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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.
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.
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 21m 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: 29m per day |
Independent living residents have well-designed one- and two-bedroom apartments with private patios and balconies. Each apartment includes a fully-equipped kitchen and is maintained by the community.
Higher than the Iowa average: 75.4%Elm Crest Senior Living Community is administrated by Pat Voelker.
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.
| 49 | 27 | This facility has 81% more total deficiencies than a typical Iowa nursing home (49 vs. IA avg 27).↑ 81% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 8.2 | 4.5 | This facility has 82% more deficiencies per year than a typical Iowa nursing home (8.2 vs. IA avg 4.5).↑ 82% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.5 | 1.8 | This facility has 94% more deficiencies per inspection than a typical Iowa nursing home (3.5 vs. IA avg 1.8).↑ 94% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 14 | 15 | This facility has 7% fewer total inspections than a typical Iowa nursing home (14 vs. IA avg 15).↓ 7% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Nov 2025
Iowa average 21.7
Iowa average 4.11
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).
100% better than Iowa averageIowa average: 0.6
11% worse than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
23% better than Iowa average
7% better than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8,122 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 33 | 37 | 70 | 10,607 | 92 | 100% | 7.7 |
| Registered Nurse | 7 | 1 | 8 | 2,457 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 4 | 4 | 8 | 1,849 | 90 | 98% | 8.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 661 | 70 | 76% | 7.4 |
| Medication Aide/Technician | 2 | 0 | 2 | 616 | 46 | 50% | 8.1 |
| Dental Services Staff | 1 | 0 | 1 | 544 | 66 | 72% | 8.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 522 | 63 | 68% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 513 | 65 | 71% | 7.9 |
| Administrator | 0 | 1 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 491 | 63 | 68% | 7.8 |
| Dietitian | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 221 | 32 | 35% | 6.9 |
| Qualified Social Worker | 0 | 2 | 2 | 148 | 29 | 32% | 5.1 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 116 | 31 | 34% | 3.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 30 | 7 | 8% | 4.2 |
| RN Director of Nursing | 1 | 0 | 1 | 17 | 2 | 2% | 8.3 |
| Medical Director | 0 | 1 | 1 | 4 | 3 | 3% | 1.2 |
Includes penalties issued in 2024
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)
100% lower than Iowa averageIowa average: $48K
100% fewer fines than Iowa averageIowa average: 1.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 14, 2024 · 8 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 14, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
25.8%
37% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
30.1%
53% worse than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
13% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
0.7%
85% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
4.9%
99% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
6.3%
25% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.8%
80% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
7.2%
62% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.0%
6% worse than Iowa averageIowa average: 95.3%
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.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
75.6%
11% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
60% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.1%
11% better than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
4.4%
79% better than Iowa averageIowa average: 21.4%
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.
82% of new residents, usually for short-term rehab.
14% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
43Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Elm Crest Senior Living Community based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #51 / 242Payroll — State benchmarkedThis home is ranked 51st out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Most residents typically stay for a few weeks or months before returning home or moving on.
0.4 miles from city center
Estimated distance in miles from Harlan's city center to Elm Crest Senior Living Community's address, calculated via Google Maps.
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Elm Crest Senior Living Community is located in Harlan, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Elm Crest Senior Living Community is in the 12th Street neighborhood of Harlan.
Elm Crest Senior Living 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 Senior Living Community's license number is 830051.
According to IA state health department records, Elm Crest Senior Living Community's license expires on June 1, 2026.
Elm Crest Senior Living Community's occupancy is 94%.
Yes — see the floorplan options available at Elm Crest Senior Living Community on this page.
The team at Elm Crest Senior Living Community can be reached at [email protected].
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