Elm Crest Retirement Community
Harlan, IA · Medicare and Medicaid-certified nursing home (CCN 165372) · 50 certified beds
Health inspection: 2 · Quality measures: 4 · Staffing: 3
Federal fines: none on current record · 1 payment denial
Phone: (712) 755-5174 · Verify on Medicare Care Compare ↗
Elm Crest Retirement Community has a CMS overall rating of 2 out of 5 stars, below Iowa's state average of 3.07. Its health inspection rating is 2 stars and its staffing rating is 3 stars.
Elm Crest Retirement Community reports 3.99 total nurse hours per resident per day, including 0.74 RN hours per resident per day, with a 3-star CMS staffing rating. Nursing staff turnover is reported at 71.7%.
Elm Crest Retirement Community has no federal fines on record according to CMS, but it does have 1 payment denial on file. There is no abuse icon flagged and it is not currently in CMS's Special Focus Facility program.
About this facility
Elm Crest Retirement Community is a 50-bed skilled nursing facility in Harlan, Shelby County, Iowa, with an average of 45.8 residents. It operates as a non-profit facility and has been Medicare and Medicaid certified since October 1997.
CMS assigns Elm Crest an overall star rating of 2 out of 5, which is below the Iowa state average of 3.07. This overall score combines a health inspection rating of 2 stars, a quality measures rating of 4 stars, and a staffing rating of 3 stars.
Nurse staffing levels total 3.99 hours per resident per day, including 0.74 RN hours per resident per day. Nursing staff turnover is 71.7%, as reported by CMS.
On penalties, CMS records show no federal fines on record for Elm Crest (0 fines, $0.00 total), but the facility has 1 payment denial on file. There is no abuse icon flagged for this facility, and it is not currently designated under CMS's Special Focus Facility program, which is reserved for homes CMS identifies as persistently underperforming and subject to increased inspection scrutiny.
Elm Crest is part of the American Baptist Homes Of The Midwest chain, which operates 6 facilities with an average CMS rating of 2.3 stars across the chain. There has been no change in ownership within the last 12 months, so current ratings reflect the current operator.
Source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Elm Crest has a CMS overall rating of 2 out of 5 stars, which is below the Iowa state average of 3.07.
Does this facility accept Medicare, Medicaid, or both?
Yes, Elm Crest is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.99 hours per resident per day, including 0.74 RN hours, with a staffing turnover rate of 71.7% and a 3-star staffing rating.
Does this facility have federal fines or penalties on record?
CMS records show no federal fines (0 fines, $0.00), but there is 1 payment denial on record.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No abuse icon is displayed for Elm Crest, and it is not currently designated as a Special Focus Facility.
How large is this facility and how many residents live there?
Elm Crest has 50 certified beds and an average daily population of 45.8 residents.
Who owns this facility — and is it part of a chain?
Elm Crest is a non-profit facility that is part of the American Baptist Homes Of The Midwest chain, which includes 6 facilities averaging 2.3 stars.
How long has this facility been Medicare/Medicaid certified?
Elm Crest has been certified since October 1, 1997.
What do the four different CMS star ratings mean?
CMS rates facilities on health inspections (2 stars), staffing (3 stars), quality measures (4 stars), and combines them into an overall rating (2 stars) for Elm Crest.
Does this facility offer short-term rehabilitation as well as long-term care?
The provided CMS data does not specify service lines; contact the facility at 7127555174 and verify details on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 7127555174 to arrange a visit and review the full inspection record on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can view the most current CMS data for Elm Crest at https://www.medicare.gov/care-compare/details/nursing-home/165372?state=IA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.