70/100
Above average
Elm Crest Retirement Community
2104 12Th Street, Harlan, IA 51537
- Certified beds
- 50
- Occupancy
- 92%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$14,380 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 72%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Elm Crest Retirement Community
Elm Crest Retirement Community runs 50 certified beds in Harlan under nonprofit ownership, and its overall nurse staffing of 3.99 hours per resident day sits modestly above the national average of 3.86, roughly 3% higher. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday level, and annual staff turnover reaches 71.7% against a national figure of 45.8%, meaning most of the people providing care are relatively new to the building. The current record shows 18 deficiencies, one of them serious enough to involve harm or jeopardy, with none tied to abuse. Inspectors last visited in January 2026.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
20/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.22 total nurse hours per resident per day (national median 3.77)
- →0.74 RN hours per resident per day
- →Weekend staffing drops 14% against weekdays
Staff stability
2/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →72% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
6/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$14,380 in federal fines across 1 action(s)
- →-2 for 1 denial(s) of Medicare payment for new admissions
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: January 14, 2026 (9 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of AMERICAN BAPTIST HOMES OF THE MIDWEST, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Elm Crest Retirement Community
What is the ElderGrade for Elm Crest Retirement Community? +
Elm Crest Retirement Community holds an ElderGrade of B (70 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Elm Crest Retirement Community? +
Residents receive an average of 3.99 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Elm Crest Retirement Community been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Elm Crest Retirement Community accept Medicaid? +
Yes, Elm Crest Retirement Community is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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