Nursing homeActive
Elm Crest Retirement Community
2104 12th Street, Harlan, IA 51537712755517450 certified beds · 46 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
19
● 0● 17● 2
Penalties · 3 yrs
—
1 action
Last survey
2026-06-10
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-10 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2026-01-14 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-11-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-11-14 | Standard | 071 | CMS-2567 (Care Compare) | — |
| 2024-07-21 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-10-05 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Correction not yet recordedRecord 165372-20260610-F689
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-12Record 165372-20260114-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-12Record 165372-20260114-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-12Record 165372-20260114-F812
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-06Record 165372-20251113-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-12-03Record 165372-20241114-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-03Record 165372-20241114-F550
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-03Record 165372-20241114-F636
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-03Record 165372-20241114-F656
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-03Record 165372-20241114-F688
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-03Record 165372-20241114-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-03Record 165372-20241114-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-03Record 165372-20241114-F880
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-21Record 165372-20240721-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-21Record 165372-20240721-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 165372-20231005-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 165372-20231005-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 165372-20231005-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 165372-20231005-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-11-14 | Denial of payment for new admissions Payment denial for 8 days, from 2024-12-06 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.74
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.99
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.45
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover72%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover50%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.7% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.9% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.4% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 32.8% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.6% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 8.4% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| American Baptist Homes Of The Midwest Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Allen, Ryan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Blatnik, Andrea Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Davidson, Roger Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ford, Ashley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hanson, Phillip Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hongslo, Jeffrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnson, Dorothy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnson, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Killian, George Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kotz, Christina Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Nauslar, Tim Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Neiman, Ruth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Peters, Marshall Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Van Der Beek, Bruce Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vanostram, Steven Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vaughn-Gray, Stephanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wagoner Ford, Anne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Whitaker, Bruce Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Zygarlicke, Melissa Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
American Baptist Homes Of The Midwest — 6 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Shelby.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avoca Specialty Care Avoca | 10.3 mi | 2026-03-05 | 0590 |
| Salem Lutheran Home Elk Horn | 14.3 mi | 2026-05-22 | 0301 |
| Dunlap Specialty Care Dunlap | 19.3 mi | 2025-05-22 | 1242 |
| Oakland Manor Oakland | 23.2 mi | 2026-04-22 | 0492 |
| Gracewell, An Eventide Community Denison | 25.3 mi | 2025-08-28 | 0100 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |