Elm Crest Retirement Community
2104 12th Street, Harlan, IA, 51537
Yes. Federal inspectors cited 4 deficiencies against Elm Crest Retirement Community in Harlan, Iowa at its most recent standard inspection on 2026-01-14, 1 of them arising from complaints. 1 finding has been recorded at the actual-harm level. Medicare rates it 3 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 18 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2026-01-14 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · F0805 · 2026-01-14 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-01-14 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-11-13 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-11-14 · from a complaint · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-11-14 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-11-14 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2024-11-14 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0636 · 2024-11-14 · standard survey · No actual harm, potential for more than minimal harm
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 · F0656 · 2024-11-14 · standard survey · No actual harm, potential for more than minimal harm
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 · F0688 · 2024-11-14 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2024-11-14 · standard survey · No actual harm, potential for more than minimal harm
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 · F0657 · 2024-07-21 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-07-21 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-10-05 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2023-10-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2023-10-05 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2023-10-05 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Elm Crest Retirement Community
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| AMERICAN BAPTIST HOMES OF THE MIDWEST | Organization | 100% | since 03/03/1967 |
| KOTZ, CHRISTINA | Individual | NOT APPLICABLE | since 08/01/2019 |
| NAUSLAR, TIM | Individual | NOT APPLICABLE | since 05/01/2014 |
| ALLEN, RYAN | Individual | NOT APPLICABLE | since 05/01/2012 |
| DAVIDSON, ROGER | Individual | NOT APPLICABLE | since 08/01/2019 |
| FORD, ASHLEY | Individual | NOT APPLICABLE | since 08/01/2019 |
| HANSON, PHILLIP | Individual | NOT APPLICABLE | since 05/01/2012 |
| HONGSLO, JEFFREY | Individual | NOT APPLICABLE | since 11/01/2006 |
| JOHNSON, DOROTHY | Individual | NOT APPLICABLE | since 08/01/2019 |
| JOHNSON, JAMES | Individual | NOT APPLICABLE | since 08/01/2019 |
| KILLIAN, GEORGE | Individual | NOT APPLICABLE | since 08/01/2019 |
| NEIMAN, RUTH | Individual | NOT APPLICABLE | since 01/01/2021 |
Part of the AMERICAN BAPTIST HOMES OF THE MIDWEST group.
Ask Elm Crest Retirement Community a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165372.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction