Elm Crest Retirement Community
Harlan, Shelby County, Iowa · CCN 165372 · Non-profit (Other) · part of American Baptist Homes Of The Midwest (6 facilities, chain average 2.3 stars)
CMS rates Elm Crest Retirement Community 2 of 5 overall as of August 2026. 50 certified beds, 46 residents a day on average. 19 citations on record from the current inspection cycles, 2 involving actual harm; no fines on record and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 3 / 4 of 5 |
Staffing
| Total nurse staffing | 3.9897 hours per resident per day |
|---|---|
| Registered nurses | 0.74128 hours per resident per day |
| Weekend total | 3.44703 hours per resident per day |
| Nursing staff turnover | 71.7% (registered nurses 50%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-10 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance |
| 2026-01-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-12 |
| 2026-01-14 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-12 |
| 2026-01-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-12 |
| 2025-11-13 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-06 |
| 2024-11-14 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-12-03 |
| 2024-11-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-03 |
| 2024-11-14 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-03 |
| 2024-11-14 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-03 |
| 2024-11-14 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-03 |
| 2024-11-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-03 |
| 2024-11-14 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-03 |
| 2024-11-14 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-03 |
| 2024-07-21 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-21 |
| 2024-07-21 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-21 |
| 2023-10-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-03 |
| 2023-10-05 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-03 |
| 2023-10-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-03 |
| 2023-10-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-03 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-14 | Payment denial for 8 days from 2024-12-06 | — |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| American Baptist Homes Of The Midwest Organization | 5% or greater direct ownership interest | 100% | 1967-03-03 |
| Allen, Ryan Individual | corporate director | — | 2012-05-01 |
| Davidson, Roger Individual | corporate director | — | 2019-08-01 |
| Ford, Ashley Individual | corporate director | — | 2019-08-01 |
| Hanson, Phillip Individual | corporate director | — | 2012-05-01 |
| Hongslo, Jeffrey Individual | corporate director | — | 2006-11-01 |
| Johnson, Dorothy Individual | corporate director | — | 2019-08-01 |
| Johnson, James Individual | corporate director | — | 2019-08-01 |
| Killian, George Individual | corporate director | — | 2019-08-01 |
| Neiman, Ruth Individual | corporate director | — | 2021-01-01 |
| Peters, Marshall Individual | corporate director | — | 2012-05-01 |
| Van Der Beek, Bruce Individual | corporate director | — | 2021-01-01 |
| Vanostram, Steven Individual | corporate director | — | 2012-05-01 |
| Vaughn-Gray, Stephanie Individual | corporate director | — | 2019-08-01 |
| Wagoner Ford, Anne Individual | corporate director | — | 2019-08-01 |
| Whitaker, Bruce Individual | corporate director | — | 2014-01-01 |
| Blatnik, Andrea Individual | corporate officer | — | 2013-07-01 |
| Zygarlicke, Melissa Individual | corporate officer | — | 2019-08-01 |
| Kotz, Christina Individual | w-2 managing employee | — | 2019-08-01 |
| Nauslar, Tim Individual | w-2 managing employee | — | 2014-05-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Elm Crest Retirement Community.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Shelby County.