Assisted Living · Harlan, IA
Assisted Living, Nursing Homes · Medicare certified
Elm Crest Retirement Community
2104 12th Street · Harlan, IA 51537 · Lic. #S0059 (IA) · 64 certified beds
Licensed · Verify with the state (opens in a new tab)
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About Elm Crest Retirement Community
Elm Crest Retirement Community is an assisted living community in Harlan, Iowa. Its capacity is 64 beds, above the Iowa median of 53 for assisted living communities. The IA licensing record lists its status as "ACTIVE". It is run by a nonprofit operator and is part of American Baptist Homes of the Midwest. It is Medicare certified. Its public inspection record shows 18 citations, the most recent on January 14, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 4.02 hours per resident per day. It is one of 2 assisted living communities listed in Harlan. Complaints about assisted living communities in Iowa go to the Iowa Department of Inspections, Appeals, and Licensing at 1-877-686-0027. Its public records were last updated in November 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
3.0Quality measures
3.0CMS Care Compare (nursing home rating), October 2026.
Inspection history (18)
Records from October 2023 to January 2026.
January 14, 2026
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 12, 2026.
January 14, 2026
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 12, 2026.
January 14, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 12, 2026.
November 13, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 6, 2026.
November 14, 2024
Tag F0688Provide 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2024.
November 14, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected December 3, 2024.
November 14, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2024.
November 14, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2024.
November 14, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2024.
November 14, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 3, 2024.
November 14, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2024.
November 14, 2024
Tag F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2024.
July 21, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 21, 2024.
July 21, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 21, 2024.
October 5, 2023
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 3, 2023.
October 5, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 3, 2023.
October 5, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 3, 2023.
October 5, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 3, 2023.
Penalties (2)
June 10, 2026 · Fine
CMS recorded a civil money penalty of $14,380 against this nursing home on June 10, 2026.
November 14, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting December 6, 2024, lasting 8 days (triggered by inspection on November 14, 2024).
Staffing
4.02 nurse hours per resident per day in Q2 2026, up from 3.80 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit - Other
Part of American Baptist Homes of the Midwest, a chain of 6 nursing homes.
Average CMS star ratings across the chain: 2.2 overall, 2.0 for health inspections, 3.7 for staffing, 3.3 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
Source: IA Medicaid NF rate publication (opens in a new tab), updated 2026-01-01
Nearby alternatives
Other licensed providers in Harlan.
Deciding between options? Complete Guide to Assisted Living (2026)
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