Richfield Health Center - Salem
3719 Knollridge Road, Salem, VA 24153 · Salem City County · (540) 380-4500
112 certified beds, about 107 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495013 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 15, 2024, inspectors cited 10 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 31 health citations since July 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $15,465 in the last three years; the largest was $15,465, and the latest is dated December 5, 2024.
Nurses and nurse aides worked 4.34 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
51.5% of nursing staff left within the year CMS measured (Virginia average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1007/21
702/23
1005/24
412/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 31 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
27D
3E
0F
Potential for minimal harm
0A
0B
0C
December 5, 2024Complaint inspection · 4 citations
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interviews, clinical record review, and facility document review, the facility staff failed to prevent significant medication errors for one (1) of five (5) sampled residents (Resident #1).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interviews, clinical record review, and facility document review, the facility staff failed to follow professional standards of practice related to assessing a resident's change in condition for one (1) of five (5) sampled residents (Resident #1).
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on interviews, clinical record review, and facility document review, the facility staff failed to obtain medical provider ordered laboratory tests for one (1) of five (5) sampled residents (Resident #1).
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on interviews, clinical record review, and facility document review, the facility staff failed to ensure prompt implementation of a medical provider order for rehabilitative services for one (1) of five (5) sampled residents (Resident #1).
May 15, 2024Standard inspection · 10 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on resident interview, staff interview, facility document review, facility staff failed to ensure the resident was treated with dignity related to toileting for 1 of 23 current residents in the survey sample (Resident #89). Resident #89 was admitted to the facility with diagnoses which included aftercare joint replacement, anemia, hypertension, anticoagulants, abnormal gait, and a history of pulmonary embolism. On the most recent Minimum Data Set assessment, the resident scored 15/15 on the brief interview for mental status and was assessed as without signs of delirium, psychosis, or behavior affecting care. During initial tour on 5/13/2024, Resident #89 complained that she was left on the toilet for 2 1/2 hours on 5/12/24. On 5/14/24, the surveyor received the call Alarm History for the resident's room from 5/12/24 at 12:00 AM through 5/13/24 at 12 AM. [...]
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to notify and consult with the medical provider following a significant weight loss for 1 of 23 current sampled residents, Resident #69.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide a Skilled Nursing Facility (SNF) Advanced Beneficiary Notice of Non-coverage (ABN) notification for 1 of 3 residents selected for SNF Beneficiary Notification Review (BNR), Resident #69.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed to accurately complete a minimum data set (MDS) assessment for 2 of 23 residents, Resident #65 and #102.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to implement a comprehensive person-centered activity care plan to provide one-to-one activity programming for two (2) of 23 sampled residents (Resident #34 and Resident #26).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed to review and revise the residents comprehensive care plan (CCP) for 1 of 23 current residents, Resident #65.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to follow physician's orders for the administration of medications for 2 of 23 residents, Resident #93 and Resident #312.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow up on pharmacy recommendations for 2 of 5 residents chosen for the unnecessary medication task, Residents #7 and #26.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to ensure a complete and accurate clinical record for 1 of 23 residents, Resident #93.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to offer a pneumococcal vaccine in accordance with nationally recognized standards for 1 of 5 sampled residents reviewed for immunizations, Resident #99.
February 8, 2023Standard inspection · 7 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview, employee record review, and facility document review, the facility staff failed to follow their policy and procedure in regard to screening of new hires for 9 of 25 new hires.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility policy review, the facility staff failed to provide activity of daily living (ADL) care for 4 of 23 current Residents, Residents #3, #4, #8, and #60.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, family interview, staff interview and facility policy review the facility failed to ensure a clean, comfortable, and homelike environment as for 3 of 23 Residents (Resident #26, #8, and #50).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, staff interview, clinical record review the facility staff failed to review and revise the comprehensive care plan for 2 of 26 residents, Resident #38 and Resident #83.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on staff interview, and clinical record review the facility staff failed to ensure 1 of 23 residents was free of unnecessary medications (Resident #26).
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide laboratory services to meet the needs of the resident for 1 of 23 residents in the survey sample, Resident #83.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, and facility document review, the facility staff failed to maintain an infection control and prevention program that ensured a sanitary laundry environment to decrease infection control risk for one (1) of five (5) residential laundry rooms.
