Salem Lutheran Home
Salem Lutheran Home is a 64-bed nursing home in Elk Horn, Iowa. CMS has certified it for Medicare and Medicaid since 1990-05-01. It averages 47.8 residents a day.
What harm was found in the violations cited at Salem Lutheran Home?
CMS lists 46 health-inspection deficiencies for Salem Lutheran Home since 2023-06-06, 31 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-22.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-22 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2026-05-22 | F0550, F0580, F0609, F0610, F0725, F0761, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-12-15 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-10-08 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-06-26 | F0584, F0607, F0609, F0644, F0684, F0695, F0880 | Honor 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2024-10-22 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E |
| 2024-10-22 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| 2024-08-11 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-08-11 | F0803, F0842, F0880 | Ensure 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-08-11 | F0625, F0644, F0656, F0657, F0658, F0758 | Notify 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Implement 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 |
| 2024-05-15 | F0725, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. | D |
| 2023-06-06 | F0684, F0689 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-06-06 | F0727, F0755, F0804 | Have 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2023-06-06 | F0578, F0580, F0602, F0610, F0657, F0658, F0686, F0698, F0842, F0880 | Honor 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from the wrongful use of the resident's belongings or money. / Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
How is Salem Lutheran Home staffed?
| Measure | This facility | IA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.86115 | 3.81506 |
| Total nursing staff turnover (%) | 63.0 | 44.0 |
| Average number of residents per day | 47.8 | 52.4 |
Who owns Salem Lutheran Home, and what chain is it in?
Salem Lutheran Home is registered with CMS as For profit - Corporation, operates under the legal business name AMERICAN LUTHERAN CHURCH and belongs to the GOOD SAMARITAN SOCIETY chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | AMERICAN LUTHERAN CHURCH | since 02/14/2003 |
| CORPORATE OFFICER | BLAKESTAD, ALAN, GUDE, PAUL, NIELSEN, PHIL, SCHECHINGER, TAMI | since 03/01/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | AMERICAN LUTHERAN CHURCH, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, NORBY, NICKLOS, SHELL, STEPHEN | since 02/14/2003 |
| ADP OF THE SNF | AMERICAN LUTHERAN CHURCH, SHELL, STEPHEN | since 02/14/2003 |