Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
154
58 employees · 96 contractors · 28 on an average day Elm Crest Senior Living Community
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care & Skilled Nursing · Harlan, IA
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Elm Crest Senior Living Community
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care & Skilled Nursing · Harlan, IA
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Elm Crest Senior Living Community accepts Medicare, Medicaid, and private pay.
Overview of Elm Crest Senior Living Community
Elm Crest Senior Living Community is a continuing care retirement community in Harlan, IA, offering independent living, assisted living, memory care, nursing home care, and skilled nursing. Independent living provides a private home with community services but no daily care, while assisted living adds help with bathing, dressing, medication, and other daily tasks while the resident keeps an apartment.
Memory care is provided in a secured setting with supervision for someone who may be at risk of wandering. Nursing home and skilled nursing care provide licensed nursing care on site around the clock. With several care levels in one community, Elm Crest can suit a resident whose needs grow over time without requiring a move to a different community.
The community opened in 1958 and has 50 beds. Housing includes studios, one bedroom units, and two bedroom units, with a two bedroom layout potentially suiting a couple moving together or someone who wants a companion. Rehabilitation therapy and short term rehab are available for residents recovering over a temporary period.
A barber, beauty shop, and spa provide grooming services on site, while the chapel and religious services offer an on site setting for worship. Transportation is available for residents who need help traveling beyond the community. The community has 4h 18m of total nurse staffing per resident per day, meaning that amount of daily hands on nursing time is assigned per resident. Payment options are Medicare, Medicaid, and private pay, and Leah Mulbauer serves as the administrator. A Walk Score of 50 places the area in the somewhat walkable band, so some errands can be done on foot and a resident who no longer drives may be able to manage certain local trips independently.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 113th out of 229 nursing homes we track in Iowa for nurse hours. 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.
4h 18m
This nursing home is ranked 113th out of 229 nursing homes we track in Iowa for nurse hours. 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.
4h 18mStandout metric: Registered nurse (RN) is +43% above Iowa average
2 of 6 metrics below Iowa average
Daily care time per resident, by role
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. 16 total: 8 of the facility's own employees and 8 agency contractors.
16 staff · 8.8-hour shifts
1h 3m
↑ 43% · IA 44mThis facility: 1h 3m per resident per day, 43% above the Iowa average of 44m (among Iowa facilities reporting a recent figure).
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. 16 total: 8 of the facility's own employees and 8 agency contractors.
16 staff · 8.8-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 13 total: 7 of the facility's own employees and 6 agency contractors.
13 staff · 7.9-hour shifts
31m
↓ 10% · IA 34mThis facility: 31m per resident per day, 10% below the Iowa average of 34m (among Iowa facilities reporting a recent figure).
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. 13 total: 7 of the facility's own employees and 6 agency contractors.
13 staff · 7.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 107 total: 33 of the facility's own employees and 74 agency contractors.
107 staff · 7.5-hour shifts
2h 44m
↑ 8% · IA 2h 32mThis facility: 2h 44m per resident per day, 8% above the Iowa average of 2h 32m (among Iowa facilities reporting a recent figure).
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. 107 total: 33 of the facility's own employees and 74 agency contractors.