July 29, 2021Standard inspection · 10 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to prepare, distribute and serve food in a manner that would prevent foodborne illnesses.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure the right to formulate an advanced directive as evidence by the advanced directive in the resident record not completed accurately for one of 30 residents, Resident #93.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, resident interview, and staff interview the facility staff failed to ensure a homelike environment on 1 of 7 units, 3 East.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interviews and a review of documents, it was determined the facility staff failed to develop and implement a person centered care plan to address the hospice needs for one (1) of 30 sampled residents (Resident #10).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure the residents receive treatment and care in accordance with the comprehensive person-centered care plan for 1 of 30 residents in the survey sample, Resident #117.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to ensure 2 of 7 units were free of accident hazards, 3 East and Honeysuckle Cottage.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, resident interview, staff interview, and facility document review, the facility staff failed to ensure a resident with a catheter received the apppropriate services in regards to anchoring the foley catheter for 1 of 30 residents, Resident #19.
- D Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to obtain a physician ordered laboratory test for 2 of 30 residents, Resident #19 and #42.
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, resident interview, staff interview, and facility document review the facility staff failed follow the menu on 1 of 7 units, 3 East.
- D Keep all essential equipment working safely.
Inspectors wroteBased on observation, resident interview, and staff interview, the facility staff failed to maintain essential equipment in the residents bathroom for 1 of 30 residents, Resident #107.
Fire safety inspections
23 fire safety citations on file: 2 on May 15, 2024, 10 on February 8, 2023, 11 on July 29, 2021.
Every fire safety citation23 citations
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- E Use approved construction type or materials.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Establish staff and initial training requirements.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have properly installed electrical wiring and gas equipment.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Provide rooms that can be unlocked from inside without a key.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have elevators that firefighters can control in the event of a fire.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 5, 2024 | Fine | $15,465 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.34 | 3.76 | 3.86 |
| Registered nurses | 0.61 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.49 | 3.29 | 3.42 |
| Nurse aides | 2.41 | ||
| Licensed practical nurses | 1.32 | ||
| Nursing staff turnover (share who left in a year) | 51.5% | 48.1% | 45.8% |
| Registered nurse turnover | 55.6% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.72 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.68 on weekdays and 3.49 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.20 in April to June 2025 to 4.34 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.34 | 0.61 | 4.68 | 3.49 | 16.8% | 0 of 90 | 107 |
| Oct to Dec 2025 | 4.25 | 0.63 | 4.49 | 3.63 | 13.9% | 0 of 92 | 102 |
| Jul to Sep 2025 | 3.99 | 0.48 | 4.30 | 3.21 | 17.0% | 0 of 92 | 106 |
| Apr to Jun 2025 | 4.20 | 0.47 | 4.43 | 3.63 | 29.8% | 0 of 91 | 106 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.6 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.7 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.1 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.9 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.5 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.9 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.5 | 1.8 |
Owners and operators
Legal business name: FRIENDSHIP RL LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Friendship Foundation Inc | 5% or greater direct ownership interest | Organization | 100% | 10/01/2023 |
| Bishop, Nathaniel | Managing control - governing body | Individual | 10/01/2023 | |
| Feldmann, Greg | Managing control - governing body | Individual | 10/01/2023 | |
| Hoff, Joseph | Managing control - governing body | Individual | 10/01/2023 | |
| Johnson, Cynda | Managing control - governing body | Individual | 10/01/2023 | |
