Salem Lutheran Home
2027 College Avenue, Elk Horn, IA 51531 · CCN 165155
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 64
- Avg residents/day
- 57.0
- Phone
- 7127644201
Inspection history vs Iowa & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Iowa avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-26 | 9 | 6.2 | 9.5 | +2.8 worse |
| 2 | 2024-08-11 | 14 | 7.0 | 9.8 | +7.0 worse |
| 3 | 2023-06-06 | 15 | 7.9 | 9.3 | +7.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | — | 64.9% |
| RN staffing (reported) | — | 84.6% |
| Total nurse staffing (adjusted) | — | — |
Fines & penalties
- Total fines
- $25,448
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (38)2 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-15 · Health · corrected 2025-12-22
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-10-08 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0584Honor 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.2025-06-26 · Health · corrected 2025-07-11
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-06-26 · Health · corrected 2025-07-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-26 · Health · corrected 2025-07-11
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-06-26 · Health · corrected 2025-07-11
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-26 · Health · corrected 2025-07-11
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-26 · Health · corrected 2025-07-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-06-26 · Health · corrected 2025-07-11
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-10-22 · Health · corrected 2024-11-01
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-22 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0625Notify 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.2024-08-11 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-08-11 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-11 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-11 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-11 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0758Implement 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 limited.2024-08-11 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0803Ensure 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.2024-08-11 · Health · corrected 2024-09-05
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-11 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-11 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-08-11 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-15 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-05-15 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-06 · Health · corrected 2023-06-26
Actual harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-06 · Health · corrected 2023-06-26
Actual harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- EF0727Have 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.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-06-06 · Health · corrected 2023-06-26
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-11-20 |
| NORBY, NICKLOS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-02-14 |
| BLAKESTAD, ALAN | Individual | CORPORATE OFFICER | — | 2020-03-01 |
| GUDE, PAUL | Individual | CORPORATE OFFICER | — | 2021-03-01 |
| NIELSEN, PHIL | Individual | CORPORATE OFFICER | — | 2016-03-06 |
| SCHECHINGER, TAMI | Individual | CORPORATE OFFICER | — | 2021-03-01 |
Other facilities in Elk Horn
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.