Elm Crest Retirement Community
2104 12th Street, Harlan, IA 51537 · Shelby County · 50 certified beds · avg 46 residents/day · certified since Oct 1, 1997
Part of chain: AMERICAN BAPTIST HOMES OF THE MIDWEST (6 facilities, chain avg rating 2.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 10, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
▲ Actual harm, one-off · Nov 14, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 3, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 10, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 14, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 14, 2026 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jan 14, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 13, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 14, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 14, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 14, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 14, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Nov 14, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Nov 14, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 14, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Nov 14, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 21, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jul 21, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 10 | 1 | G ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 4 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Nov 14, 2024 | Payment Denial | 8 days from Dec 6, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.22 | 4.37 | 3.95 | bottom 50% in Iowa; top 31% in the U.S. |
| Registered Nurse hours | 0.78 | 0.85 | 0.69 | bottom 50% in Iowa; top 29% in the U.S. |
| Weekend total nurse staffing | 3.65 | 3.86 | 3.50 | bottom 45% in Iowa; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.51 | 0.48 | top 44% in Iowa; top 35% in the U.S. |
| Total nursing staff turnover (%) | 71.7 | 44.0 | 45.8 | bottom 4% in Iowa; bottom 5% in the U.S. |
| RN turnover (%) | 50.0 | 42.1 | 42.9 | bottom 41% in Iowa; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.99, RN 0.74, weekend 3.45. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| American Baptist Homes of the Midwest | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/03/1967 |
| Allen, Ryan | Individual | Corporate Director | NOT APPLICABLE | 05/01/2012 |
| Blatnik, Andrea | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2013 |
| Davidson, Roger | Individual | Corporate Director | NOT APPLICABLE | 08/01/2019 |
| Ford, Ashley | Individual | Corporate Director | NOT APPLICABLE | 08/01/2019 |
| Hanson, Phillip | Individual | Corporate Director | NOT APPLICABLE | 05/01/2012 |
| Hongslo, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 11/01/2006 |
| Johnson, Dorothy | Individual | Corporate Director | NOT APPLICABLE | 08/01/2019 |
| Johnson, James | Individual | Corporate Director | NOT APPLICABLE | 08/01/2019 |
| Killian, George | Individual | Corporate Director | NOT APPLICABLE | 08/01/2019 |
| Kotz, Christina | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/01/2019 |
| Nauslar, Tim | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/01/2014 |
| Neiman, Ruth | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Peters, Marshall | Individual | Corporate Director | NOT APPLICABLE | 05/01/2012 |
| Van Der Beek, Bruce | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Vanostram, Steven | Individual | Corporate Director | NOT APPLICABLE | 05/01/2012 |
| Vaughn-Gray, Stephanie | Individual | Corporate Director | NOT APPLICABLE | 08/01/2019 |
| Wagoner Ford, Anne | Individual | Corporate Director | NOT APPLICABLE | 08/01/2019 |
| Whitaker, Bruce | Individual | Corporate Director | NOT APPLICABLE | 01/01/2014 |
| Zygarlicke, Melissa | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Avoca Specialty Care | 10.3 mi | Avoca, IA | ★☆☆☆☆ | 1/5 | |
| Salem Lutheran Home | 14.3 mi | Elk Horn, IA | ★☆☆☆☆ | 1/5 | |
| Dunlap Specialty Care | 19.3 mi | Dunlap, IA | ★★★★☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165372.