Iowa · skilled nursing facilities

Shelby County

buildings

114

beds

2.0

avg overall rating · Iowa avg 3.1

3.5

avg staffing rating · Iowa avg 3.5

1.19

avg case mix · Iowa avg 1.22

100%

chain-run

12.5

avg deficiencies per survey

Occupancy: 70-85% (1) · over 85% (1)

CMS Provider Information, Jul 2026 file. Public record only.

Iowa market intelligence report ›

Trend

Shelby County

Sep 2025 to Jul 2026, 8 months, CMS Provider Information.

Occupancy

up 14.9% over 8 months

Overall rating

up 0.5 over 8 months

Staff turnover

up 4.8% over 8 months

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Who runs the buildings here

Operators and ownership

Federal Provider Information file — the same public source every rating on this page reads.

different operators

100%

of chain-run buildings held by the 5 largest groups

50%

for-profit

50%

nonprofit

Demand

Hospitals within 15 miles

2 hospitals in range, 2 with an emergency department — the discharge pipeline every SNF here draws from.

Myrtue Medical Center · 7.1 mi · ED
Audubon County Memorial Hospital · 14.7 mi · ED

2 buildings in Shelby County

Elm Crest Retirement CommunityHarlan, Shelby County, IA · CCN 16537250beds3 / 5overallover 85%occupancy1.32case mix

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Salem Lutheran HomeElk Horn, Shelby County, IA · CCN 16515564beds1 / 5overall70-85%occupancy1.06case mix

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Nearby

Neighbouring counties

CountyBuildingsBedsAvg rating

Audubon County15.1 mi away21063 / 5 Cass County20.3 mi away31923 / 5 Harrison County28.4 mi away32222 / 5 Crawford County28.8 mi away21304 / 5 Carroll County33.5 mi away42472 / 5 Pottawattamie County34.1 mi away75491 / 5

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