107 staff · 7.5-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
2m
↓ 17% · IA 2mThis facility: 2m per resident per day, 17% below the Iowa average of 2m (among Iowa facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 39m
↑ 9% · IA 3h 21mThis facility: 3h 39m per resident per day, 9% above the Iowa average of 3h 21m (among Iowa facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
41m
↑ 37% · IA 30mThis facility: 41m per resident per day, 37% above the Iowa average of 30m (among Iowa facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
154
58 employees · 96 contractors · 28 on an average day
154 total staff / 47 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
3.28 : 1
↑ 61% · IA 2.04This facility: 3.28 staff per resident, 61% above the Iowa average of 2.04 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
154 staff ÷ 47 residents
See full Iowa ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
↑ 4% · IA 7.5 hThis facility: 7.8 h, 4% above the Iowa average of 7.5 h (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
19,833 staff hours this quarter
See full Iowa ranking →66.2% of staff hours were worked by the facility's own employees
Iowa average: 92.3% · Contractors this quarter: Certified Nursing Assistant (74), Registered Nurse (8), Licensed Practical Nurse (6), Physical Therapy Assistant (2), Speech Language Pathologist (1), Occupational Therapy Aide (1), Qualified Social Worker (1), Respiratory Therapy Technician (1), Occupational Therapy Assistant (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
50
Rank #150 / 240Bed count — State benchmarked This nursing home is ranked 150th out of 240 nursing homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
50
Rank #150 / 240Bed count — State benchmarked This nursing home is ranked 150th out of 240 nursing homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #122 / 249Walk Score — State benchmarked This nursing home is ranked 122nd out of 249 nursing homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #122 / 249Walk Score — State benchmarked This nursing home is ranked 122nd out of 249 nursing homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
50
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #26 / 227Occupancy rate — State benchmarked This nursing home is ranked 26th out of 227 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 227. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #26 / 227Occupancy rate — State benchmarked This nursing home is ranked 26th out of 227 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 227. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
94%
This home usually has limited availability
Based on 47 residents and 50 beds. Source: state inspection report (Jan 2026)
Higher than the Iowa average: 79.1%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
221
days
About This Community
Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
IssuanceJune 1, 1959
CountyShelby
License Number830051
Year Opened06/01/1959
CMS Certification Number165372
Elm Crest Senior Living Community is administered by Leah Mulbauer.
Profit StatusNonprofit
Resident Council
Safety Features24-hour emergency call system
Accept Medicare
Short-Term Rehab
TransportationListed as: Scheduled transportation
Email
lmuhlbauer@abhomes.org
Fax7127555654
Pets not allowed
Continuing Care Retirement Community (CCRC)
Minimum Age62+
HousekeepingYes
Linen ServiceYes
Beauty Salon
Community Room (Rental Space)
Activities
Musical Performances
Guest Speakers
Religious AffiliationAmerican Baptist
Building Type3-story
1 Bedroom Floor plans as listed by the community: Standard One Bedroom (640 sq ft) · Deluxe One Bedroom (702 sq ft)
Floor plans: Deluxe
640–702 sq ft
2 Bedroom Floor plans as listed by the community: Standard Two Bedroom (923 sq ft) · Deluxe Two Bedroom (1,009 sq ft)
Floor plans: Deluxe
923–1,009 sq ft
Two inspection records, one home. Iowa inspects it under state rules; CMS inspects its nursing-home beds under federal rules.
Inspection History and the Inspection Scorecard below are the state record. CMS Health Inspection History, further down, is the federal record. Each counts its own visits and findings over its own dates, so the totals are not meant to match, and nothing is counted twice.
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.
Inspection Scorecard
This scorecard compares key inspection, violation, 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.
Overall vs. IA average
1 Worse
Metrics worse than Iowa average:
• Violations (20% above) 1 At Avg Metrics at Iowa average:
• Violations per inspection (at IA avg) 2 Better Metrics better than Iowa average:
• Federal violations (17% below)
• State violations (71% below)
• Violations (20% above) 1 At Avg Metrics at Iowa average:
• Violations per inspection (at IA avg) 2 Better Metrics better than Iowa average:
• Federal violations (17% below)
• State violations (71% below)
Violations
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Violations
Total violations cited across all inspections on record. Iowa reports these as a federal and a state component, shown below; the two add up to this total.
| 28 | 23.4 | This facility has 20% more violations than a typical Iowa nursing home (28 vs. IA avg 23.4).↑ 20% worse |
|
Federal violations
Part of the Violations total above — the share cited under federal nursing-home requirements, which apply to Medicare/Medicaid-certified facilities. Federal + state add up to the total.
| 26 | 31.2 | This facility has 17% fewer federal violations than a typical Iowa nursing home (26 vs. IA avg 31.2).↓ 17% better |
|
State violations
Part of the Violations total above — the share cited under Iowa state licensing requirements. Federal + state add up to the total.
| 2 | 6.9 | This facility has 71% fewer state violations than a typical Iowa nursing home (2 vs. IA avg 6.9).↓ 71% better |
|
Violations per inspection
Average violations per inspection.
