What is Elm Crest Manor's Medicare star rating?

CMS rates Elm Crest Manor 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Elm Crest Manor get at its last inspection?

3 health deficiencies at the standard inspection on January 22, 2026. The North Dakota average is 5.6.

Has Elm Crest Manor been fined?

CMS lists no fines in the last three years.

Does Elm Crest Manor accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Elm Crest Manor?

CMS lists 18 owners and managers. Legal business name: ELM CREST MANOR.

Elm Crest Manor: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on January 22, 2026, inspectors cited 3 health deficiencies (the North Dakota average is 5.6, the national average 9.2).

None of its 10 health citations since November 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.74 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.

50.6% of nursing staff left within the year CMS measured (North Dakota average 48.8%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

211/23

106/24

201/25

204/25

301/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

January 22, 2026Standard inspection · 3 citations

D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 4, 2026

Inspectors wroteBased on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.20.1), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 1 of 15 sampled residents (Resident #16). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan and the care provided to the residents.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 4, 2026

Inspectors wroteBased on observation, record review, facility policy review, and staff interview, the facility failed to ensure appropriate care and services for 1 of 3 sampled residents (Resident #14) reviewed for edema (fluid retention). Failure to ensure consistent implementation of support stockings and document resident refusals, may result in worsening edema.
D

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 4, 2026

Inspectors wroteBased on record review, review of the hospice agreement, and staff interview, the facility failed to ensure resident records contained the hospice election form for 1 of 1 sampled resident (Resident #2) receiving hospice services. Failure to obtain the hospice election form limits staff's ability to ensure coordination of care between the facility and the hospice agency.

April 14, 2025Complaint inspection · 2 citations

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025

Inspectors wroteBased on review of the facility reported incident (FRI) and family and staff interviews, the facility failed to ensure alleged violations involving neglect were reported timely to the State Agency (SA) for 1 of 1 sampled resident (Resident #1). Failure to report an elopement in a timely manner placed all residents at risk for neglect and/or elopement.
D

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025

Inspectors wroteBased on review of the facility report incident (FRI), record review, and family and staff interview, the facility failed to thoroughly investigate an elopement for 1 of 1 sampled resident (Resident #1). Failure to thoroughly investigate an elopement to determine causative factors may limit the facility's ability to put appropriate interventions in place to prevent further elopement episodes.

January 8, 2025Standard inspection · 2 citations

F

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 23, 2025

Inspectors wroteBased on staff interview, the facility failed to ensure 1 of 1 dietary manager (#3) obtained the proper qualifications to serve as the director of food and nutrition services. Failure to ensure staff have the qualifications to carry out the functions of food and nutrition services may result in foodborne illness to residents, staff, and visitors.
D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2025

Inspectors wroteBased on record review, review of facility policy, review of facility investigation report, and staff interview, the facility failed to report an incident of potential abuse/neglect to the State Survey Agency (SSA) for 1 of 1 sampled resident (Resident #7) who experienced a fall from the mechanical lift. Failure to report an event of potential abuse/neglect to the SSA places all residents at risk of potential abuse/neglect.

June 25, 2024Complaint inspection · 1 citation

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on record review and review of the facility reported incident investigation, the facility failed to provide food textures according to the resident's prescribed diet for 1 of 1 sampled resident (Resident #1) who had a choking incident. Failure to ensure Resident #1's diet is followed while serving snacks resulted in a hospital emergency room transfer and treatment for choking. This citation is considered past noncompliance based on review of the corrective action the facility implemented immediately following the incident.

November 21, 2023Standard inspection · 2 citations

E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 12, 2023

Inspectors wroteBased on observation and facility policy, the facility failed to assure safe and secure storage of narcotic medications for 2 of 2 medication carts. Failure to store all medications securely may result in unauthorized access to medications and/or medication errors.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023

Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to review and revise comprehensive care plans to reflect the residents' current status for 3 of 19 sampled residents (Resident #23, #28, and #33). Failure to review and revise the care plan limited staffs' ability to communicate needs and ensure continuity of care.

