Elm Crest Retirement Community — nursing home in Harlan, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 50 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 44.8 CMS, MDS-derived
CMS Certification Number: 165372
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 1, 1997
Ownership type: Non profit - Other
Operator (legal business name): American Baptist Homes of the Midwest
CMS chain: American Baptist Homes of the Midwest 6 facilities
Phone: (712) 755-5174
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest Aug 10, 2026

Citations

31

21 health · 10 fire

Harm or worse

2

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D12	E9	F8
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$14,380

Payment denials

1

Latest

Jun 10, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165372
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 50
First approved: Oct 1, 1997
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 10, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jun 10, 2026	Health	Health Complaint	1	Actual harm	—	Open →
Jan 14, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jan 14, 2026	Health	Health Standard	3	Potential harm	—	Open →
Nov 13, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Nov 14, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Nov 14, 2024	Health	Health Complaint, Health Standard	8	Actual harm	—	Open →
Jul 21, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Oct 5, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Oct 5, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 10, 2026	Civil money penalty (fine)	$14,380	—	165372\|Fine\|144445
Nov 14, 2024	Denial of payment for new admissions	—	Dec 6, 2024 · 8 days	165372\|Payment Denial\|2024-12-06

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D12	E9	F8
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 10, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 25, 2026	Complaint
Aug 10, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 25, 2026	Complaint
Jun 10, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance	Complaint
Jan 14, 2026	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jan 28, 2026
Jan 14, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 14, 2026
Jan 14, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 26, 2026
Jan 14, 2026	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 22, 2026
Jan 14, 2026	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 12, 2026
Jan 14, 2026	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 12, 2026
Jan 14, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 12, 2026
Nov 13, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 6, 2026	Complaint
Nov 14, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Dec 3, 2024	Complaint
Nov 14, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 20, 2024
Nov 14, 2024	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 14, 2024
Nov 14, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 14, 2024
Nov 14, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 14, 2024
Nov 14, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 3, 2024	Complaint
Nov 14, 2024	F-0636	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 · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2024
Nov 14, 2024	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2024
Nov 14, 2024	F-0688	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 · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2024
Nov 14, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2024
Nov 14, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Dec 3, 2024
Nov 14, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 3, 2024
Jul 21, 2024	F-0657	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 · Clinical care	E · Potential harm Pattern	Corrected Aug 21, 2024	Complaint
Jul 21, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2024	Complaint
Oct 5, 2023	K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 11, 2023
Oct 5, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 11, 2023
Oct 5, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2023
Oct 5, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 3, 2023
Oct 5, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Nov 3, 2023
Oct 5, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Nov 3, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.02

State avg 3.86US avg 3.90

Registered nurse (RN)0.98

State avg 0.74US avg 0.69

Licensed practical nurse0.48

State avg 0.56US avg 0.86

Nurse aide2.56

State avg 2.56US avg 2.35

Weekend total nurse3.41

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.30 (case-mix index 1.31).

Staff turnover

Total nursing staff turnover75.4%

State avg 44.1%US avg 45.3%

Registered nurse turnover50.0%

State avg 42.1%US avg 42.5%

Administrators who left2

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jan 14, 2026
Cycle 1 health score: 56
Total weighted score: 59

Operating entity

American Baptist Homes of the Midwest

CMS legal business name of the certified provider. Operates 4 facilities.

VerifiedLinked by exact legal name

CMS chain

American Baptist Homes of the Midwest

6 facilities in 5 states. CMS chain ID 29.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.2

Ownership disclosures

Disclosures

20

Organizations

1

Individuals

19

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
American Baptist Homes of the Midwest	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 3, 1967

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
American Baptist Homes of the Midwest	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 3, 1967
Ryan Allen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2012
Roger Davidson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2019
Ashley Ford	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2019
Phillip Hanson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2012
Jeffrey Hongslo	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 2006
Dorothy Johnson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2019
James Johnson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2019
George Killian	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2019
Ruth Neiman	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Marshall Peters	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2012
Bruce Van Der Beek	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Steven Vanostram	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2012
Stephanie Vaughn-Gray	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2019
Anne Wagoner Ford	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2019
Bruce Whitaker	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2014
Andrea Blatnik	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2013
Melissa Zygarlicke	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2019
Christina Kotz	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Aug 1, 2019
Tim Nauslar	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	May 1, 2014

Other facilities operated by American Baptist Homes of the Midwest

All 3 →

Facility	Beds	Last inspection	Citations (window)	Fines
Thorne Crest Retirement Center 1201 Garfield Avenue, Albert Lea, MN 56007 CCN 245425	52	May 20, 2026	482 IJ1 harm	$43k
Maple Crest Health Center 2824 North 66th Avenue, Omaha, NE 68104 CCN 285149	175	Jul 7, 2026	591 harm1 open	—
Tudor Oaks Health Center S77 W12929 Mcshane Dr, Muskego, WI 53150 CCN 525279Abuse icon	50	Dec 5, 2025	623 harm	$118k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2104 12th Street, Harlan, IA 51537
ZIP: 51537
County: Shelby County FIPS 19165
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Avoca Specialty Care 610 East York Street, Avoca, IA 51521 CCN 165294	16.6 km	46		Mar 5, 2026	78	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165372	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165372	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165372

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction