New Salem, ND

Elm Crest Manor

3-star overall rating with 3-star inspections with 5 recent health deficiencies

100 Elm Ave, #396, New Salem, ND

(701) 843-7526

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

58

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.52

Registered nurse staffing · state 0.93 · national 0.68

LPN hours / resident day

0.95

Licensed practical nurse staffing · state 0.50 · national 0.87

Aide hours / resident day

3.43

Nurse aide staffing · state 2.99 · national 2.35

Total nurse hours

4.89

All reported nurse hours · state 4.41 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.95

Weekend nurse staffing · state 3.75 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.59 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

5.57

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 38% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

465

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

69.34

Composite VBP score used to determine payment impact.

Payment multiplier

1.0220

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

6.12

Baseline 20.90% · Performance 38.67% · Measure score 6.12 · Achievement 6.12 · Improvement 0

Adjusted total nurse staffing

7.75

Baseline 5.28 hours · Performance 5.28 hours · Measure score 7.75 · Achievement 7.75 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.06%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 27 · Observed rate 3.7% · Lower 95% interval 6.21%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.72	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 20 · Denominator 20
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 20 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	4.92%	8.2% 3.3 pts worse	Numerator 6 · Denominator 122
Staff flu vaccination coverage	20.14%	42% 21.9 pts worse	Numerator 28 · Denominator 139
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.8	1.4 0.6 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.9 0.9 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	98.3% 1.7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	98.8% 1.2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.3%	5.1% 1.8 pts better	3.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 2.0% · Q3 3.8% · Q4 1.8% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.2%	4.4% 2.8 pts worse	11.4% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.0% · Q3 5.8% · Q4 9.3% · 4Q avg 7.2%
Percentage of long-stay residents who lose too much weight	8.2%	5.5% 2.7 pts worse	5.4% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 12.5% · Q3 9.6% · Q4 7.5% · 4Q avg 8.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.1%	17.4% 7.7 pts worse	19.6% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 22.0% · Q3 26.4% · Q4 28.3% · 4Q avg 25.1%
Percentage of long-stay residents who received an antipsychotic medication	28.2%	23.4% 4.8 pts worse	16.7% 11.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 27.8% · Q3 27.5% · Q4 30.0% · 4Q avg 28.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.8%	19.0% 6.2 pts better	16.3% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 18.6% · Q3 8.1% · Q4 8.3% · 4Q avg 12.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	23.0%	20.1% 2.9 pts worse	14.9% 8.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 18.2% · Q3 22.4% · Q4 23.4% · 4Q avg 23.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.8% 1.4 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.0%	3.1% 2.1 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.4%	25.2% 4.2 pts worse	19.8% 9.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.1% · Q2 27.5% · Q3 33.5% · Q4 22.8% · 4Q avg 29.4%
Percentage of long-stay residents with pressure ulcers	6.4%	5.3% 1.1 pts worse	5.1% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 7.4% · Q3 6.1% · Q4 4.0% · 4Q avg 6.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.7%	93.6% 3.9 pts worse	81.7% 8 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 89.7%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-22 · Fire 2026-01-22

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2025-01-08 · Fire 2025-01-08

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-11-21 · Fire 2023-11-21

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-08

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-01-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-02-04

D · Potential for more than minimal harm 2026-01-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-02-04

D · Potential for more than minimal harm 2026-01-22

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-04-14

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-04-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-05-09

F · Potential for more than minimal harm 2025-01-08

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-01-23

D · Potential for more than minimal harm 2025-01-08

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-01-22

D · Potential for more than minimal harm 2024-06-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-14

E · Potential for more than minimal harm 2023-11-21

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-12-12

D · Potential for more than minimal harm 2023-11-21

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-12-12

Penalties and ownership