| 1.6 | 1.6 | This facility has violations per inspection in line with the Iowa average (1.6 vs. IA avg 1.6).— At avg |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 17 | 12.7 | This facility has had 34% more total inspections than the Iowa average (17 vs. IA avg 12.7). More inspections can mean more regulatory scrutiny rather than worse care.↑ 34% more |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
7
↑ 40% · IA 5This facility: 7, 40% above the Iowa average of 5 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
21
Rank #144 / 231Health citations — State benchmarked This nursing home is ranked 144th out of 231 nursing homes we track in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 231 IA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 1% · IA 20.7This facility: 21, 1% above the Iowa average of 20.7 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3
Rank #83 / 231Citations per inspection — State benchmarked This nursing home is ranked 83rd out of 231 nursing homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 231 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 22% · IA 3.83This facility: 3, 22% below the Iowa average of 3.83 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
95% corrected
20 of 21 citations corrected · 1 still open
Critical
J–L
0
↓ 100% · IA 0.5This facility: 0, 100% below the Iowa average of 0.5 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
2
↑ 122% · IA 0.9This facility: 2, 122% above the Iowa average of 0.9 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
50% corrected · 1 open
Actual harm
Moderate
D–F
19
≈ 0% · IA 19This facility: 19, level with the Iowa average of 19 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · IA 0.3This facility: 0, 100% below the Iowa average of 0.3 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Aug 10, 2026 · 2 citations, all corrected
Most cited category: Quality of Life & Care, 8 of 21 citations · 6 categories in total
Citations history
Most recent first
Aug 10, 2026
2 citations
Quality of Care moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Jun 10, 2026
1 citation
Quality of Care serious citation
Jan 14, 2026
3 citations
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nov 13, 2025
1 citation
Quality of Care moderate citation
Corrected
Corrected
Nov 14, 2024
8 citations
Quality of Care serious citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Jul 21, 2024
2 citations
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Oct 05, 2023
4 citations
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Top deficiency categories
Share of 21 citations
Quality of Life & Care
8 deficiencies (38%)
Nutrition & Dietary
5 deficiencies (24%)
Infection Control
3 deficiencies (14%)
Resident Assessment & Care Planning
3 deficiencies (14%)
Resident Rights
1 deficiency (5%)
Pharmacy Services
1 deficiency (5%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 21 citations resulted from standard inspections; 6 of 21 resulted from complaint investigations; and 2 of 21 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
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 Oct 2026
2 penalties in the past 3 years
Latest: Jun 10, 2026 · $14,380 civil money penalty
Jun 10, 2026 · $14,380 civil money penalty
Nov 14, 2024 · 8-day payment denial
Total fines
$14,380
↓ 68% · IA $45KThis facility: $14,380, 68% below the Iowa average of $45,482. Average among the 160 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #163 / 234Federal fines — State benchmarked This nursing home is ranked 163rd out of 234 nursing homes we track in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 234 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 29% · IA 1.4This facility: 1, 29% below the Iowa average of 1.4. Average among the 160 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
8 days
↑ 125% · IA 0.44This facility: 1, 125% above the Iowa average of 0.44. Average among the 160 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Jun 10, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,380
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,380
Nov 14, 2024
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
8 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
8 daysFine amount comparison
This facility
$14,380
Iowa average
$45,482
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Iowa and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Iowa average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 39% · IA 3.3This facility: 2.0, 39% below the IA average of 3.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 56% · IA 2.6This facility: 4.0, 56% above the IA average of 2.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
15.0
Score · lower is better
↑ 70% · IA 8.8This facility: 15.0, 70% above the IA average of 8.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
33.1
Score · lower is better
↑ 75% · IA 18.9This facility: 33.1, 75% above the IA average of 18.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 6 worse, 2 near IA average
