The home failed to have enough qualified staff to properly provide food and nutrition services. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
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
Data as of July 1, 2026
4 of 5 overall
Elm Crest Manor in New Salem, ND has a 4 out of 5 star overall rating, with 4-star health inspection, staffing, and quality measures scores. It reports 4.74 nurse staffing hours per resident per day, above the 4.1 federal benchmark, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.7443 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 4.7443.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.85
- Nurse aides
- 3.35
- Weekend nursing
- 3.93
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.5%22.2%Improving
Residents with a fall causing major injury
3.8%10.3%Worsening
Residents with pressure ulcers (bedsores)
6.1%3.7%Improving
Residents with a urinary tract infection
1.9%1.8%No change
Residents who lost too much weight
9.6%14.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.4%25%Worsening
Residents whose ability to walk got worse
8.1%12.1%Worsening
Long-stay residents on antianxiety or sleep medication
26.4%29.6%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.5%0%Improving
Residents with new or worsening incontinence
33.5%30.3%Improving
Residents with depressive symptoms
5.8%7.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.3%Worsening
Short-stay residents given the pneumonia vaccine
—83.6%—
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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
- 59.3 residents on an average day (96% 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.