The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Salem Lutheran Home
Elk Horn, IA · Medicare-certified · 64 beds
In good standing
For-profitChain member
2 of 5 overall
Salem Lutheran Home in Elk Horn, IA has a 2-star overall rating, with 2-star health inspection and quality ratings and 3-star staffing. Reported nurse staffing is 3.56 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5576 hrs/resident/day
Quality measures
Last inspection: December 15, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5576.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.45
- Nurse aides
- 2.57
- Weekend nursing
- 2.70
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 73%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.8%Worsening
Residents with a fall causing major injury
5.3%Worsening
Residents with pressure ulcers (bedsores)
2.2%Steady
Residents with a urinary tract infection
3.3%Improving
Residents who lost too much weight
3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.6%Improving
Residents whose ability to walk got worse
21.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
20.1%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.6%Improving
Residents with new or worsening incontinence
29.1%Worsening
Residents with depressive symptoms
3.8%Worsening
Long-stay residents given the seasonal flu vaccine
95.8%Steady
Long-stay residents given the pneumonia vaccine
99.5%Steady
Short-stay residents given the pneumonia vaccine
91.5%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $25,448 in total fines.
- $25,448
Federal fine
Jun 6, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of GOOD SAMARITAN SOCIETY · 92 homes · 3 stars avg
- Occupancy
- 54.8 residents on an average day (86% of 64 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.