I've been very pleased with the wonderful, kind, and patient staff - respectful, supportive, and always thorough and prompt. The rooms are beautiful, the meal program excellent, and the ground-level gathering rooms are perfect for puzzles and games. Overall a very good senior living option I'd recommend.
Current/former resident
Jul 2026
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.83·(6)
Overall rating
5
4
3
2
1
Care
3.5
Staff
4.7
Meals
5.0
Amenities
4.0
Value
4.8
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Medicare Ratings
5·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Elm Crest Manor is located at 100 Elm Ave, New Salem, ND, 58563.
About Elm Crest Manor
Elm Crest Manor is a skilled nursing facility situated in New Salem, North Dakota, just 30 miles west of Bismarck, nestled under the iconic gaze of Salem Sue, the world-famous cow statue that marks the town’s landscape. This care home offers a blend of long-term skilled nursing care and assisted living, with accommodation for 57 residents in its nursing facility and 19 apartments designed for assisted living. The facility is committed to providing a warm, comfortable, and inviting atmosphere that reflects the charm and close connections of a small-town community, yet benefits from its proximity to larger city amenities.
At the heart of Elm Crest Manor’s philosophy is a dedication to the holistic well-being of every resident. The staff is focused not only on physical health but also on the psychological, social, and spiritual aspects that contribute to a fulfilling and dignified life. Each resident receives personalized care that addresses their unique needs, supporting recovery and daily living with a range of rehabilitation services, as well as round-the-clock nursing attention delivered in a supportive environment. Elm Crest Manor’s team pays close attention to every detail, striving to ensure that each individual’s stay is as comfortable and enjoyable as possible.
Social connection and an active lifestyle are an integral part of daily life at Elm Crest Manor. The facility hosts a variety of fun and engaging activities, from lively luaus and festive Christmas celebrations to book readings and themed events such as crazy hat days and masquerade parties. Residents can be found participating in both indoor and outdoor activities, whether it's joining a parade, enjoying time with friends, or taking part in seasonal festivities like pumpkin decorating. These events foster a sense of community and joy, helping residents to build meaningful friendships and happy memories during their stay.
Elm Crest Manor places high value on the quality of relationships among residents, families, and the care team. The staff’s commitment shines through in their efforts to create a relaxed and supportive environment. Attentive to both the larger needs and the small preferences of each resident, the team works tirelessly to uphold the Manor’s mission of delivering outstanding and innovative care. At Elm Crest Manor, every individual is valued, and each family is welcomed into the community, ensuring that everyone enjoys a sense of belonging and support throughout their time at the facility.
People often ask...
Elm Crest Manor offers skilled nursing.
There are 11 photos of Elm Crest Manor on Mirador.
The full address for this community is 100 Elm Ave, New Salem, ND 58563.
No, Elm Crest Manor does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.
License number
SNF-elm-crest-manor-new-salem
Facility type
Skilled Nursing Facility
Inspection Reports
40
Reports
1
Type A Citations
0
Type B Citations
0
Complaints
16
Years
14 Apr 2025Inspection
14 Apr 2025Inspection
Investigated a resident elopement; found failures to report to the state promptly and to thoroughly investigate the incident, with corrective actions implemented.
CFR 483.12(c) and 483.12(b)(5)(i)(A)(B)(c)(1)(4)Reporting of Alleged Violations
Identified electrical safety deficiencies, including lack of GFCI protection for kitchen outlets and missing documentation of bedside receptacle testing.
NFPA 70; NFPA 210.8; NFPA 210.8(B)Utilities - Gas and Electric
NFPA 99; NFPA 70Electrical Systems - Maintenance and Testing
08 Jan 2025Inspection
08 Jan 2025Inspection
Found deficiencies in reporting an alleged abuse/neglect incident and in dietary staff qualifications.
CFR 483.12(c)Reporting of Alleged Violations
CFR 483.60(a)Qualified Dietary Staff
25 Jun 2024Inspection
25 Jun 2024Inspection
Found a deficient practice in following the prescribed dysphagia diet, resulting in a choking incident and emergency care.
42 CFR 483.25Quality of care
27 Nov 2023Life Safety
27 Nov 2023Life Safety
Found no deficiencies. The review indicated compliance with emergency preparedness requirements and life safety code standards.
21 Nov 2023Inspection
21 Nov 2023Inspection
Identified failures in care plan updates for falls risk, weight loss, and CGM use, and unsafe storage of narcotics.
CFR 483.21(b)(2)(i)-(iii); 483.21(b)Care Plan Timing and Revision
CFR 483.45(g)-(h); 483.45(h)(1)-(2)Label/Store Drugs and Biologicals
08 Nov 2022Life Safety
08 Nov 2022Life Safety
Found the fire alarm system not properly maintained or tested per standards; several smoke detectors were not tested and a duct detector was defective and awaiting replacement.
9.6.1.3, 9.6.1.5, NFPA 70, NFPA 72Fire Alarm System - Testing and Maintenance
03 Nov 2022Inspection
03 Nov 2022Inspection
Investigated deficiencies found in pressure ulcer care, oxygen therapy management, food service sanitation, and infection control practices. Observed failures included not turning residents, empty oxygen tanks, unsafe food handling, and improper cleaning of shared equipment.
