~$500-$10,000 avg.), reducing reliance on paid care.

Claim What’s Yours Financial Aid for Iowa Seniors

Iowa Medicaid Elderly Waiver

Elderly Waiver

Requirements:
  • General:
    Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • IA Specifics:
    Rural focus; waitlists possible.
Benefits without Contact:
  • Services: In-home care (5-7 hours/day), meals ($6/meal), respite (240 hours/year), adult day care ($60/day).
IA NFCSP

Iowa Family Caregiver Support

Requirements:
  • General:
    Caregiver of someone 60+, Iowa resident.
  • Income Limits:
    No strict limit; prioritizes low-income.
  • Asset Limits:
    Not applicable.
  • IA Specifics:
    Limited slots; rural emphasis.
Benefits without Contact:
  • Services: In-home respite (4-6 hours/day), adult day care (~$60/day), short-term facility care (up to 5 days).
Iowa Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Iowa resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • IA Specifics:
    Three tiers; no waitlist.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Iowa PACE

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

Requirements:
  • General:
    Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, Medicaid-eligible).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • IA Specifics:
    Limited to western Iowa (e.g., Council Bluffs); expanding slowly.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy, respite.
Iowa SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Iowa resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • IA Specifics:
    Priority for veterans, rural residents.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Iowa VA Aid and Attendance/Housebound

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

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • IA Specifics:
    High veteran demand in rural areas.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Able Up Iowa

Able Up Iowa

Requirements:
  • General:
    Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.
  • Income Limits (2025):
    No strict limit; must demonstrate repayment capacity.
  • Asset Limits:
    Not specified; credit-based.
  • IA Specifics:
    Loans up to $25,000; statewide via Easterseals partnership.
Benefits without Contact:
  • Services: Loans for wheelchairs, ramps, walk-in tubs (~$500-$10,000 avg.), reducing reliance on paid care.

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