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Elm Crest Retirement Community

Nursing Home
Independent Living
Assisted Living
Memory Care

Updated Nov 1, 2023 by Nick Lata

Historical Rating

See Rating Overview

Elm Crest Retirement Community's website

2104 12th Street,
Harlan IA 51537

(712) 755-5174

52.39% estimated occupancy ¹

Elm Crest Retirement Community is the only facility we identified in Harlan, Iowa. This nursing home was awarded an A- overall, which is one of our more impressive ratings. In fact, we ranked this nursing home in the top third of all nursing homes in the United States. As you can see below, this facility also performed just fine in our category ratings. It is hard to find any major flaws in this place's profile.

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Quick Details

Accepts Medicare ¹
Accepts Medicaid ¹
Is CCRC
Has Resident Council
No Family Council
Non profit - Corporation
Offers Inpatient Rehab
Offers Outpatient Rehab

Specialized Services

Personal Care
Medication Management
Home Making
Transportation
Medical Transportation
Speech Therapy
Wound Care
Occupational Therapy
Podiatry
Physical Therapy
Nutritional Counseling
Laboratory
Recreational Therapy

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Registered Staff Hours

Medical Staff Hours Per Patient (2022)

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Facility Inspections

In addition to being a great overall grade, this facility also received A+ health inspections in recent years. Its inspections were virtually flawless. Inspection grades weigh several factors, including deficiencies and federal fines. You can find more information about each of these factors by obtaining copies of nursing homes' inspection reports. While this place had a few deficiencies on its report, none of them were major deficiencies based on CMS' deficiency scale. We should point out that deficiency-free inspections are rare in the industry.

Nurse Quality

Among its many impressive grades, this facility received an excellent nursing grade. In fact, we gave it a grade of A in that category. There are several datapoints within this grade. Many of the criteria relate to staffing levels. This particular nursing home provided 0.4 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This facility performed well in this area. Avoiding major falls is typically a good indicator that a nursing home has reliable quality controls in place. Major falls can often be avoided if more nurses aids and better safety protocols are in place.

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Long-term Care Quality

Turning to our next category, this facility also earned a score of B for its long-term care rating. This is an above average score in this area. Facilities that excel in this category typically are well-staffed and offer extensive hands on care to patients. On top of assessing the amount of care provided by aids and other staff, we looked at the percentage of residents vaccinated against pneumonia. This nursing home provided the vaccine to 100 percent of its residents, which is what we like to see. Pneumonia tragically can be a life threatening condition for nursing home residents so we strongly prefer when a nursing home does not roll the dice on this issue. Clearly, this place is doing something right in this area as it was able to keep its patients out of the hospital. Indeed, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low number.

Short-term Care Quality

The next area we assessed is short-term care. In that category, we awarded this nursing home an above average grade of B. Our short-term care grade is generally employed to measure a facility's performance with rehabilitation. In order to have good rehabilitation services, facilities generally must have higher levels of skilled nursing. These types of services include registered nurses, physical therapists, speech therapists and other types of therapists. Fortunately, it appear that this facility employs registered nurses. Not every nursing home employs these skilled professionals. However, based on the information they provided, they do not appear to employ physical therapists. The final datapoint we considered in this category is the percentage of residents who were able to leave the facility and return home. We discovered that 4.3 percent of this facility's residents returned home.

Rating Over Time

Compared to national and state averages across all facilities.

Elm Crest Retirement Community Quality Metrics

Minimizes Pressure Ulcers

In Elm Crest Retirement Community, 3.42% of Patients had Pressure Ulcers

This metric tells you the percent of long-term patients who are suffering from pressure ulcers or bed sores. We use this statistic in calculating our nursing grades.

Minimizes Serious Falls

In Elm Crest Retirement Community, 4.23% of Patients had Serious Falls

This statistic tells you the percent of long-term care patients which have experienced falls which caused serious injury. We use this statistic in computing our nursing grades.

Minimizes Urinary Tract Infections

In Elm Crest Retirement Community, 8.82% of Patients had UTIs

This is the percent of patients who suffered from a urinary tract infection. Urinary tract infections are routinely associated with facilities with lower levels of hygiene. Additional nurse staffing can reduce the number likelihood of residents sustaining infections. Keep in mind that this datapoint is sometimes skewed by the fact that facilities have different reporting standards for these infections.

Appropriately Uses Anti-Psychotic Medication

In Elm Crest Retirement Community, 9.63% of Patients use Anti-Psychotic Medication

This tells you the percentage of patients given antipsychotic drugs. While antipsychotic medications may be helpful for many patients, it is important to ensure these drugs are being used only where medically required. In some cases, excessive reliance on these medications may mean that a facility is using these medications to subdue residents.

Appropriately Uses Anti-Anxiety Medication

In Elm Crest Retirement Community, 11.38% of Patients use Anti-Anxiety Medication

This figure gauges the percent of long-term patients receiving antianxiety drugs.

Managing Depression Among Residents

In Elm Crest Retirement Community, 0% of Patients

This metric is a measure of the percentage of long-term residents who are exhibiting signs of depression. Many in the industry argue that this is a measure of quality of care.

Appropriate Vaccine Usage

In Elm Crest Retirement Community, 98.73% of Patients

This datapoint measures the percent of long-term care residents who received the flu and pneumonia vaccines.

Residents Maintain Autonomy

In Elm Crest Retirement Community, 8.94% of Patients

This datapoint is a measure of the percentage of long-term care patients that needed additional assistance with activities of daily living over time. ADL's include activities such as taking medications and using the bathroom. Some would argue this is a reliable measure of a resident's well-being.

Ability to Keep Residents Mobile

In Elm Crest Retirement Community, 10.01% of Residents

This indicates the percent of patients who remained mobile levels over time. Retaining mobility is often a great sign for residents' well-being.

Hospitalizations

In Elm Crest Retirement Community, 0.7 Hospitalizations per 1,000 resident days

This is the number of times residents are hospitalized per 1,000 days of patient care. There is a correlation between staying out of the hospital and the overall quality of long-term care.

Short-term Care: Rehospitalizations

In Elm Crest Retirement Community, 10.01% of Residents Rehospitalized

This is a measure of the number of times residents are rehospitalized per thousand days of short-term patient care.

Short-term Care: ER Visits

In Elm Crest Retirement Community, 18.94% of Patients

This metric is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. Avoiding emergency medical situations is one way to assess the well-being of patients during rehabilitation.