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
32.8%
↑ 97% · IA 16.6This facility: 32.8, 97% above the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
32.8%
↑ 97% · IA 16.6This facility: 32.8, 97% above the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
35.0%
↑ 131% · IA 15.2This facility: 35.0, 131% above the IA average of 15.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
35.0%
↑ 131% · IA 15.2This facility: 35.0, 131% above the IA average of 15.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.6%
↑ 26% · IA 25.0This facility: 31.6, 26% above the IA average of 25.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.6%
↑ 26% · IA 25.0This facility: 31.6, 26% above the IA average of 25.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
3.8%
↑ 61% · IA 2.4This facility: 3.8, 61% above the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
3.8%
↑ 61% · IA 2.4This facility: 3.8, 61% above the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
↓ 53% · IA 3.9This facility: 1.8, 53% below the IA average of 3.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
↓ 53% · IA 3.9This facility: 1.8, 53% below the IA average of 3.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.5%
↑ 9% · IA 4.1This facility: 4.5, 9% above the IA average of 4.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.5%
↑ 9% · IA 4.1This facility: 4.5, 9% above the IA average of 4.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
0.8%
↓ 82% · IA 4.4This facility: 0.8, 82% below the IA average of 4.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
0.8%
↓ 82% · IA 4.4This facility: 0.8, 82% below the IA average of 4.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
2.1%
↓ 49% · IA 4.2This facility: 2.1, 49% below the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
2.1%
↓ 49% · IA 4.2This facility: 2.1, 49% below the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
13.8%
↓ 30% · IA 19.8This facility: 13.8, 30% below the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
13.8%
↓ 30% · IA 19.8This facility: 13.8, 30% below the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
↑ 4% · IA 94.2This facility: 97.6, 4% above the IA average of 94.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
↑ 4% · IA 94.2This facility: 97.6, 4% above the IA average of 94.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.9%
↑ 2% · IA 95.8This facility: 97.9, 2% above the IA average of 95.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.9%
↑ 2% · IA 95.8This facility: 97.9, 2% above the IA average of 95.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.32
↓ 11% · IA 1.48This facility: 1.32, 11% below the IA average of 1.48 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.32
↓ 11% · IA 1.48This facility: 1.32, 11% below the IA average of 1.48 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.43
↑ 16% · IA 2.09This facility: 2.43, 16% above the IA average of 2.09 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.43
↑ 16% · IA 2.09This facility: 2.43, 16% above the IA average of 2.09 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
68.9%
↑ 28% · US 53.7This facility: 68.9, 28% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
68.9%
↑ 28% · US 53.7This facility: 68.9, 28% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
49.9%
↓ 1% · US 50.6This facility: 49.9, 1% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
49.9%
↓ 1% · US 50.6This facility: 49.9, 1% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
↑ 160% · US 0.8This facility: 2.0, 160% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
↑ 160% · US 0.8This facility: 2.0, 160% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · IA 2.1This facility: 0.0, 100% below the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · IA 2.1This facility: 0.0, 100% below the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.4%
↑ 9% · IA 84.0This facility: 91.4, 9% above the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.4%
↑ 9% · IA 84.0This facility: 91.4, 9% above the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.3%
↑ 12% · IA 74.4This facility: 83.3, 12% above the IA average of 74.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.3%
↑ 12% · IA 74.4This facility: 83.3, 12% above the IA average of 74.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
4.4%
↓ 79% · IA 21.4This facility: 4.4, 79% below the IA average of 21.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
4.4%
↓ 79% · IA 21.4This facility: 4.4, 79% below the IA average of 21.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
19.2%
↑ 47% · IA 13.1This facility: 19.2, 47% above the IA average of 13.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
19.2%
↑ 47% · IA 13.1This facility: 19.2, 47% above the IA average of 13.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Elm Crest Senior Living Community’s finances from its CMS cost report for the fiscal year ending August 2025, compared with 227 Iowa nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Aug 2025
Is it financially stable?
