Salem Lutheran Home
2027 College Avenue, Elk Horn, IA 51531

Salem Lutheran Homes is the mission of 14 congregations that was founded as a not-for-profit corporation in 1932. The Rev. Anders Hansen, pastor of Elk Horn Lutheran Church, saw the need for senior care for people without family members capable of caring for them. A gift of $3,000 started the project. Today we provide a variety of care and services to meet the changing needs of seniors.
Operated by Evangelical Lutheran Good Samaritan Society, which runs 235 communities in our directory.
Federal reporting puts occupancy at about 75% of its licensed beds. That is below the Shelby County average of roughly 84%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Shelby County average about 2.0 stars. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in June 2025 and recorded 17 deficiencies.
Residents receive about 3.9 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 63%, which is high and can affect continuity of care.
The community is located in Shelby County, IA.
Salem Lutheran Home offers memory care, nursing home care, hospice care, and senior living.
Facility details
- Organization type Non profit - Other
- Religious affiliation Lutheran
- Occupancy 75%
- Nursing hours per resident/day 3.9
- Annual staff turnover 63%
- Last health inspection June 2025