Salem Lutheran Home
2027 College Avenue, Elk Horn, IA 51531 · (712) 764-4201
For profit - Corporation · 64 certified beds
Salem Lutheran Home has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 7 citations (the Iowa average is 6.5). It was fined 1 time in the last three years, $15,260 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 26, 2025 found 7 citations. What an inspection citation means
- Honor 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.June 26, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 26, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 26, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.June 26, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 26, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.June 26, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 26, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 16 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 22, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 22, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 22, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 22, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 22, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.May 22, 2026 · F0760 · Level of harm: Actual harm · Residents affected: Few
- Ensure 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.May 22, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 22, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.December 15, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.October 8, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 26, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 26, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.October 22, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.October 22, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 15, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.May 15, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $15,260May 22, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.86 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.64 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.64 | 0.56 | 0.86 |
| Nurse aides | 2.58 | 2.52 | 2.32 |
| Total nursing staff turnover | 63% | 44% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 64 |
| Average residents per day | 47.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Elm Crest Retirement Community Harlan · ★★★★★ 2 out of 5 stars
- Avoca Specialty Care Avoca · ★★★★★ 2 out of 5 stars
- Midlands Living Center LLC Council Bluffs · ★★★★★ 4 out of 5 stars
- Prairie Gate Council Bluffs · ★★★★★ 2 out of 5 stars
- Bethany Lutheran Home Council Bluffs · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Salem Lutheran Home on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.