DBelow average · score 40/100 · #270 of 386 in Iowa
Salem Lutheran Home
2027 College Avenue, Elk Horn, IA 51531 · 64 certified beds · For profit - Corporation
Staffing 3.9 nurse hours per resident-dayabove median in Iowa
17 health deficiencies at the last standard survey (CMS severity score 84)bottom quarter
No fines or payment denials in 3 years
Why Salem Lutheran Home is graded D
Each metric below is percentile-ranked against Iowa nursing homes in the same size band (medium, 64 beds), then weighted. The score is the weighted sum; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Nothing here can be edited or paid for.
Salem Lutheran Home at a Glance
D
40/100
Nurse staffing · weight 30Total nurse hours per resident per day, as reported to CMS (PBJ). Raw: 3.86 h.
62<small style="font-size:12px;color:var(--muted)">th pct</small>Health inspections · weight 30Health deficiencies cited at the last standard survey and complaint surveys, weighted by severity. Raw: 84.
19<small style="font-size:12px;color:var(--muted)">th pct</small>Quality measures · weight 25CMS quality-measure rating: falls, pressure ulcers, rehospitalisation, antipsychotic use. Raw: 2.
18<small style="font-size:12px;color:var(--muted)">th pct</small>Penalties · weight 15Fines and payment denials in the last three years. Raw: $0 fines, 0 denials.
75<small style="font-size:12px;color:var(--muted)">th pct</small>CMS overall star ratingMedicare's own 1–5 rating, shown for reference; not part of our grade.
1/5Data: CMS Care Compare, as of Aug 1, 2026 · graded Sep 11, 2026 · peer group: Iowa, medium facilities · CMS record 165155 · How we grade.
Facility details
Address2027 College Avenue, Elk Horn, IA 51531
Phone7127644201
CountyShelby
OwnershipFor profit - Corporation
Certified beds64
AcceptsMedicare Medicaid
Special Focus FacilityNo
Higher-graded nursing homes nearby
1
Meth-Wick Health Center - Cedar Rapids, IA · 69 beds
- Staffing 4.9 nurse hours per resident-day — top 10% in Iowa
- No health deficiencies at the last standard survey — top 10%
1
Iowa Veterans Home - Marshalltown, IA · 702 beds
- Staffing 4.7 nurse hours per resident-day — top 10% in Iowa
- 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
1
St Francis Manor - Grinnell, IA · 78 beds
- Staffing 4.9 nurse hours per resident-day — top 10% in Iowa
- 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
A grade is a shortlist tool, not medical or legal advice. Visit the facility, ask for the latest survey report, and talk to residents' families before choosing.