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Nursing homeFAID #4281

Elm Crest Retirement Community

2104 12TH STREET, HARLAN, IA, 51537
(712) 755-5174
50 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
50
State license
1768
CMS facility ID
165372
Care type
Nursing home
Facility name
Elm Crest Retirement Community
Street address
2104 12TH STREET
City / state / ZIP
Harlan, IA 51537
Phone
(712) 755-5174
State license #
1768

About this facility — Elm Crest Retirement Community

Elm Crest Retirement Community is a Medicare/Medicaid-certified skilled nursing facility in Harlan, Iowa. It is licensed for 50 beds — close to the median for skilled nursing facilities in Iowa (57 beds).

It is one of 4 senior care facilities in Harlan and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Elm Crest Retirement Community 29 times across 10 inspections in the last three years, including 5 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
American Baptist Homes of the Midwest
Ownership type
Non profit - Other

Registered owners & officers

American Baptist Homes of the Midwest
Direct owner — 100% stake — since 1967
Allen, Ryan
Director — since 2012
Blatnik, Andrea
Officer — since 2013
Davidson, Roger
Director — since 2019
Ford, Ashley
Director — since 2019
Hanson, Phillip
Director — since 2012
Hongslo, Jeffrey
Director — since 2006
Johnson, Dorothy
Director — since 2019
Johnson, James
Director — since 2019
Killian, George
Director — since 2019
Kotz, Christina
Managing employee — since 2019
Nauslar, Tim
Managing employee — since 2014
Neiman, Ruth
Director — since 2021
Peters, Marshall
Director — since 2012
Van Der Beek, Bruce
Director — since 2021
Vanostram, Steven
Director — since 2012
Vaughn-gray, Stephanie
Director — since 2019
Wagoner Ford, Anne
Director — since 2019
Whitaker, Bruce
Director — since 2014
Zygarlicke, Melissa
Officer — since 2019

Regulatory standing

Federal court records
3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1997-10-01
CMS overall rating
2 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-01-14
Nurse staffing
4.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$479 per day (≈ $14,560/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
40% Medicaid · 14% Medicare · 46% private/other
Occupancy
60% (fiscal year 2024)
Vs. state median
40% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
50
Licensed as
Assisted Living Program
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-10Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-01-14Health inspection3 citations
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-02-12
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2026-02-12
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-12
7 earlier / fire-safety inspections (25 citations)
2025-11-13Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-06
2024-11-14Health inspectionComplaint-triggered8 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-03
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-12-03
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-03
F-0688
D · No harm found
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.
Corrected 2024-12-03
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-03
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-03
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-03
2024-07-21Health inspectionComplaint-triggered2 citations
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-21
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-21
2023-10-05Health inspection4 citations
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-03
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-03
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-03
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-11-03
2026-01-14Fire-safety inspection4 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2026-01-28
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-01-14
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-26
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-01-22
2024-11-14Fire-safety inspection4 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-20
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-11-14
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-11-14
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-14
2023-10-05Fire-safety inspection2 citations
K-0362
D · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-10-11
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-10-11

Federal penalties

2024-11-14Medicare payment denial — 8 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165372.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 29 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered