Home›Iowa›Shelby County›Elm Crest Retirement Community
B
Good

Elm Crest Retirement Community

2104 12th Street · Harlan, IA 51537

7127555174 · Non profit - Corporation

50 beds44.8 residents136 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A
Very Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Elm Crest Retirement Community receives an overall staffing grade of B (Good). With 3.995 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.10 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 15.92% compared to weekdays. The facility relies heavily on temporary agency staff (35.9% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️35.9% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.995hrs/resident/day▲ 0.10
CMS benchmark: 3.48
RN HPRD
0.8869hrs/resident/day▲ 0.20
Recommended: 0.75
Weekend Drop-off
15.92%
4.1832 weekday → 3.5174 weekend
Agency Staff
35.9%
15.83% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.68hrs/resident/day
Direct care aides
LPN HPRD
0.4221hrs/resident/day
Licensed practical nurses
Consistency
0.5024std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Shelby County Average+0.52 HPRD
3.47
04.00 HPRD
vs. Iowa State Average+0.18 HPRD
3.82
04.00 HPRD
vs. National Average+0.10 HPRD
3.90
04.00 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Elm Crest Retirement Community ★
Harlan · This facility
—
B
3.9950.8869★★☆☆☆
Avoca Specialty Care
Avoca
10.3 mi
C
3.34460.7387★☆☆☆☆
Salem Lutheran Home
Elk Horn
14.3 mi
D
2.94530.5758★☆☆☆☆
Dunlap Specialty Care
Dunlap
19.3 mi
B
3.55420.8138★★☆☆☆
Azria Health Rose Vista
Woodbine
20.8 mi
C
3.58680.4739★☆☆☆☆
Friendship Home Association
Audubon
21.1 mi
B
3.69340.6987★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
19
Total Deficiencies
$0
Fines Assessed
Nov 13, 2025Health
1 deficiency cited
▼
Nov 14, 2024Health
8 deficiencies cited· Includes actual harm
▼
Jul 21, 2024Health
2 deficiencies cited
▼
Oct 5, 2023Health
4 deficiencies cited
▼
Aug 25, 2022Health
4 deficiencies cited
▼

Penalty History

Nov 14, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.