Elm Crest Retirement Community: Staffing, Turnover, and Inspection Record
Elm Crest Retirement Community is a 50-bed nonprofit nursing home in Harlan, Iowa, part of American Baptist Homes of the Midwest. In the CMS August 2026 release it reported 2.69 nurse aide hours per resident per day, 7% above the Iowa average of 2.51, and 71.7% nursing staff turnover (Iowa average 44.0%).
Elm Crest Retirement Community
2104 12th StreetHarlan, IA 51537
Shelby County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Elm Crest Retirement Community, nurse aides logged 2.69 hours per resident per day, 7% above the Iowa average. With about 46 residents a day, that works out to roughly 123 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.69 | 2.51 | 2.32 |
| Licensed practical nurses | 0.56 | 0.56 | 0.86 |
| Registered nurses | 0.74 | 0.74 | 0.69 |
| All nursing staff | 3.99 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.45 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
71.7% of nursing staff at Elm Crest Retirement Community left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 50.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 14, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Iowa average 6.5). CMS lists 0 fines and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 14, 2024 | Payment Denial | 8 days from Dec 6, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Elm Crest Retirement Community holds 2 of 5 overall; the Iowa average is 3.1.
About Elm Crest Retirement Community
- Ownership: Non profit - Other
- Chain: American Baptist Homes of the Midwest, 6 homes
- Legal name: American Baptist Homes of the Midwest
- Medicare and Medicaid certified since: Oct 1, 1997
- Part of a continuing care retirement community
- Councils: resident council
- Area: rural
Nursing homes near Elm Crest Retirement Community
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avoca Specialty Care Avoca | 10.3 | 46 | 1.87 | 3.01 | 63.9% | 1 | None |
| Salem Lutheran Home Elk Horn | 14.3 | 64 | 2.58 | 3.86 | 63.0% | 1 | None |
| Dunlap Specialty Care Dunlap | 19.3 | 46 | 2.58 | 3.58 | 35.5% | 4 | $10,062 |
| Azria Health Rose Vista Woodbine | 20.8 | 76 | 2.55 | 3.60 | 42.6% | 1 | None |
| Friendship Home Association Audubon | 21.1 | 46 | 2.66 | 3.92 | 60.5% | 4 | $11,536 |
| Oakland Manor Oakland · abuse citation | 23.2 | 61 | 1.68 | 3.05 | — | 1 | $15,593 |
| Exira Care Center Exira | 23.5 | 60 | 2.42 | 3.74 | 50.0% | 2 | $22,880 |
| Heritage House Atlantic | 24.1 | 61 | 2.60 | 3.96 | 33.3% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.