Losing money on care, but less than last year
−7.1% operating margin
+10.1 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.1M) trims the net loss to −$0.5M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Iowa homes
53.6% payroll share of revenue
IA average 61.0%Rank #181 / 227Payroll % of net patient revenue — State benchmarked This nursing home is ranked 181st out of 227 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.3M while revenue rose $0.6M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Iowa homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $7.6M | +$0.6M | Trend 20182025 | IA median $6.1M | Rank in IA Rank #79 / 227Net patient revenue — State benchmarked This nursing home is ranked 79th out of 227 nursing homes we track in Iowa for net patient revenue. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 65% of homes | Above IA median Higher net patient revenue than 65% of IA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $8.2M | −$0.1M | Trend 20182025 | IA median $6.3M | Rank in IA Rank #76 / 227Operating expenses — State benchmarked This nursing home is ranked 76th out of 227 nursing homes we track in Iowa for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Iowa homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 67% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.5M | +$0.7M | Trend 20182025 | IA median −$0.0M | Rank in IA Rank #170 / 227Net patient income — State benchmarked This nursing home is ranked 170th out of 227 nursing homes we track in Iowa for net patient income. Shows net patient revenue minus operating expenses, compared with other Iowa homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 25% of homes | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −7.1% | +10.1 pts | Trend 20182025 | IA median −0.5% | Rank in IA Rank #159 / 227Operating margin — State benchmarked This nursing home is ranked 159th out of 227 nursing homes we track in Iowa for operating margin. Shows net patient income as a share of net patient revenue, compared with other Iowa homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 30% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | IA median $0.0M | Rank in IA Rank #99 / 207Other income — State benchmarked This nursing home is ranked 99th out of 207 nursing homes we track in Iowa for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Iowa homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 52% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.5M | +$1.1M | Trend — | IA median $0.0M | Rank in IA Rank #184 / 227Net income — State benchmarked This nursing home is ranked 184th out of 227 nursing homes we track in Iowa for net income. Shows the bottom line after other income, compared with other Iowa homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 19% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Iowa homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.1M | +$0.3M | Trend 20182025 | IA median $3.7M | Rank in IA Rank #94 / 227Payroll costs — State benchmarked This nursing home is ranked 94th out of 227 nursing homes we track in Iowa for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 59% of homes | Above IA median Higher payroll than 59% of IA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 53.6% | +0.4 pts | Trend 20182025 | IA median 59.1% | Rank in IA Rank #181 / 227Payroll % of net patient revenue — State benchmarked This nursing home is ranked 181st out of 227 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 20% of homes | 7.4 pts under IA average The IA average is 61.0% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · IA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Iowa payroll average.
% of net patient revenue
Payroll share Operating margin IA payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $7.0M | $6.5M | $6.9M | $6.0M | $5.8M | $5.7M | $7.1M | $7.6M |
| Operating expenses | $7.8M | $7.4M | $7.7M | $7.9M | $7.6M | $7.7M | $8.3M | $8.2M |
| Net patient income | −$0.8M | −$0.9M | −$0.8M | −$1.8M | −$1.8M | −$2.0M | −$1.2M | −$0.5M |
| Operating margin | −10.9% | −13.0% | −11.7% | −30.1% | −31.4% | −36.1% | −17.2% | −7.1% |
| Net income | −$0.7M | −$0.8M | −$0.7M | −$1.1M | −$1.7M | −$1.8M | −$1.6M | −$0.5M |
| Payroll costs | $4.5M | $4.4M | $4.7M | $4.1M | $3.9M | $3.8M | $3.8M | $4.1M |
| Payroll share of revenue | 64.9% | 66.8% | 69.0% | 67.3% | 68.0% | 66.0% | 53.2% | 53.6% |
| Beds | 71 | 71 | 71 | 71 | 71 | 71 | 71 | 50 |
| Gross revenue | $7.5M | $7.2M | $7.1M | $6.1M | $6.1M | $6.1M | $7.5M | $8.0M |
| Salaries | $3.7M | $3.6M | $3.8M | $3.4M | $3.3M | $3.2M | $3.2M | $3.6M |
| Wage-related costs | $0.9M | $0.8M | $0.9M | $0.6M | $0.7M | $0.6M | $0.6M | $0.5M |
| Contract labor | $0.6M | $0.7M | $0.6M | $1.2M | $1.4M | $1.7M | $1.8M | $1.1M |
| Other operating costs | $3.2M | $3.0M | $2.9M | $3.8M | $3.7M | $4.0M | $4.5M | $4.1M |
| Net patient revenue per day | $311 | $319 | $348 | $387 | $376 | $400 | $454 | $494 |
| Cost per day | $344 | $361 | $389 | $503 | $494 | $545 | $533 | $529 |
| Average length of stay | 216.9 days | 160.3 days | 216.5 days | 93.0 days | 175.6 days | 156.1 days | 317.8 days | 221.0 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
72 admissions · FY2025
Residents admitted during the year.
