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Data / Nursing homes / Iowa / Salem Lutheran Home

Salem Lutheran Home, Elk Horn, IA: 2 star rating, fined $15,260 across 1 fine

Salem Lutheran Home in Elk Horn, IA is owned by American Lutheran Church, is rated 2 of 5 stars by Medicare, and was fined $15,260 across 1 fine in the three years to October 1, 2026. CMS lists 39 health citations from inspections in that time, the latest survey on August 13, 2026, and 1 of them found actual harm or immediate jeopardy.

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Address
2027 College Avenue, Elk Horn, IA 51531
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
3 of 5
Certified beds
64
Residents per day
46 on average
Ownership type
Nonprofit, church related
Legal business name
American Lutheran Church
Chain
Good Samaritan Society, 92 facilities
Fines
$15,260 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
39, of which 1 with actual harm or immediate jeopardy
Latest survey
August 13, 2026
CMS Certification Number
165155
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 22, 2026Fine$15,260Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 13, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2026data.cms.gov
August 13, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2026data.cms.gov
August 13, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2026data.cms.gov
August 13, 2026F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2026data.cms.gov
August 13, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2026data.cms.gov
August 13, 2026F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2026data.cms.gov
August 13, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2026data.cms.gov
August 13, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2026data.cms.gov
May 22, 2026F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedJune 5, 2026data.cms.gov
May 22, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 22, 2026F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 22, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 22, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 22, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 22, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 22, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
December 15, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2025data.cms.gov
October 8, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2025data.cms.gov
June 26, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2025data.cms.gov
June 26, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2025data.cms.gov
June 26, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2025data.cms.gov
June 26, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2025data.cms.gov
June 26, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2025data.cms.gov
June 26, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2025data.cms.gov
June 26, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2025data.cms.gov
October 22, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 1, 2024data.cms.gov
October 22, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 1, 2024data.cms.gov
August 11, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
August 11, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
August 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
August 11, 2024F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
August 11, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
August 11, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
August 11, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
August 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
August 11, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
August 11, 2024F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
May 15, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov
May 15, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 31, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 7 individual or personal trusts (2 managers, 4 officers, directors or trustees, 1 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
American Lutheran ChurchDirect owner100%February 14, 2003data.cms.gov
American Lutheran ChurchOperational or managerial controlNot listedFebruary 14, 2003data.cms.gov
The Evangelical Lutheran Good Samaritan SocietyOperational or managerial controlNot listedNovember 20, 2007data.cms.gov
American Lutheran ChurchAdditional disclosable partyNot listedFebruary 14, 2003data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.