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Salem Lutheran Home

Elk Horn, IA · Medicare and Medicaid-certified nursing home (CCN 165155) · 64 certified beds

CMS overall rating: 1★ (state average 3.07★ — below state average)
Health inspection: 1 · Quality measures: 2 · Staffing: 4
Federal fines: none on current record
Phone: (712) 764-4201 · Verify on Medicare Care Compare ↗

Salem Lutheran Home has a CMS overall rating of 1 out of 5 stars, below the Iowa state average of about 3.07 stars. Its health inspection rating is also 1 out of 5, while its staffing rating is 4 out of 5.

Salem Lutheran Home reports 3.86 total nurse hours per resident per day, including 0.64 RN hours per resident per day, with a nursing staff turnover rate of 63.0%. CMS gives the facility a staffing rating of 4 out of 5 stars.

Salem Lutheran Home has no federal fines on record, with $0.00 in total fines and no payment denials reported by CMS. There is no abuse icon or Special Focus program designation listed for this facility in the available data.

Overall rating vs. benchmarks
Salem Lutheran Home Salem Lutheran Home: 1★ 1★ IA average IA average: 3.07★ 3.07★ Good Samaritan Soc chain avg Good Samaritan Soc chain avg: 3★ 3★

About this facility

Salem Lutheran Home is a Medicare- and Medicaid-certified nursing home in Elk Horn, Shelby County, Iowa, operated under a for-profit corporate ownership structure. The facility has been federally certified since May 1990 and holds 64 certified beds, with an average daily census of 47.8 residents. It is part of the Good Samaritan Society chain, which includes 92 facilities nationwide averaging a 3.0-star overall rating.

According to CMS Care Compare, Salem Lutheran Home carries an overall star rating of 1 out of 5, below the Iowa state average of 3.07. Its health inspection rating is also 1 out of 5, while its quality measure (QM) rating is 2 out of 5. Staffing is rated higher at 4 out of 5 stars. Reported total nurse staffing is 3.86 hours per resident per day, with 0.64 registered nurse hours per resident per day. Nursing staff turnover is reported at 63.0%.

On penalties, CMS records show no federal fines on record for this facility, with $0.00 in total fines and no payment denials. There is no abuse icon flag and no Special Focus Facility designation associated with this facility in the provided data. Ownership has not changed in the past 12 months, so current ratings reflect the present operator.

Families evaluating this facility should note the gap between its low overall and health inspection ratings and its higher staffing rating, and are encouraged to review the full inspection history on CMS Care Compare, current as of the latest published CMS data.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Salem Lutheran Home has an overall CMS rating of 1 out of 5 stars, which is below the Iowa state average of about 3.07 stars.

Does this facility accept Medicare, Medicaid, or both?

Yes, Salem Lutheran Home is certified to accept both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

The facility reports 3.86 total nurse hours per resident per day, including 0.64 RN hours per resident per day, with a 63.0% nursing turnover rate, earning a staffing rating of 4 out of 5.

Does this facility have federal fines or penalties on record?

No, CMS records show zero fines totaling $0.00 and no payment denials for this facility.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

The provided data shows no abuse icon and no Special Focus Facility designation for Salem Lutheran Home.

How large is this facility and how many residents live there?

Salem Lutheran Home has 64 certified beds and an average daily census of 47.8 residents.

Who owns this facility — and is it part of a chain?

It is owned by a for-profit corporation and is part of the Good Samaritan Society chain, which includes 92 facilities nationwide averaging a 3.0-star overall rating.

How long has this facility been Medicare/Medicaid certified?

The facility has been federally certified since May 1, 1990.

What do the four different CMS star ratings mean?

CMS rates facilities on overall, health inspection, staffing, and quality measure performance; Salem Lutheran Home scores 1, 1, 4, and 2 respectively out of 5 stars.

Does this facility offer short-term rehabilitation as well as long-term care?

The provided data does not specify service types; contact the facility at 712-764-4201 or verify on Medicare Care Compare.

What should I look for when touring this facility?

The data does not include tour details; contact the facility at 712-764-4201 to arrange a visit and verify current conditions.

How do I verify this facility's current record on Medicare Care Compare?

You can review the latest inspection, staffing, and penalty details at https://www.medicare.gov/care-compare/details/nursing-home/165155?state=IA.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.