Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Elm Crest Manor during CMS and state inspections, most recent first.
Incorrect MDS coding was identified for a resident when the MDS did not reflect a PASRR Level II approval for a mental health condition and failed to code an unstageable pressure ulcer with slough/eschar on the right heel. Nursing notes documented the wound, while the MDS coded current pressure ulcers/injuries as yes but left the unstageable ulcer item blank; an administrative nurse confirmed the coding error.
A resident with edema had an order for knee-high TED hose to be worn in the morning and removed at bedtime, and the care plan directed staff to monitor edema and elevate the legs. Survey observations showed the resident multiple times without the stockings and with visible swelling to both lower legs, while a CNA said the resident usually refused to wear them. The TAR documented the stockings as applied, and an admin nurse confirmed refusals were expected to be reported and documented.
A resident receiving hospice services had no hospice election statement in the medical record. Record review showed the resident and/or representative chose hospice services, and the hospice agreement stated the hospice provider would supply the election statement, but the document was absent from the chart. An administrative nurse confirmed the missing form during interview.
A resident eloped from the facility, and the incident was not reported to the State Agency until more than two months later. Facility staff could not determine how or when the resident left, and administrative staff confirmed the delay in reporting the event.
A resident who was confused and had a code alert applied for safety eloped from the facility and was found by a community member in a nearby gym. The facility was unable to determine when the resident left, had inconsistent documentation, and did not thoroughly investigate the incident to identify causes or implement interventions.
The facility failed to ensure the dietary manager obtained the necessary qualifications to serve as the director of food and nutrition services. The dietary supervisor is enrolled in the Certified Dietary Manager course but has not completed the training. An administrative staff member confirmed the lack of required training for the position.
A facility failed to report a potential abuse/neglect incident to the SSA after a resident fell from a mechanical lift during a transfer, resulting in minor injuries. The facility's policy requires such incidents to be reported to the administrator and the State Department of Health within 24 hours, but this was not done, as confirmed by an administrative nurse.
A resident on a Dysphagia-pureed diet was given inappropriate snacks, including a granola bar and beef jerky, leading to a choking incident. The resident, who has dementia, required emergency intervention and was transferred to the hospital. The staff failed to check the resident's dietary requirements, resulting in the provision of non-compliant food textures.
Incorrect MDS Coding for Mental Health and Pressure Ulcer Status
Penalty
Summary
Accurate assessment was not ensured for one sampled resident when the facility failed to correctly code the Minimum Data Set (MDS). Review of the RAI User’s Manual showed that PASRR Level II approval should be coded as yes for a resident determined to have a serious mental illness, and that unhealed pressure ulcers/injuries and unstageable pressure ulcers related to slough and/or eschar must be coded when present. Resident #16’s record included a PASRR dated 01/24/25 showing a Level II approval for a mental health condition. Nursing notes dated August 11, 13, and 15, 2025 documented an unstageable pressure ulcer on the resident’s right heel with the wound bed covered by slough and/or eschar. However, the significant change MDS coded A1500 as no for mental health condition, coded M0210 as yes for current pressure ulcers/injuries, and did not code M0300F for the number of unstageable pressure ulcers related to slough and/or eschar. During interviews on 01/21/26 and 01/22/26, an administrative nurse confirmed staff failed to correctly code the resident’s MDS.
Failure to Consistently Apply and Document TED Hose Refusals
Penalty
Summary
The facility failed to ensure appropriate care and services were provided according to orders, resident preferences, and goals for one resident reviewed for edema. The resident had a physician’s order for knee-high TED hose to be worn in the morning and removed at bedtime, and the care plan directed staff to monitor for edema, elevate the feet and legs, and apply TED hose in the morning and off at bedtime. The facility policy stated that compression stockings are to be applied by nursing personnel and that refusals are to be charted. Observations on three survey days showed the resident seated or walking without support stockings, with visible swelling to both lower legs, and at one point without feet elevated. A CNA stated the resident usually refused to wear the stockings. The treatment administration record for January 20-21 documented the support stockings as applied, and an administrative nurse confirmed that CNAs were expected to inform the nurse if the resident refused the stockings and to document any refusals.
