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 57 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.
August 11, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 5, 2024.
August 11, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 5, 2024.
August 11, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 5, 2024.
August 11, 2024
Tag F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 5, 2024.
August 11, 2024
Tag F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 5, 2024.
August 11, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 5, 2024.
August 11, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 5, 2024.
August 11, 2024
Tag F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 5, 2024.
August 11, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 5, 2024.
May 15, 2024
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 May 31, 2024.
May 15, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2024.
June 6, 2023
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 26, 2023.
June 6, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity G: isolated, actual harm. Corrected June 26, 2023.
June 6, 2023
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2023.
June 6, 2023
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 26, 2023.
June 6, 2023
Tag F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 26, 2023.
June 6, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2023.
June 6, 2023
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2023.
June 6, 2023
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2023.
June 6, 2023
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2023.
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 - Church related
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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