Elm Crest Retirement Community
2104 12th Street · Harlan, IA · 51537 · 7127555174
50 certified beds Non profit - Other Chain: American Baptist Homes of the Midwest Part of a CCRC
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.80 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
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Potential for harm · E January 14, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 12, 2026 · Nutrition and Dietary
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Potential for harm · E January 14, 2026
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected February 12, 2026 · Nutrition and Dietary
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Potential for harm · E January 14, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 12, 2026 · Nutrition and Dietary
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Potential for harm · D November 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 6, 2026 · Quality of Life and Care
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Actual harm · G November 14, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 3, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 14, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 14, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 3, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 3, 2024 · Quality of Life and Care
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Potential for harm · E November 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 3, 2024 · Nutrition and Dietary
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Potential for harm · E November 14, 2024
Provide and implement an infection prevention and control program.
Corrected December 3, 2024 · Infection Control
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Potential for harm · D November 14, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 3, 2024 · Resident Rights
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Potential for harm · E July 21, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 21, 2024 · Quality of Life and Care
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Potential for harm · D October 5, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 3, 2023 · Quality of Life and Care
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Potential for harm · D October 5, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 3, 2023 · Pharmacy Service
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Potential for harm · E October 5, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 3, 2023 · Nutrition and Dietary
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Potential for harm · E October 5, 2023
Provide and implement an infection prevention and control program.
Corrected November 3, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 14, 2024 | Payment Denial | 8 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165372 · certified since October 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.