The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Elm Crest Senior Living Community
Registered name: Elm Crest Retirement Community
Harlan, IA · Medicare-certified · 50 beds
Needs attention
Non-profitChain member
Data as of September 1, 2026
2 of 5 overall
Elm Crest Senior Living Community in Harlan, IA has a 2 out of 5 star overall rating, with a 2-star health inspection rating, 3-star staffing, and 4-star quality measures. It reported 3.99 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $14,380 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.9897 hrs/resident/day
Quality measures
Last inspection: June 10, 2026Penalties, last 24 months: $14,380recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9897.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.56
- Nurse aides
- 2.69
- Weekend nursing
- 3.45
Hours per resident per day.
Total staff turnover: 72%
Registered nurse turnover: 50%
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
9.1%15.4%Worsening
Residents with a fall causing major injury
3%2.4%Improving
Residents with pressure ulcers (bedsores)
0%2.5%Worsening
Residents with a urinary tract infection
3.2%7.5%Worsening
Residents who lost too much weight
3.8%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.6%23.5%Improving
Residents whose ability to walk got worse
—32.3%—
Long-stay residents on antianxiety or sleep medication
3.6%16.2%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.4%41.8%Worsening
Residents with depressive symptoms
0%5.3%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
—90%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—81.1%—
Short-stay residents given the pneumonia vaccine
88.6%88.9%No change
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- PENALTY
A federal fine of $14,380 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $14,380 in total fines · 1 payment denial.
- $14,380
Federal fine
Jun 10, 2026
- 8 days
Medicare/Medicaid payment denial
Nov 14, 2024
Operator & ownership
- Ownership
- Non profit - Other
- Chain
- Part of AMERICAN BAPTIST HOMES OF THE MIDWEST · 6 homes · 2.3 stars avg
- Occupancy
- 45.8 residents on an average day (92% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 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.