Medicare
53 · 74%
Medicaid
5 · 7%
Private pay & other
14 · 19%
Resident snapshot
47 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
12 · 26%
Medicaid
21 · 45%
Private pay & other
14 · 30%
Leaving
70 discharges · FY2025
Residents discharged during the year.
Medicare
33 · 47%
Medicaid
11 · 16%
Private pay & other
26 · 37%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Living Spaces & Floor Plans for Elm Crest Senior Living Community
Places of interest near Elm Crest Senior Living Community
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.
Calculate Travel Distance to Elm Crest Senior Living Community
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Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Iowa
Elm Crest Senior Living Community is in Harlan, Iowa. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Pension Aid and Attendance and Housebound Benefits (Federal)
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
- Asset limit
- Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.
Eligibility
- General
- Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
- IA specifics
- A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.
What it provides
- A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
State Supplementary Assistance (SSA)
Iowa State Supplementary Assistance (SSA)
- Income limit
- Below the income limit for the relevant SSA group.
- Asset limit
- Resources at or below $2,000 for a single person or $3,000 for a married couple living together.
Eligibility
- General
- Iowa residents who are aged, blind or disabled under Social Security standards, receive SSI or would receive it except for excess income, and meet the relevant assistance-category limits.
What it provides
- State-funded supplements for qualifying special needs; including family life homes; in-home health-related care and residential care facilities.
Elderly Waiver
Iowa Medicaid Elderly Waiver
Eligibility
- General
- Iowa residents age 65 or older who meet Medicaid and nursing-facility-level-of-care requirements.
What it provides
- Authorized waiver services can include case management; adult day care; homemaker; respite; home health; meals; assistive devices; modifications and transportation.
Family Caregiver Support Program
Family Caregiver Support Program (Iowa)
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
Eligibility
- General
- Adult family or informal caregivers of adults age 60 or older or people of any age with Alzheimer's disease or a related disorder. The federal program also supports specified older-relative caregiver categories.
What it provides
- Caregiver information and access assistance; counseling and training; support groups; respite and limited supplemental services under the federal caregiver-support framework.
Money Follows the Person (Intellectual Disability or Brain Injury)
Iowa Money Follows the Person (Intellectual Disability or Brain Injury)
Eligibility
- General
- People in Iowa with an intellectual-disability or brain-injury diagnosis who have lived in a qualifying facility at least 60 consecutive days and want to move into the community. Iowa Medicaid must complete eligibility determination before discharge.
What it provides
- Transition services and enhanced supports for the first year after an approved move into the community.
Medicare Savings Program (MSP)
Iowa Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
- IA specifics
- Applications are administered by the state Medicaid program.
What it provides
- Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit
Frequently Asked Questions about Elm Crest Senior Living Community
Quick answers from public records and the community's own listing.01 Is Elm Crest Senior Living Community in a walkable area?
Elm Crest Senior Living Community has a walk score of 50. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
02 What is the license number of Elm Crest Senior Living Community?
According to IA state health department records, Elm Crest Senior Living Community's license number is 830051.
03 What is the occupancy rate at Elm Crest Senior Living Community?
Elm Crest Senior Living Community's occupancy is 94%.
04 Does Elm Crest Senior Living Community have different floorplan options?
Yes — see the floorplan options available at Elm Crest Senior Living Community on this page.
05 Are pets allowed at Elm Crest Senior Living Community?
No, Elm Crest Senior Living Community has a no-pet policy.
06 What is the best email address for Elm Crest Senior Living Community?
The team at Elm Crest Senior Living Community can be reached at LMuhlbauer@abhomes.org.
07 Does Elm Crest Senior Living Community operate as a for-profit or non-profit?
Elm Crest Senior Living Community is registered as a non-profit in IA.
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