Elm Crest Retirement Community
Nursing Home Facility
2104 12th Street, Harlan, IA 51537
Today is the day and now is the time... time to enjoy the rewards that a lifetime of hard work and planning afford. Senior living is evolving to reflect the desires and needs of today's active seniors while continuing to provide a safe, caring, and loving home environment. Family, friends, comfortable living, and quality care are all reasons for considering senior retirement living, and you will find all these and more at Elm Crest Retirement Community.
Elm Crest Retirement Community is licensed for 50 beds, about typical for the area, where senior care communities in Shelby County average about 58 beds.
Federal reporting puts occupancy at about 92% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Shelby County average of roughly 84%.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Shelby County average about 2.0 stars. Its most recent standard health inspection was in January 2026 and recorded 4 deficiencies.
Residents receive about 4.0 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Nursing staff turnover over the past year was about 72%, which is high and can affect continuity of care.
The community is located in Shelby County, IA.
Elm Crest Retirement Community offers assisted living, nursing home care, continuing care (CCRC), retirement living, and senior living.
Facility details
- Organization type Non profit - Church related
- Beds / units 50
- Religious affiliation Church Based
- Occupancy 92%
- Nursing hours per resident/day 4.0
- Annual staff turnover 72%
- Last health inspection January 2026