With a score of 67 out of 100, Elm Crest Retirement Community earns a C grade — placing it near the middle of Iowa nursing facilities. Families should review the detailed metrics below when considering this Harlan location.
Staffing at Elm Crest Retirement Community is near the national average, with 3.99 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 18 deficiencies at Elm Crest Retirement Community. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.99 | 3.8 | Average |
| Registered Nurses (RN) | 0.89 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.42 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.69 | 2.4 | Above Average |
| Weekend Total Nursing | 3.52 | 3.8 | Average |
| Weekend RN Hours | 0.69 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0804 Severity EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Jan 13, 2026 · Nutrition and Dietary Deficiencies
- Tag 0805 Severity EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Jan 13, 2026 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 13, 2026 · Nutrition and Dietary Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 12, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 13, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.8% | 4.5% | Better |
| Falls with major injury | 4.0% | 3.0% | Worse |
| On antipsychotic medication | 10.1% | 14.5% | Better |
| Urinary tract infections | 2.1% | 2.5% | Better |
| ADL decline (daily activities) | 32.6% | 14.0% | Worse |
| Excessive weight loss | 7.0% | 7.5% | Average |
| New/worsened incontinence | 25.6% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 67 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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