Elm Crest Retirement Community

2104 12th Street, Harlan, IA 51537 · CCN 165372 · 50 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2024-11-14 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

3.64

state median 3.10

Weekend staffing gap

−7%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.50

registered nurses only

Contract (agency) staff

37%

share of all nursing hours

Nursing staff turnover

72%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $0 in fines.

Date	Type	Amount
2024-11-14	Payment Denial	payment denial

Ownership

Ownership type: Non profit - Other. Part of the AMERICAN BAPTIST HOMES OF THE MIDWEST chain.

Other facilities under the same ownership, with their CMS overall ratings:

MOUNTAIN VISTA HEALTH CENTER (WHEAT RIDGE, CO) — CMS overall2 of 5
HEALTH CENTER AT FRANKLIN PARK (DENVER, CO) — CMS overall4 of 5
Thorne Crest Retirement Center (ALBERT LEA, MN) — CMS overall1 of 5
Maple Crest Health Center (Omaha, NE) — CMS overall2 of 5
Tudor Oaks Health Center (MUSKEGO, WI) — CMS overall2 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 17

Survey date	Tag	Category	Severity	Corrected
2026-01-14	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-14	F0805	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-14	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-11-13	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-11-14	F0550	Resident Rights Deficiencies	D	not recorded
2024-11-14	F0636	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-11-14	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-11-14	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-11-14	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-11-14	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-11-14	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-11-14	F0880	Infection Control Deficiencies	E	not recorded
2024-07-21	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-07-21	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-10-05	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-10-05	F0755	Pharmacy Service Deficiencies	D	not recorded
2023-10-05	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-10-05	F0880	Infection Control Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Elm Crest Retirement Community, Harlan” at medicare.gov/care-compare.