Fire safety inspections

2 fire safety citations on file: 2 on January 8, 2025.

Every fire safety citation2 citations

F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · January 8, 2025 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · January 8, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	North Dakota	United States
All nursing staff (RN, LPN and aides)	4.74	4.42	3.86
Registered nurses	0.54	0.93	0.69
All nursing staff on weekends	3.93	3.80	3.42
Nurse aides	3.35
Licensed practical nurses	0.85
Nursing staff turnover (share who left in a year)	50.6%	48.8%	45.8%
Registered nurse turnover	40.0%	40.3%	42.9%
Administrators who left	0

CMS expects 3.23 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.07 on weekdays and 3.93 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 34.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.87 in April to June 2025 to 4.74 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	4.74	0.54	5.07	3.93	34.7%	0 of 90	59
Oct to Dec 2025	4.72	0.55	5.06	3.84	28.3%	0 of 92	58
Jul to Sep 2025	4.89	0.52	5.26	3.95	29.4%	0 of 92	58
Apr to Jun 2025	4.87	0.56	5.24	3.94	28.5%	0 of 91	56
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
North Dakota, Jan to Mar 2026	4.57	0.92	4.81	3.96	11.7%	0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	North Dakota	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	23.5	19.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.4	1.6	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.4	2.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.5	5.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	9.9	17.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.8	4.9	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	25.4	22.7	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	11.1	19.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	10.1	11.4	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.4	1.5	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.6	1.9	1.8

Owners and operators

Legal business name: ELM CREST MANOR.

Name	Role	Type	Share	Since
Peace Church	5% or greater direct ownership interest	Organization	100%	03/01/1969
Peace Church	5% or greater mortgage interest	Organization		03/01/1969
Dusek, Anita	Corporate director	Individual		11/05/2025
Heid, Alma	Corporate director	Individual		03/01/2012
Keller, Linda	Corporate director	Individual		03/25/2024
Larson, Rolland	Corporate director	Individual		02/24/1995
Lennick, Kristen	Corporate director	Individual		03/13/2023
Olson, Joel	Corporate director	Individual		10/24/2001
Olson, Ladonna	Corporate director	Individual		02/21/2021
Tellman, Shane	Corporate director	Individual		05/27/2025
Schmitz, Daniel	Corporate officer	Individual		04/28/2025
Zazeski, Carrie	Corporate officer	Individual		07/12/2024
Peace Church	Operational/managerial control	Organization		03/01/1969
Kosiak, Donald	Operational/managerial control	Individual		06/18/2008
Zazeski, Carrie	Operational/managerial control	Individual		07/12/2024
Peace Church	Adp of the SNF	Organization		03/01/1969
Kosiak, Donald	Adp of the SNF	Individual		06/18/2008
Zazeski, Carrie	Adp of the SNF	Individual		07/12/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on April 14, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 22, 2026: "Ensure each resident receives an accurate assessment."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 22, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on January 22, 2026: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."

Other nursing homes nearby

Marian Manor Healthcare Center
Glen Ullin, 18.2 mi · 1 of 5 stars · 15 citations

North Dakota contacts for a concern about a nursing home

These are the official offices in North Dakota. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: North Dakota Health and Human Services, Health Facilities Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: North Dakota Long-Term Care Ombudsman Program, (855) 462-5465. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: North Dakota Deficiency Statement Search, where North Dakota publishes its own records on licensed homes.

Common questions

What is Elm Crest Manor's Medicare star rating?: CMS rates Elm Crest Manor 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Elm Crest Manor get at its last inspection?: 3 health deficiencies at the standard inspection on January 22, 2026. The North Dakota average is 5.6.
Has Elm Crest Manor been fined?: CMS lists no fines in the last three years.
Does Elm Crest Manor accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Elm Crest Manor?: CMS lists 18 owners and managers. Legal business name: ELM CREST MANOR.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.