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CMS CCN 165155 · For profit - Corporation

Salem Lutheran Home

2027 College Avenue, Elk Horn, IA 51531

Overall CMS Rating

1/5

Staffing Rating

4/5
View on Medicare.gov

Near-average staffing

3.86 total HPRD vs. 3.89 national avg · 0.64 RN HPRD vs. 0.69 national avg

Staffing Hours Per Resident Per Day

3.86

Total HPRD

Nat avg 3.89

0.64

RN HPRD

Nat avg 0.69

N/A

LPN HPRD

Nat avg 0.94

2.58

CNA HPRD

Nat avg 2.27

Staffing Comparison

Bar = this facility. Markers = state avg (blue) and national avg (purple).

RN Hours/Day0.64 hr/day
State 0.68National 0.69
LPN Hours/DayN/A
State 0.82National 0.94
CNA Hours/Day2.58 hr/day
State 2.35National 2.27
Total Nursing Hours/Day3.86 hr/day
State 3.85National 3.89

Weekend Staffing

Weekend RN hours often drop 10–20% — a key quality indicator.

Weekend RN HPRD

N/A

National avg 0.48

Weekend Drop vs. Weekday

N/A

Staff Turnover

Annual staff turnover — below 30% is excellent; above 70% indicates instability.

Total Nursing Turnover

63%

National avg 52%

RN Turnover

80%

Total Turnover63%

Purple marker = national average (52%). Lower is better.

CMS Star Ratings

Overall Rating

Much below average

1/5

Health Inspection

Much below average

1/5

Staffing

Above average

4/5

Quality Measures

Below average

2/5

Facility Information

Ownership
For profit - Corporation
Certified Beds
64
State
Iowa
ZIP
51531
Last Inspection
CMS CCN
165155

Penalty & Inspection History

No CMS fines or substantiated complaints on record.

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Frequently Asked Questions

What are the staffing levels at Salem Lutheran Home?
Salem Lutheran Home reports 3.86 total nursing hours per resident per day (HPRD), including 0.64 RN hours, N/A LPN hours, and 2.58 CNA hours. The U.S. national average is 3.89 total HPRD (0.69 RN, 0.94 LPN, 2.27 CNA).
What is the CMS rating for Salem Lutheran Home?
Salem Lutheran Home holds a CMS overall rating of 1 out of 5 stars. The staffing-specific rating is 4 stars, health inspection rating is 1 stars, and quality measure rating is 2 stars. CMS ratings are updated quarterly.
How does Salem Lutheran Home compare to other Iowa nursing homes?
The Iowa average is 3.85 total HPRD and 0.68 RN HPRD. Salem Lutheran Home's total HPRD of 3.86 is near the state average.
What is the staff turnover rate at Salem Lutheran Home?
Salem Lutheran Home reports 63% total nursing staff turnover annually (80% RN turnover). The national average is approximately 52%. This is near the national average.

Data: CMS Payroll-Based Journal (PBJ) via CMS Care Compare. Revalidated every 24 h. Not a substitute for professional medical advice.

Salem Lutheran Home Staffing Ratios — Elk Horn, Iowa Nursing Home (2026) | AllyKin