Elm Crest Retirement Community
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
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What this means for your family
Elm Crest Retirement Community falls in the middle range of Medicare quality ratings. This means baseline standards are met, but there is room for improvement. A personal tour and conversation with current residents' families will give you the best picture of daily life here.
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints about this facility, with recurring issues in safety supervision, care planning, and food service appearing across multiple surveys. The facility has persistent problems with accident prevention and hazard management, appearing in complaint reports and regular inspections from 2023 through 2024. While all deficiencies show correction dates, the pattern of repeated issues in core care areas suggests ongoing operational challenges that warrant careful evaluation during a visit.
Jan 14, 2026Routine7
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Nov 13, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 14, 2024Routine10
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
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
Provide safe and appropriate respiratory care for a resident when needed.
Nov 14, 2024Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jul 21, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Oct 5, 2023Routine6
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Federal Penalties
Payment Denial
Nov 14, 2024
8-day denial
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Jun 10, 2026ComplaintClean
Fed violations: 1, State violations: 1
Feb 17, 2026InspectionClean
Fed violations: 0, State violations: 0
Jan 14, 2026InspectionClean
Fed violations: 3, State violations: 0
Jan 2, 2026ComplaintClean
Fed violations: 0, State violations: 0
Nov 13, 2025ComplaintClean
Fed violations: 1, State violations: 0
Dec 17, 2024InspectionClean
Fed violations: 0, State violations: 0
Nov 14, 2024InspectionClean
Fed violations: 8, State violations: 1
Aug 21, 2024OtherClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Elm Crest Retirement Community
nonprofit
Chain Affiliation
American Baptist Homes of the Midwest
6 facilities nationwide
Chain avg rating: 2.3/5 · Rank 2 of 6
Ownership & Management
Owners
American Baptist Homes of the Midwest
Owner · Organization
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Medicare data downloads
Original nursing home datasets
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