Salem Lutheran Home is a facility located in Elk Horn, Iowa, a city with a population of 914 people. With an overall rating of B-, this appears to be a decent nursing home. This facility has some things working in its favor. One of the best aspects of this nursing home's report card is its exemplary inspection score, which we will address in the next paragraph.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 74 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Non profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
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March
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April
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May
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June
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July
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August
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September
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October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

A
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+Mar 19: A+Apr 19: AMay 19: AJun 19: AJul 19: AAug 19: ASep 19: AJan 20: AMar 20: AApr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

This facility earned a solid overall grade as described above, but we really wanted to point out its nearly flawless health inspections in recent years. We gave them an A in this category. Arguably the most critical factor we look at in determining our inspection ratings is deficiencies. These deficiencies can be found on a nursing home's inspection reports. Places with higher scores in this category most likely avoided the most severe deficiencies involving things like patient abuse. Although this facility had a few deficiencies on its government inspection report, none were major deficiencies based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Long-term Care Quality

A-
Oct 18: CNov 18: CDec 18: CJan 19: B-Feb 19: B-Mar 19: B-Apr 19: BMay 19: BJun 19: BJul 19: BAug 19: BSep 19: BJan 20: BMar 20: BApr 20: B-May 20: B-Jun 20: B-Jul 20: BAug 20: A-
Historical

Another strength of this nursing home is its strong grade in long-term care. We gave them one of our more favorable scores in that area, with a grade of A-. For patients looking for a permanent residence as opposed to skilled nursing, long-term care is an important category. After considering the amount of care provided by nurses aids and other staff, we turned to the facility's vaccination data. This nursing home vaccinated 83.76068 percent of its residents against pneumonia, which happens to be somewhat less than we anticipated but still a decent percentage. While its vaccination rate was a bit lower than we like to see, at least this place was able to limit hospitalizations. With only 1.42 hospitalizations per one thousand long-term resident days, this facility had less hospitalizations than the average nursing home.

Nurse Quality

C
Oct 18: BNov 18: BDec 18: BJan 19: B-Feb 19: B-Mar 19: B-Apr 19: BMay 19: BJun 19: BJul 19: B-Aug 19: B-Sep 19: B-Jan 20: CMar 20: CApr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

We also gave this nursing home a decent score in the category of nursing care, with a grade of C. Our nursing rating assesses a handful of datapoints, however, the primary consideration is the level of nurse hours per patient per week. This facility provided just 2.6 hours of nursing care per resident per day. This is a relatively low total compared to most other facilities. Finally, we like to look at quality-based statistics, such as the percentage of patients who suffered pressure ulcers and major falls. These datapoints are measures of the quality of nursing care.

Short-term Care Quality

D
Oct 18: DNov 18: DDec 18: DJan 19: DFeb 19: DMar 19: B-Apr 19: DMay 19: DJun 19: DJul 19: DAug 19: DSep 19: DJan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

Turning to the last category, we awarded this facility a D for short-term care. This is the nursing home's worst category grade. Unfortunately, this grade pulled down the facility's overall grade a bit. In our short-term care assessment, we endeavor to forge a fair measure for rehabilitation. In doing so, we assess the facility's levels of highly-skilled nursing services, including both registered nurses and physical therapy, as well as respiratory therapy. In this nursing home's case, we found that it provides less registered nurse hours per resident than the average facility. The final metric we considered in this area is the number of residents who were able to leave the nursing home and return to the community. We discovered that just 38.2 percent of this facility's residents were able to return home, which is well below average. This statistic was damning for this facility's short-term care grade.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
B-
State:
B+
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Salem Lutheran Home Quality Metrics

Minimizes Pressure Ulcers

This is the percentage of residents who have had a pressure ulcer. Pressure ulcers, which are also known as bed sores, are routinely the result of patients not being moved frequently enough. Better nursing protocols can limit the number of pressure ulcers sustained by residents in a nursing home.

Provider
A
2.84%
State
A-
5.18%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This datapoint is an indication of the percentage of long-term stay residents which have sustained falls which resulted in severe injury. This is one of the statistics we use in calculating nursing ratings.

Provider
D
6.41%
State
B
3.66%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This tells you the percentage of residents that have had a urinary tract infection. These infections are associated with poor hygiene.

Provider
F
10.34%
State
B
3.25%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This indicates the percent of residents who were prescribed antipsychotic medications. Antipsychotic drugs are prescribed to patients for a variety of conditions, including dementia. Sadly, in some situations, increased usage of these drugs may indicate that a nursing home is using these drugs to subdue residents.

Provider
C
19.27%
State
B
14.67%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This indicates the percent of patients who were prescribed antianxiety drugs. Antianxiety drugs are prescribed to residents experiencing anxiety or depression.

Provider
B-
21.27%
State
B+
18.32%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is a measure of the percent of long-term residents who are demonstrating depressive symptoms.

Provider
B-
3.18%
State
B
4.28%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is a measure of the percent of long-term stay residents who have received the flu and pneumonia vaccines. Respiratory viruses can be fatal for seniors, making these types of vaccines critical to patient care.

Provider
D
91.06%
State
B
95.15%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This metric is a measure of the percentage of long-term residents who required more assistance with activities of daily living over time. ADL's include activities such as dressing and taking a bath. Many would argue this is a measure of a patient's well-being.

Provider
C
19.63%
State
B
15.8%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This metric is a measure of the percent of long-term residents that remained mobile levels.

Provider
A
25.35%
State
B+
18.8%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This is the number of times residents are hospitalized per thousand days of care. There is usually a correlation between keeping patients out of the hospital and the overall quality of care.

Provider
B-
1.92
State
B+
1.53
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This metric tracks the number of times residents are rehospitalized per thousand days of short-term care.

Provider
D
25.35
State
B-
18.8
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This datapoint measures the number of emergency room visits per thousand days of short-term care. Staying out of the emergency room is one way to measure the well-being of patients during rehabilitation.

Provider
B+
8.81
State
B
11.2
National
B
10.27

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

Measures the percentage of short-term residents that saw functional improvements, such as enhanced ability to perform activities of daily living. Many would argue that this is a reliable measure of a facility's rehabilitation services.

Provider
B+
72.93%
State
A-
77.54%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Audubon County Memorial Hospital 10.52 mi
515 Pacific Avenue Audubon Iowa 50025
(712) 563-2611
Critical Access Hospitals
Government - Local
Cass County Memorial Hospital 13.71 mi
1501 East Tenth Street Atlantic Iowa 50022
(712) 243-3250
Critical Access Hospitals
Government - Local
Myrtue Medical Center 14.26 mi
1213 Garfield Avenue Harlan Iowa 51537
(712) 755-5161
Critical Access Hospitals
Voluntary non-profit - Other

Nearby Dialysis

Atlantic Dialysis 13.72 mi
Dialysis Stations: 6
1500 E 10th Street Ste B Atlantic Iowa 50022
(712) 243-7485
Harlan Dialysis 14.31 mi
Dialysis Stations: 6
1213 Garfield Avenue Harlan Iowa 51537
(712) 755-4257