Skilled nursing facility · CMS certified · CCN 165155

Salem Lutheran Home

2027 College Avenue, Elk Horn, IA 51531 · Shelby County · one of 388 skilled nursing facilities in Iowa

certified beds

1 / 5

overall rating

For-profit

ownership type

70-85%

occupancy band

1.06

case mix, 0.75x the Iowa average

Quality and staffing

CMS Care Compare · Jul 2026

Overall rating1 / 5 · state 3.1

Health inspection1 / 5 · state 2.9

Staffing4 / 5 · state 3.5

RN hours per resident per day0.64 · state 0.73

Overall rating, last 8 quarters

up 1 star over the 8 quarters shown

Surveys and enforcement

public record

Jun 2025

last standard survey

deficiencies cited · Iowa avg 9.1

fines, last 3 years

Yes

part of a chain

Medicaid in Iowa

state rate files

$306

median daily rate across the Iowa buildings in our rate book, Jan 2026 file

Iowa rate schedule and what changed ›

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behind the call

The expanded view of Salem Lutheran Home: who holds it, what has changed hands, how the money has moved, and where it is going.

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Shelby County

buildingbedsoverallElm Crest Retirement Community503 / 5Salem Lutheran Home641 / 5

All Iowa buildings in Shelby County ›

Iowa at a glance

388

buildings

25,198

licensed beds

80%

occupancy

54%

for-profit

Iowa market intelligence report ›

The neighborhood

Nearby skilled nursing

buildingbedsoveralloccupancyExira Care CenterExira · 9.4 mi602 / 5under 70%Friendship Home AssociationAudubon · 10.8 mi464 / 570-85%Heritage HouseAtlantic · 13.8 mi615 / 5over 85%Elm Crest Retirement CommunityHarlan · 14.3 mi503 / 5over 85%Atlantic Specialty CareAtlantic · 14.3 mi903 / 570-85%Avoca Specialty CareAvoca · 18.0 mi461 / 570-85%

Public record only, the map and the list carry the same facts, and neither names an owner.