The home failed to have enough qualified staff to properly provide food and nutrition services. Cited January 2025 — widespread issue, potential for harm.
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F-Tag 801 — 42 CFR §483.60 — S/S: F
Nursing home report
ELM CREST MANOR
NEW SALEM, ND · Medicare-certified · 62 beds
In good standing
Non-profit
5 of 5 overall
ELM CREST MANOR (NEW SALEM, ND) has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It reports 4.72 nurse hours per resident day, above the 4.1 federal benchmark, and had $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.7159 hrs/resident/day
Quality measures
Last inspection: January 22, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7159.
Staffing detail
- Registered nurses
- 0.55
- Licensed practical nurses
- 0.92
- Nurse aides
- 3.25
- Weekend nursing
- 3.84
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
26.9%Improving
Residents with a fall causing major injury
2.3%Steady
Residents with pressure ulcers (bedsores)
5.7%Improving
Residents with a urinary tract infection
0.9%Worsening
Residents who lost too much weight
10.6%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.9%Worsening
Residents whose ability to walk got worse
11.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
25.9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.4%Steady
Residents with new or worsening incontinence
29.6%Worsening
Residents with depressive symptoms
6.6%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
88.3%Steady
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited November 2023 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited January 2026 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2026 — isolated incident, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to arrange hospice services or help the resident transfer to a place that would provide hospice care. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 849 — 42 CFR §483.70 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Occupancy
- 58.4 residents on an average day (94% of 62 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.