Skilled nursing · Harlan, IA

Elm Crest Retirement Community

2104 12th Street, Harlan, IA 51537

50 bedsNon profit - Other
6.0Clarity

▼ 0.8 since Jun

Score history
Oct 20266.0▼ 0.8 flagged
Sep 20266.8 flagged
Aug 20266.8 flagged
Jul 20266.8 flagged
Jun 20266.8 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 3 Oct 2026

Read this record before you tour: CMS rates it 2 out of 5 stars overall and 2 for the health inspection that drives it, and 72% of the nursing staff leaves each year. Every number below prints the same way for every facility, good or bad — these are the ones to ask about.

palmelle

Written by Palmelle from federal and state records. Last updated 3 Oct 2026. Not paid for or edited by the facility.

In their own words

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The record

CMS Care Compare · Aug 2026
Federal ratings
Overall★★☆☆☆ 2 of 5
Health inspection★★☆☆☆ 2 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★☆ 4 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
44 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
3 hr 59 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
71.7%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is better

This home
13.4%
National
14%

On sedatives / sleep medicationlower is better

This home
8.4%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
1.9%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$0 · zero penalties
Abuse iconNot flagged
Conflict flags in latest reconcile1

IA does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Reads like care — the pattern checks come back clean.

  • Clean accountability record. Non-profit operated — and there are no fines, flags, or abuse findings on the federal record.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for Elm Crest Retirement Community?
Elm Crest Retirement Community has an overall CMS Care Compare rating of 2 out of 5 stars.
Has Elm Crest Retirement Community been cited for resident harm?
Elm Crest Retirement Community has no abuse icon and no federal fines on record in the last 36 months.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.

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