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C
Below Standard

ELM CREST MANOR

100 ELM AVE, #396 · NEW SALEM, ND 58563

7018437526 · For profit - Corporation

60 beds57.5 residents115 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ELM CREST MANOR receives an overall staffing grade of C (Below Standard). With 4.8946 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5147 HPRD, below the recommended 0.75. It is 1.00 HPRD above the national average.

Weekend staffing drops significantly — dropping 25.01% compared to weekdays. The facility relies heavily on temporary agency staff (29.36% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

⚠️RN staffing (0.5147 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 25.01% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
⚠️29.36% 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 (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.8946hrs/resident/day▲ 1.00
CMS benchmark: 3.48
RN HPRD
0.5147hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
25.01%
5.2669 weekday → 3.9497 weekend
⚠ Significant weekend reduction
Agency Staff
29.36%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.4329hrs/resident/day
Direct care aides
LPN HPRD
0.9471hrs/resident/day
Licensed practical nurses
Consistency
0.6684std 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. Morton County Average+0.27 HPRD
4.63
04.89 HPRD
vs. North Dakota State Average+0.47 HPRD
4.43
04.89 HPRD
vs. National Average+1.00 HPRD
3.90
04.89 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 MANOR ★
NEW SALEM · This facility
—
C
4.89460.5147★★★☆☆
MARIAN MANOR HEALTHCARE CENTER
GLEN ULLIN
18.1 mi
A
4.90441.3001★☆☆☆☆
DAKOTA ALPHA
MANDAN
25 mi
A
4.90781.3587★★★★★
SUNSET DRIVE - A PROSPERA COMMUNITY
MANDAN
25 mi
B
4.05170.758★☆☆☆☆
GOOD SAMARITAN SOCIETY MILLER POINTE A PROSPERA CO
MANDAN
28 mi
A
4.37910.7605★★★☆☆
GOOD SAMARITAN SOCIETY AUGUSTA PLACE A PROSPERA CO
BISMARCK
30.7 mi
A
4.33211.031★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
11
Total Deficiencies
$0
Fines Assessed
Apr 14, 2025Health
2 deficiencies cited
▼
Jan 8, 2025Health
2 deficiencies cited
▼
Jun 25, 2024Health
1 deficiency cited
▼
Nov 21, 2023Health
2 deficiencies cited
▼
Nov 3, 2022Health
4 deficiencies cited
▼
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.