Salem Lutheran Home: Staffing, Turnover, and Inspection Record
Salem Lutheran Home is a 64-bed for-profit nursing home in Elk Horn, Iowa, part of Good Samaritan Society. In the CMS August 2026 release it reported 2.58 nurse aide hours per resident per day, 3% above the Iowa average of 2.51, and 63.0% nursing staff turnover (Iowa average 44.0%).
Salem Lutheran Home
2027 College AvenueElk Horn, IA 51531
Shelby County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Salem Lutheran Home, nurse aides logged 2.58 hours per resident per day, 3% above the Iowa average. With about 48 residents a day, that works out to roughly 124 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.58 | 2.51 | 2.32 |
| Licensed practical nurses | 0.64 | 0.56 | 0.86 |
| Registered nurses | 0.64 | 0.74 | 0.69 |
| All nursing staff | 3.86 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.17 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
63.0% of nursing staff at Salem Lutheran Home left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 80.0%.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 26, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (Iowa average 6.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Salem Lutheran Home holds 1 of 5 overall; the Iowa average is 3.1.
About Salem Lutheran Home
- Ownership: For profit - Corporation
- Chain: Good Samaritan Society, 92 homes
- Legal name: American Lutheran Church
- Medicare and Medicaid certified since: May 1, 1990
- Councils: resident council
- Area: rural
Nursing homes near Salem Lutheran Home
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Exira Care Center Exira | 9.4 | 60 | 2.42 | 3.74 | 50.0% | 2 | $22,880 |
| Friendship Home Association Audubon | 10.8 | 46 | 2.66 | 3.92 | 60.5% | 4 | $11,536 |
| Heritage House Atlantic | 13.8 | 61 | 2.60 | 3.96 | 33.3% | 5 | None |
| Elm Crest Retirement Community Harlan | 14.3 | 50 | 2.69 | 3.99 | 71.7% | 2 | None |
| Atlantic Specialty Care Atlantic | 14.3 | 90 | 2.17 | 2.96 | 28.3% | 3 | None |
| Avoca Specialty Care Avoca | 18.0 | 46 | 1.87 | 3.01 | 63.9% | 1 | None |
| Caring Acres Nursing and Rehab Center Anita · SFF candidate | 18.6 | 41 | 2.07 | 3.60 | 73.3% | 1 | $51,773 |
| Oakland Manor Oakland · abuse citation | 25.7 | 61 | 1.68 | 3.05 | — | 1 | $15,593 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.