Elm Crest Retirement Community
Nursing home in Harlan, Iowa, CMS certification number 165372
2104 12th Street, Harlan, IA 51537 · Shelby County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 50
- Certified for
- Medicare and Medicaid
- Last standard inspection
- January 14, 2026
- Deficiencies at that inspection
- 7
- Fines in 3 years
- $14,380 (1)
Does Elm Crest Retirement Community take Medicare and Medicaid?
Yes to both. Elm Crest Retirement Community is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | 4 of 5 |
Nurse staffing hours and turnover
These are the hours Elm Crest Retirement Community reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.02
- Registered nurse hours
- 0.98
- Licensed practical nurse hours
- 0.48
- Nurse aide hours
- 2.56
- Weekend total hours
- 3.41
- Nursing staff turnover
- 75.4%
- Registered nurse turnover
- 50%
- Administrators who left
- 2
Health inspections and complaints
Inspectors last made a standard visit on January 14, 2026 and cited 7 deficiencies, plus 4 from complaint visits.
The visit before, on November 14, 2024, found 8.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Elm Crest Retirement Community 1 time in the past 3 years, for $14,380 in total.
It also had 1 payment denial, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 44.8 residents live here, about 90% of its 50 certified beds.
- Certified beds
- 50
- Average residents per day
- 44.8
- Certified since
- October 1, 1997
- Part of a continuing care community
- Yes
- Resident or family council
- Resident
Who owns Elm Crest Retirement Community
- Legal business name
- American Baptist Homes of the Midwest
- Ownership type
- Non profit - Other
- Chain
- 6 homes nationally under American Baptist Homes of the Midwest, 2.2-star chain average
Other nursing homes near Elm Crest Retirement Community
- Avoca Specialty Care610 East York Street, Avoca 51521
- Salem Lutheran Home2027 College Avenue, Elk Horn 51531
- Dunlap Specialty Care1403 Harrison Road, Dunlap 51529
- Azria Health Rose Vista1109 Normal Street, Woodbine 51579
- Friendship Home Association714 Division, Audubon 50025
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Elm Crest Retirement Community, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Elm Crest Retirement Community
What is the CMS star rating of Elm Crest Retirement Community?
2 out of 5 stars overall.
Does Elm Crest Retirement Community accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Elm Crest Retirement Community?
7 cited at the last standard visit.
Who owns Elm Crest Retirement Community?
American Baptist Homes of the Midwest, non profit - other.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.