483.25(b)(1)(i)(ii)Treatment/ Svcs to Prevent/ Heal Pressure Ulcer
483.25(i)Respiratory/Tracheostomy Care and Suctioning
Found no deficiencies related to infection control during the COVID-19 focused survey.
08 Jul 2021Inspection
08 Jul 2021Inspection
Found deficiencies in monitoring residents' nutritional status due to weight changes, with undocumented weight variances and missed reweighs.
CFR 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
07 Jul 2021Life Safety
07 Jul 2021Life Safety
Found no deficiencies related to emergency preparedness.
17 Dec 2020Inspection
17 Dec 2020Inspection
Verified compliance with COVID-19 emergency preparedness and infection control requirements; no deficiencies were cited.
23 Nov 2020Inspection
23 Nov 2020Inspection
Found no deficiencies in infection control during a COVID-19 focused surveillance. Four residents tested positive for COVID-19 at that time.
20 May 2020Inspection
20 May 2020Inspection
Determined that COVID-19 infection control measures were in place and no deficiencies were found.
16 Mar 2020Inspection
16 Mar 2020Inspection
Confirmed compliance with infection control regulations and implementation of CMS/CDC COVID-19 practices.
25 Sept 2019Inspection
25 Sept 2019Inspection
Found deficiencies in privacy of medication administration records during passes, improper date marking and storage of foods, and lack of Medical Director participation in QA meetings.
42 CFR 483.10(h)Personal Privacy/Confidentiality of Records
Found multiple life-safety deficiencies across egress, smoke barriers, and fire protection systems, including door maintenance, exit obstructions, and improper installations and maintenance of sprinklers, alarms, and detectors.
NFPA 101; NFPA 80Means of Egress - General; Fire door assemblies
NFPA 101; 7.7.1; 19.2.1; 19.2.7Discharge from Exits
NFPA 101; 19.3.2.1; 19.3.5.9Hazardous Areas - Enclosure
NFPA 101; NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
NFPA 13; 8.3.2; 8.3.2.5(1); Table 8.3.2.5(a)(2)Sprinkler System - Installation
NFPA 25Sprinkler System - Maintenance and Testing
NFPA 101; 8.5; 19.3.7.3Subdivision of Building Spaces - Smoke Barrier
23 Aug 2017Inspection
23 Aug 2017Inspection
Found no deficiencies. Substantial compliance observed.
15 May 2017Life Safety
15 May 2017Life Safety
Found multiple fire safety deficiencies, including an unmaintained common wall fire barrier, nonfunctional egress doors, unprotected cooking facilities, and an untested fire alarm system.
NFPA 101: 19.1.3.3; 6.1.14.4.1; 8.3.3.1; NFPA 80: 6.1.4.3.1Common wall fire barrier not maintained between occupancies
NFPA 101: 19.2.2.2.1; 7.2.1.6.1.1(3)Egress doors not providing proper locking/egress
NFPA 101: 18.3.2.5.1-5; 19.3.2.5.1-5; NFPA 96: 9.2.3Cooking facilities not protected as required
NFPA 101: 19.3.4.1; 9.6.1.5; NFPA 72: Table 14.4.5 (Item 20)Fire alarm system testing/maintenance not performed as required
25 Apr 2017Life Safety
25 Apr 2017Life Safety
Found no deficiencies. Observations and records indicated compliance with the Life Safety Code.
17 Aug 2016Inspection
17 Aug 2016Inspection
Found deficiencies in assessment accuracy, care for highest well-being, and infection control. Constipation coding was incorrect, TED hose were not consistently applied, and infection control practices during perineal care and medication handling were not followed.
483.25PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING
483.65INFECTION CONTROL, PREVENT SPREAD, LINENS
02 May 2016Life Safety
02 May 2016Life Safety
Identified multiple life-safety deficiencies, including inadequate smoke barriers, missing emergency and fire alarm system testing, improper smoke detector maintenance and placement, and generator exhaust not vented as required.
NFPA 101 Life Safety Code, 8.3; 19.3.7.3; 19.3.7.5Smoke barriers must be at least 1/2 hour fire resistant
NFPA 101 Life Safety Code, 7.9.2.3; 18.2.9.1; 19.2.9.1; NFPA 110 5-3.1Emergency lighting at critical equipment locations
NFPA 72 9.6.1.4; 9.6.1.7; 19.3.4.1Fire alarm system tested and maintained per NFPA 72
NFPA 72 9.6.1.3; 9.6.2.10.1; NFPA 72 2-3.5.1; 19.3.4.5.1Smoke detectors maintained and not placed too close to air vents
NFPA 110 5-10.2; NFPA 99; NFPA 110 Chapter 6; NFPA 99 3-4.4.1; 8-4.2Exhaust system gastight and vented so fumes cannot reenter building
17 Mar 2016Inspection
17 Mar 2016Inspection
Observed that nurse staffing data were not posted accurately or promptly, preventing residents and visitors from knowing actual staffing levels.
