Shelby County, Iowa
County inventory for Shelby County, Iowa is drawn from U.S. Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare / Home Health Compare (14,710 Medicare-certified nursing homes nationwide) with cost context from the private CareScout 2025 Cost of Care Survey - see our methodology. CMS star-quality signature
Rated homes in Shelby County average 1.5 CMS stars (lower tercile, ≤2.5) across 2 nursing homes - 114 licensed beds, CareScout 2025 Iowa medians.
County care plate
Sheet IA-SHELBY-IOWA · Shelby, IA
NH-ONE · BEDS-FEW · STAR-WEAK · HH-SMALL · RANK-MID · PHOTO-NONE · AL-MID · BOOK-FULL
- NH-ONE 2 homes
- BEDS-FEW 114 beds
- STAR-WEAK 1.5★ avg
- HH-SMALL 1 HH
- RANK-MID #1,889/2,851
- PHOTO-NONE No peer
- AL-MID $5,381/mo
- BOOK-FULL 2/2 NH · 1/1 HH
Stamps lead with CMS star-quality tercile (low) plus nursing-home inventory, licensed beds, Home Health Compare agencies, corpus NH-count rank, photo-finish peer, and CareScout assisted-living medians.
What weaker CMS stars show for Shelby County
CMS star quality runs softer in Shelby County: rated homes average 1.5/5 (lower tercile, ≤2.5) across 2 nursing homes and 114 licensed beds, with 1 home-health agency mapped.
With a thinner CMS book, cost context matters more per facility: CareScout 2025 Iowa medians run assisted living $5,381/mo, semi-private nursing $9,277/mo, private nursing $10,038/mo, home health aide $7,836/mo, adult day $1,614/mo. Verify rates with the named homes below.
Star counts run softer here (1 at 1★, 1 at 2★). Ownership leans Non profit - Corporation (50% of 2 homes). Pair the ladder with inspection notes, staffing, distance, and specialty units before treating any single home as a fit.
Sources: CMS Nursing Home Compare + CareScout 2025 Cost of Care Survey. See methodology.
Nursing Homes in Shelby County
2 CMS-certified homes in this county book, ordered by overall star rating.
| Facility | City | Rating | Beds | Ownership |
|---|---|---|---|---|
| Elm Crest Retirement Community | Harlan | 2/5 | 50 | Non profit - Corporation |
| Salem Lutheran Home | Elk Horn | 1/5 | 64 | For profit - Corporation |
Home Health Agencies in Shelby County
Medicare-certified agencies from CMS Home Health Compare, zip-joined into this county inventory.
| Agency | City | Quality Rating |
|---|---|---|
| Myrtue Med Center Home Health | Harlan | 2.0 |
Read next when stars run softer
Continue on the Iowa elder-care overview or the highest-rated states ranking. Costs shown are Iowa state-level medians from CareScout 2025 (county-level cost data is not available).
Read our methodology - how CMS Care Compare and CareScout 2025 are joined for Shelby County.