Nursing Homes · Medicare certified
Salem Lutheran Home
2027 College Avenue · Elk Horn, IA 51531 · 64 certified beds
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About Salem Lutheran Home
Salem Lutheran Home is a nursing home in Elk Horn, Iowa. Its capacity is 64 beds, above the Iowa median of 58 for nursing homes. It is run by a nonprofit operator and is part of Good Samaritan Society. It is Medicare certified. Its public inspection record shows 46 citations, the most recent on May 22, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.92 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
3.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (46)
Records from June 2023 to May 2026.
May 22, 2026
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 22, 2026
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 22, 2026
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 22, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 22, 2026
Tag F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 22, 2026
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 22, 2026
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 22, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity G: isolated, actual harm. Corrected June 5, 2026.
December 15, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 22, 2025.
October 8, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2025.
June 26, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
June 26, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
June 26, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
June 26, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
June 26, 2025
Tag F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
June 26, 2025
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
June 26, 2025
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
October 22, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 1, 2024.
October 22, 2024
Tag F0602Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 1, 2024.
August 11, 2024
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 5, 2024.
Penalties (1)
May 22, 2026 · Fine
CMS recorded a civil money penalty of $15,260 against this nursing home on May 22, 2026.
Staffing
3.92 nurse hours per resident per day in Q2 2026, up from 3.56 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Good Samaritan Society, a chain of 92 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.8 for health inspections, 3.9 for staffing, 2.9 for quality measures.
- Parent company: The Evangelical Lutheran Good Samaritan Society
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
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