Missing Hospice Election Statement in Resident Record
Penalty
Summary
The facility failed to ensure resident records contained the hospice election form for 1 of 1 sampled resident receiving hospice services. Record review showed that Resident #2 and/or the resident's representative chose hospice services on 12/22/25, and the facility's Agreement for Hospice Care for Skilled Nursing Facility and Nursing Facility Residents, dated 12/22/25, stated that the hospice provider would supply the hospice election statement to the facility. However, review of Resident #2's medical record on all days of survey found that the hospice election statement was missing. During an interview on 01/22/26 at 9:44 a.m., an administrative nurse confirmed that Resident #2's medical record did not include the hospice election statement.
Failure to Timely Report Resident Elopement to State Agency
Penalty
Summary
The facility failed to ensure that an alleged violation involving neglect was reported to the State Agency in a timely manner. Specifically, a resident eloped from the facility, and the incident was not reported to the State Agency until over two months later. The facility was unable to determine how or when the resident left the building. Interviews with the resident's family and administrative staff confirmed the delay in reporting the elopement and the lack of clarity regarding the circumstances of the resident's departure and return.
Failure to Investigate Resident Elopement
Penalty
Summary
The facility failed to thoroughly investigate an elopement incident involving a resident who was found by a community member in a nearby town gym and returned to the facility. The facility was unable to determine the exact time the resident left the building, with conflicting dates noted between the facility report and the medical record. Nursing documentation indicated the resident was confused and a code alert was applied for safety, but there was over an hour gap in staff charting during the time of the incident. The facility did not identify the causative factors of the elopement, limiting their ability to implement appropriate interventions.
Dietary Manager Lacks Required Qualifications
Penalty
Summary
The facility failed to ensure that the dietary manager obtained the necessary qualifications to serve as the director of food and nutrition services. During an interview, the dietary supervisor stated that she is currently enrolled in the Certified Dietary Manager (CDM) course but has not yet completed the training. An administrative staff member confirmed that the dietary supervisor lacked the required training for the position. This deficiency indicates that the dietary manager did not complete the education for a certified dietary manager, certified food service manager, or national certification for food service management and safety from a national certifying body.
Failure to Report Potential Abuse/Neglect Incident
Penalty
Summary
The facility failed to report an incident of potential abuse or neglect to the State Survey Agency (SSA) involving a resident who experienced a fall from a mechanical lift. According to the facility's abuse policy, any incident of potential abuse or neglect must be reported to the administrator within 24 hours and subsequently to the State Department of Health. On September 20th, a resident fell from a full-body mechanical lift during a transfer when they stretched their arms and stiffened, causing them to slide out of the sling. The fall resulted in a small open area on the left upper thigh and redness above the right eye. However, the facility did not report this incident to the SSA as required, which was confirmed by an administrative nurse during an interview.
Failure to Follow Prescribed Diet Leads to Choking Incident
Penalty
Summary
The facility failed to provide food textures according to a resident's prescribed diet, leading to a choking incident. The resident, who had a diagnosis of dementia, was on a Dysphagia-pureed diet, also known as NDD1 Level 1, which requires food to be in a pureed, pudding-like consistency. Despite this, the resident was given snacks that did not meet these dietary requirements, specifically a granola bar and a piece of beef jerky, which resulted in the resident choking and being unable to breathe. The incident required emergency intervention, including the Heimlich maneuver, and the resident was subsequently transferred to the hospital emergency room for treatment. The deficiency was identified through a review of the facility's reported incident investigation and the resident's medical records. The investigation revealed that the staff member responsible for providing the snack did not check the resident's dietary requirements at the time, leading to the inappropriate food being given. The resident's progress notes and physician notes confirmed the choking episode and the inappropriate snacks provided, highlighting the failure to adhere to the prescribed pureed diet.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near New Salem
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Marian Manor Healthcare Center | 18.2 mi | ★★★★★ | 4 | 1 |
| Dakota Alpha | 25 mi | ★★★★★ | 0 | 0 |
| Sunset Drive - A Prospera Community | 25.1 mi | ★★★★★ | 9 | 0 |
| Good Samaritan Society Miller Pointe A Prospera Co | 28.1 mi | ★★★★★ | 5 | 0 |
| Missouri Slope | 30.7 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.