F

Salem Lutheran Home

2027 College Avenue, Elk Horn, IA 51531
Score: 21 / 100

With a score of 21/100, Salem Lutheran Home ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Recent inspections identified 38 deficiencies at Salem Lutheran Home. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staffing hours data not available for this facility.

🔍 Inspection & Deficiency History

38
Total Deficiencies
Dec 14, 2025
Most Recent Inspection
🟠 38 Moderate
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Dec 14, 2025 · Resident Rights Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Oct 7, 2025 · Quality of Life and Care Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jun 25, 2025 · Resident Rights Deficiencies
  • Tag 0607 Severity D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    Jun 25, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Jun 25, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.3% 4.5% Better
Falls with major injury 3.8% 3.0% Worse
On antipsychotic medication 12.7% 14.5% Better
Urinary tract infections 5.1% 2.5% Worse
ADL decline (daily activities) 20.2% 14.0% Worse
Excessive weight loss 1.8% 7.5% Better
New/worsened incontinence 28.3% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $25,448

How This Grade Was Calculated

This facility's grade of F is based on a score of 21 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
64
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 25, 2025
Deficiencies (Cycle 1)
9

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