42 CFR 483.30(e)Posted nurse staffing information
06 Aug 2015Inspection
06 Aug 2015Inspection
Investigated multiple deficiencies across catheter care, hydration, nutrition, food safety, medication storage, and infection control.
Found no deficiencies. The survey determined compliance with Life Safety Code requirements.
09 Jul 2014Inspection
09 Jul 2014Inspection
An investigation found deficiencies in handling abuse/neglect allegations, pressure ulcer care, and safe handling of hazardous chemicals, along with related safety and supervision gaps during follow-up reviews.
Identified deficiencies in fire protection system testing and related documentation, indicating noncompliance with applicable NFPA standards.
NFPA 25, 5-3.2.1Weekly no-flow test of electric motor-driven fire pump
NFPA 101 LIFE SAFETY CODE STANDARD; NFPA 96Automatic kitchen hood fire suppression system components and kitchen hood fire suppression inspection
03 Jul 2013Inspection
03 Jul 2013Inspection
Investigated a complaint and found multiple deficiencies related to resident safety, restraint use, medication management, and infection control. The findings show ongoing safety concerns and lapses in monitoring and documentation.
Type A—Right to be free from physical restraints
—Restraints/Monitoring of restraint devices and alarms
—Drug storage and control
—Infection control/hand hygiene
17 Jun 2013Life Safety
17 Jun 2013Life Safety
Identified deficiencies in door hardware and smoke-barrier doors that did not meet life-safety standards.
NFPA 101 Life Safety Code StandardDoor hardware and latching
NFPA 101 Life Safety Code StandardSmoke barrier doors not resisting smoke
07 Nov 2012Inspection
07 Nov 2012Inspection
Investigated a complaint alleging abuse; documented bruising on wrists and forearms and nursing notes indicating ongoing investigation and reporting steps.
—Investigation/Report Allegations/Individuals
11 Jul 2012Inspection
11 Jul 2012Inspection
Identified deficiencies in informing residents about services and charges, administering medications, and ensuring proper care and safety for residents.
—Notice of services and charges to residents
—Medication administration accuracy
—Falls/MDS documentation
—Care for toileting and personal hygiene
—Behavioral health/wandering safety
—Temperature controls and environment
24 Apr 2012Life Safety
24 Apr 2012Life Safety
Identified several life-safety deficiencies including improper door hardware on smoke-barrier doors, lack of readily visible exit signage, and an obstructed sprinkler head requiring clearance.
19.3.7.5, 19.3.7.6, 19.3.7.7Door hardware on smoke barrier doors
19.3.7.5, 19.3.7.6, 19.3.7.7Life safety code standard for doors protecting corridor openings
19.3.7.5, 19.3.7.6, 19.3.7.7Corridor door latching/hardware integrity
7.10; NFPA Life Safety CodeExit and directional signs
NFPA 13, NFPA 25, 9.7.5; 19.7.6Sprinkler head clearance around fixtures
27 Jul 2011Inspection
27 Jul 2011Inspection
Investigations found deficiencies in safety, infection control, feeding assistance, and overall care standards with multiple incidents and policy gaps noted.
—Services Provided Meet Professional Standards
483.25(h) Free of Accident Hazards/Supervision/DevicesFree of accident hazards/supervision/devices
Investigated a complaint and found multiple safety deficiencies, including noncompliant door glass, improper electrical wiring, and evacuation documentation gaps.
NFPA 101 LIFE SAFETY CODE STANDARDDoor glass not in compliance
NFPA 70, NATIONAL ELECTRICAL CODEElectrical hazards from temporary wiring
NFPA 101 LIFE SAFETY CODE STANDARDEvacuation plan did not include calling the fire department
20 Aug 2010Life Safety
20 Aug 2010Life Safety
Investigated the complaint and found no deficiencies.
12 Aug 2010Inspection
12 Aug 2010Inspection
Identified the failure to post daily nurse staffing data for each shift as required, with data not updated across the survey days.
—Nurse staffing data posting
08 Jul 2010Inspection
08 Jul 2010Inspection
Identified deficiencies in pressure ulcer prevention and documentation, and in posting nurse staffing information. Noted at least one resident with pressure ulcer risk and repeated failures to keep staffing data posted and up to date.
—Pressure ulcers
—Nurse staffing data posting
—Posted nurse staffing information
14 Jun 2010Life Safety
14 Jun 2010Life Safety
Found life-safety deficiencies: basement sprinkler coverage incomplete and generator maintenance and alarm requirements not properly implemented.
NFPA 101 Life Safety Code; NFPA 13; NFPA 25Life safety code – sprinkler system installation/maintenance and coverage
NFPA 101 Life Safety Code; NFPA 110Generator service and maintenance – provider performance
NFPA 101 Life Safety Code; NFPA 110Miscellaneous life safety deficiency – generator battery/alarms
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Mirador Living is not affiliated with the owner or operator(s) of Elm Crest Manor. The information above has not been verified or approved by the owner or operator. For exact information, please contact Elm Crest Manor directly. There is no cost for this service. We are compensated by the community you select.
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