Cycle 1
Health 2026-01-14 · Fire 2026-01-14
4 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Harlan, IA
Elm Crest Retirement Community
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2104 12th Street, Harlan, IA
(712) 755-5174
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
50
Certified beds
Average residents
45
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
American Baptist Homes Of The Midwest
Operator or chain grouping
Approved since
1997-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 2 overall / 2 health / 4 staffing / 4 quality stars
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
0.89
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.42
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.69
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.99
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.52
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.69
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.97
CMS adjusted RN staffing hours
Adjusted total hours
4.37
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
70%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,406
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.98
Performance 20.05% · Measure score 2.98 · Achievement 2.98 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Baseline 6.35% · Performance 8.20% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.58
Baseline 83.93% · Performance 71.67% · Measure score 1.58 · Achievement 0 · Improvement 1.58
Adjusted total nurse staffing
3.63
Baseline 3.95 hours · Performance 4.11 hours · Measure score 3.63 · Achievement 3.63 · Improvement 0.37
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.13% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 11.36% · Lower 95% interval 7.92% |
| Discharge to community | 49.87% |
50.57%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 75 · Observed rate 49.33% · Lower 95% interval 40.51% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 92% |
95.27%
3.3 pts worse
|
Numerator 46 · Denominator 50 |
| Falls with major injury | 2% |
0.77%
1.2 pts worse
|
Numerator 1 · Denominator 50 |
| Discharge self-care score | 68.89% |
53.69%
15.2 pts better
|
Numerator 31 · Denominator 45 |
| Discharge mobility score | 68.89% |
50.94%
18 pts better
|
Numerator 31 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 50 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.2% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 7.69% · Lower 95% interval 3.98% |
| Staff COVID-19 vaccination coverage | 3.8% |
8.2%
4.4 pts worse
|
Numerator 3 · Denominator 79 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 73.33% |
56.45%
16.9 pts better
|
Numerator 33 · Denominator 45 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 25 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 17.86% |
25.2%
7.3 pts worse
|
Numerator 5 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.1
0.3 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
94.0%
4 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.4% · Q3 100.0% · Q4 95.1% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.0% |
95.2%
5.2 pts worse
|
95.5%
5.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.7%
0.3 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.1% · Q3 3.0% · Q4 2.4% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
4.0%
3.2 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 7.0% |
4.9%
2.1 pts worse
|
5.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 7.4% · Q3 3.8% · Q4 3.0% · 4Q avg 7.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.0% |
20.6%
15.6 pts better
|
19.6%
14.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 0.0% · Q3 3.6% · Q4 5.9% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.1% |
19.8%
9.7 pts better
|
16.7%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q3 9.1% · Q4 10.3% · 4Q avg 10.1% · 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 | 34.0% |
18.5%
15.5 pts worse
|
16.3%
17.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 34.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.6% |
18.3%
14.3 pts worse
|
14.9%
17.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 27.3% · Q3 29.6% · Q4 44.8% · 4Q avg 32.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.7%
0.8 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
2.5%
0.4 pts better
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 3.2% · Q4 2.5% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.6% |
26.0%
0.4 pts better
|
19.8%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 30.4% · Q3 18.4% · Q4 28.6% · 4Q avg 25.6% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
4.3%
0.5 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 11.4% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.6% |
84.3%
5.7 pts worse
|
81.7%
3.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 67.9% · Q2 65.7% · Q3 88.6% · Q4 92.9% · 4Q avg 78.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.2% |
13.1%
6.1 pts worse
|
12.0%
7.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.2% · Observed 16.1% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
1.9%
0.7 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 4.3% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.1% |
73.3%
7.8 pts better
|
79.7%
1.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 4.4% |
21.3%
16.9 pts better
|
23.9%
19.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.4% · Observed 3.2% · Expected 17.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-14 · Fire 2024-11-14
10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-10-05 · Fire 2023-10-05
4 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2026-01-14
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2026-01-28
F · Potential for more than minimal harm
2026-01-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-26
F · Potential for more than minimal harm
2026-01-14
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-01-22
E · Potential for more than minimal harm
2026-01-14
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-01-14
F · Potential for more than minimal harm
2024-11-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-20
F · Potential for more than minimal harm
2024-11-14
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-11-14
F · Potential for more than minimal harm
2024-11-14
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-14
F · Potential for more than minimal harm
2024-11-14
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-14
F · Potential for more than minimal harm
2023-10-05
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-11
D · Potential for more than minimal harm
2023-10-05
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-10-11
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-14
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-02-12
E · Potential for more than minimal harm
2026-01-14
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2026-02-12
E · Potential for more than minimal harm
2026-01-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-12
D · Potential for more than minimal harm
2025-11-13
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-06
G · Actual harm
2024-11-14
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-03
E · Potential for more than minimal harm
2024-11-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-03
E · Potential for more than minimal harm
2024-11-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-03
D · Potential for more than minimal harm
2024-11-14
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-03
D · Potential for more than minimal harm
2024-11-14
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-12-03
D · Potential for more than minimal harm
2024-11-14
F656 · Resident Assessment and Care Planning Deficiencies
Health
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
D · Potential for more than minimal harm
2024-11-14
F688 · Quality of Life and Care Deficiencies
Health
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
D · Potential for more than minimal harm
2024-11-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-03
E · Potential for more than minimal harm
2024-07-21
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 2024-08-21
D · Potential for more than minimal harm
2024-07-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-21
E · Potential for more than minimal harm
2023-10-05
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-03
E · Potential for more than minimal harm
2023-10-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-03
D · Potential for more than minimal harm
2023-10-05
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-03
D · Potential for more than minimal harm
2023-10-05
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-03
Penalties and ownership
What sits behind the stars
$0
2024-11-14
Payment Denial
Payment Denial · denial start 2024-12-06 · 8 days
8 day denial
Ownership
American Baptist Homes Of The Midwest
5% Or Greater Direct Ownership Interest · Organization
Allen, Ryan
Corporate Director · Individual
Blatnik, Andrea
Corporate Officer · Individual
Davidson, Roger
Corporate Director · Individual
Ford, Ashley
Corporate Director · Individual
Hanson, Phillip
Corporate Director · Individual
Hongslo, Jeffrey
Corporate Director · Individual
Johnson, Dorothy
Corporate Director · Individual
Johnson, James
Corporate Director · Individual
Killian, George
Corporate Director · Individual
Kotz, Christina
W-2 Managing Employee · Individual
Nauslar, Tim
W-2 Managing Employee · Individual
Neiman, Ruth
Corporate Director · Individual
Peters, Marshall
Corporate Director · Individual
Van Der Beek, Bruce
Corporate Director · Individual
Vanostram, Steven
Corporate Director · Individual
Vaughn-Gray, Stephanie
Corporate Director · Individual
Wagoner Ford, Anne
Corporate Director · Individual
Whitaker, Bruce
Corporate Director · Individual
Zygarlicke, Melissa
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Avoca Specialty Care
Avoca, IA
1-star overall rating with 1-star inspections with 14 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Salem Lutheran Home
Elk Horn, IA
1-star overall rating with 2-star inspections with $25,448 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Dunlap Specialty Care
Dunlap, IA
2-star overall rating with 1-star inspections with $39,361 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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