Assisted Living · Harlan, IA
Hansen House Harlan
Cost data not yet available
SOURCE DATA SEP 2026
Assisted Living, Nursing Homes · Medicare certified
Elm Crest Retirement Community
2104 12th Street · Harlan, IA 51537 · Lic. #S0059 (IA) · 64 certified beds
ACTIVE · Verify on official state lookup (opens in a new tab)
NPI 1851389662. Look this up in the CMS NPPES registry (opens in a new tab)
Are you the operator? Claim this profile. Corrections are free, always.
About Elm Crest Retirement Community
Elm Crest Retirement Community is an assisted living community in Harlan, Iowa, in Shelby County. The IA licensing record lists its status as "ACTIVE". Public records list 64 beds. It is Medicare certified. Ownership records list a nonprofit operator and tie the listing to American Baptist Homes of the Midwest. We hold 18 inspection citations for this listing, the most recent dated 14 January 2026. CMS also lists 1 fine or payment denial action against it. Reported staffing works out to 3.99 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated September 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
3.0(CMS Care Compare (nursing home rating))Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
14
2.0(CMS Care Compare (nursing home rating))Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
15
3.0(CMS Care Compare (nursing home rating))Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
14
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Inspection history (18)
Records from October 2023 to January 2026.
January 14, 2026 · E
Citation F0804Federal surveyors cited this nursing home on 2026-01-14 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2026-02-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-14.GOVJanuary 14, 2026 · E
Citation F0812Federal surveyors cited this nursing home on 2026-01-14 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-02-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-14.GOVJanuary 14, 2026 · E
Citation F0805Federal surveyors cited this nursing home on 2026-01-14 under CMS tag F0805 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2026-02-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-14.GOVNovember 13, 2025 · D
Citation F0689Federal surveyors cited this nursing home on 2025-11-13 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-01-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-13.GOVNovember 14, 2024 · D
Citation F0695Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOVNovember 14, 2024 · D
Citation F0688Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide 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. The deficiency was recorded as corrected on 2024-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOVNovember 14, 2024 · D
Citation F0636Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0636 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. The deficiency was recorded as corrected on 2024-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOVNovember 14, 2024 · G
Citation F0689Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOVNovember 14, 2024 · D
Citation F0656Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOVNovember 14, 2024 · D
Citation F0550Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOVNovember 14, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOVNovember 14, 2024 · E
Citation F0812Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOVJuly 21, 2024 · E
Citation F0657Federal surveyors cited this nursing home on 2024-07-21 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-21.GOVJuly 21, 2024 · D
Citation F0684Federal surveyors cited this nursing home on 2024-07-21 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-21.GOVOctober 5, 2023 · D
Citation F0755Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-05.GOVOctober 5, 2023 · E
Citation F0812Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-05.GOVOctober 5, 2023 · E
Citation F0880Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-05.GOVOctober 5, 2023 · D
Citation F0689Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-05.GOV
Penalties (1)
Total fines on file: $0
November 14, 2024 · Payment Denial
Citation PAYDEN-2024-12-06CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-12-06, lasting 8 days (triggered by inspection on 2024-11-14). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOV
Staffing
Latest: 3.99 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.80 hrs/resident/day
- 2026-06-013.80 hrs/resident/day
- 2026-07-013.99 hrs/resident/day
- 2026-08-013.99 hrs/resident/day
- 2026Q13.99 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.18 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit - Other
CMS Care Compare chain: American Baptist Homes of the Midwest
Chain ID 29 · 6 facilities in chain (CMS)
- Chain average overall rating: 2.3
- Chain average health inspection rating: 2
- Chain average staffing rating: 3.8
- Chain average quality measure rating: 3.3
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: American Baptist Homes of the Midwest
parent · PAC 8426966953
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 2, 2026Listed capacity changed
Listed capacity changed from 50 to 64 beds.
Reported by Iowa DIAL
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit - Other".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Listed capacity changed
Listed capacity changed from 64 to 50 beds.
Reported by CMS nursing homes (provider info)
Jul 24, 2026Listed capacity changed
Listed capacity changed from 50 to 64 beds.
Reported by Iowa DIAL
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Assisted Living
Median · IA$5,381/moSee full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
Nursing Homes
Median · IA$9,277/moSee full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
What Medicaid pays nursing homes
Iowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Median facility daily rate
$307.06per day
That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.
Source: IA Medicaid NF rate publication (opens in a new tab) · Updated 2026-01-01.GOV
Nearby alternatives
Other licensed providers in Harlan, with their own public records.
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Complete Guide to Assisted Living (2026)
Check availability and pricing at Elm Crest Retirement Community
Request info and we'll pass it directly to Elm Crest Retirement Community, or call them at 7127555174 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- Iowa DIALas of September 2026
- Care types, City, County, License lookup link, License number, License status, Licensed capacity, Licensing state, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, CMS Special Focus status, Map location, Medicare certification number, Ownership type
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (ownership)as of July 2026
- Parent organization
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.