Nursing Homes in Shelby County, Iowa

2 Medicare-certified nursing homes serve Shelby County, averaging 2.0 out of 5 overall among rated providers. Below are provider profiles with CMS ratings, inspections, staffing, and ownership.

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Browse: Nursing Homes in Iowa · all care types in Shelby County · Cities: Harlan, Elk Horn

Nursing Homes profiles in Shelby County

Nursing Home · Non profit - Other Elm Crest Retirement Community Harlan, IA 51537 CMS rating 3.0 / 550 beds Nursing Home · For profit - Corporation Salem Lutheran Home Elk Horn, IA 51531 CMS rating 1.0 / 564 beds

Cities in Shelby County

Harlan, IA 1 facilities Elk Horn, IA 1 facilities
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Choosing a nursing home in Shelby County

When comparing nursing homes, review the health inspection findings behind the star rating, check nurse staffing levels and turnover, and ask about rehabilitation services, memory care, and how care plans are reviewed.

Start by comparing CMS Five-Star ratings, which summarize health inspections, staffing, and quality measures. A high overall rating is a useful signal, but read the underlying inspection findings and staffing figures too - they show what is behind the score.

If you are choosing for yourself or a family member in Shelby County, visit in person when possible, ask about current availability, and confirm participation in Medicare and Medicaid. Ask how the provider handles care planning, family communication, and after-hours concerns.

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Frequently asked questions

How many nursing homes are in Shelby County?
The current CMS snapshot lists 2 Medicare-certified nursing homes in Shelby County, Iowa, with an average overall CMS rating of 2.0 out of 5 among rated providers.
Which cities in Shelby County have nursing homes?
Harlan, Elk Horn have Medicare-certified nursing homes in the current snapshot.

Data sources

Source: CMS Provider Data Catalog. Data processing date: 2026-10-06.

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Important disclosures

Informational only, not medical advice. This directory publishes public data and general information. It does not provide medical advice, diagnosis, or treatment recommendations, and it is not a substitute for consulting a qualified health care professional or Medicare.

Not affiliated. FacilityDirectory.org is an independent, privately operated directory. It is not affiliated with, endorsed by, or operated by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. CMS has not reviewed or endorsed this site.

Verify before you act. Facility information is derived from public federal datasets and may lag or contain errors. Always confirm current ratings, services, availability, and coverage directly with the provider and at Medicare.gov.

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