| Lawson, Robert | Managing control - governing body | Individual | 10/01/2023 | |
| Mitchell, Cynthia | Managing control - governing body | Individual | 10/01/2023 | |
| Nester, Paul | Managing control - governing body | Individual | 10/01/2023 | |
| Sandel, Robert | Managing control - governing body | Individual | 10/01/2023 | |
| Shannon, Charles | Managing control - governing body | Individual | 10/01/2023 | |
| Bishop, Nathaniel | Corporate director | Individual | 10/01/2023 | |
| Combs, Glen | Corporate director | Individual | 10/01/2023 | |
| Feinour, Edwin | Corporate director | Individual | 10/01/2023 | |
| Grove, Lucian | Corporate director | Individual | 10/01/2023 | |
| Johnson, Cynda | Corporate director | Individual | 10/01/2023 | |
| Lawson, Robert | Corporate director | Individual | 10/01/2023 | |
| Oelschlager, Kathryn | Corporate director | Individual | 10/01/2023 | |
| Sandel, Robert | Corporate director | Individual | 10/01/2023 | |
| Williamson, John | Corporate director | Individual | 10/01/2023 | |
| Hoff, Joseph | Corporate officer | Individual | 10/01/2023 | |
| Shannon, Charles | Corporate officer | Individual | 10/01/2023 | |
| Friendship Foundation Inc | Operational/managerial control | Organization | 10/01/2023 | |
| Valley Management Co Inc | Operational/managerial control | Organization | 10/01/2023 | |
| Bishop, Nathaniel | Operational/managerial control | Individual | 10/01/2023 | |
| Campbell, Luke | Operational/managerial control | Individual | 10/01/2023 | |
| Combs, Glen | Operational/managerial control | Individual | 10/01/2023 | |
| Duncan, Stephanie | Operational/managerial control | Individual | 10/01/2023 | |
| Feinour, Edwin | Operational/managerial control | Individual | 10/01/2023 | |
| Feldmann, Greg | Operational/managerial control | Individual | 10/01/2023 | |
| Grove, Lucian | Operational/managerial control | Individual | 10/01/2023 | |
| Higgins, Benjamin | Operational/managerial control | Individual | 10/01/2023 | |
| Hoff, Joseph | Operational/managerial control | Individual | 10/01/2023 | |
| Hughes, Angela | Operational/managerial control | Individual | 10/01/2002 | |
| Johnson, Cynda | Operational/managerial control | Individual | 10/01/2023 | |
| Lawson, Robert | Operational/managerial control | Individual | 10/01/2023 | |
| Layell, Erin | Operational/managerial control | Individual | 11/01/2024 | |
| Lowe, Todd | Operational/managerial control | Individual | 10/01/2023 | |
| Nester, Paul | Operational/managerial control | Individual | 07/01/2024 | |
| Nichols, Whitney | Operational/managerial control | Individual | 03/04/2023 | |
| Oelschlager, Kathryn | Operational/managerial control | Individual | 10/01/2023 | |
| Rodger, Mary | Operational/managerial control | Individual | 10/01/2023 | |
| Sandel, Robert | Operational/managerial control | Individual | 10/01/2023 | |
| Shannon, Charles | Operational/managerial control | Individual | 10/01/2023 | |
| Brown, Edwards & Company, LLP | Adp of the SNF | Organization | 10/01/2023 | |
| Friendship Foundation Inc | Adp of the SNF | Organization | 10/01/2023 | |
| Valley Management Co Inc | Adp of the SNF | Organization | 10/01/2023 | |
| Walker & Associates PC | Adp of the SNF | Organization | 10/01/2023 | |
| Campbell, Luke | Adp of the SNF | Individual | 10/01/2023 | |
| Duncan, Stephanie | Adp of the SNF | Individual | 10/01/2023 | |
| Higgins, Benjamin | Adp of the SNF | Individual | 10/01/2023 | |
| Hoff, Joseph | Adp of the SNF | Individual | 10/01/2023 | |
| Layell, Erin | Adp of the SNF | Individual | 10/01/2023 | |
| Lowe, Todd | Adp of the SNF | Individual | 10/01/2023 | |
| Rodger, Mary | Adp of the SNF | Individual | 10/01/2023 | |
| Shannon, Charles | Adp of the SNF | Individual | 10/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on December 5, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on December 5, 2024: "Provide or get specialized rehabilitative services as required for a resident."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on May 15, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on December 5, 2024: "Ensure that residents are free from significant medication errors."
Other nursing homes nearby
- Snyder Nursing Home Salem, 3.9 mi · 5 of 5 stars · 10 citations
- Salem Health & Rehabilitation Salem, 5.8 mi · 2 of 5 stars · 32 citations
- Davis and McDaniel Veterans Care Center Roanoke, 6.3 mi · 5 of 5 stars · 10 citations
- Brandon Oaks Nursing and Rehabilitation Center Roanoke, 6.4 mi · 5 of 5 stars · 12 citations
- Raleigh Court Health and Rehabilitation Center Roanoke, 8.3 mi · 4 of 5 stars · 29 citations
- South Roanoke Nursing and Rehabilitation Roanoke, 9.2 mi · 3 of 5 stars · 39 citations
- Friendship Health and Rehab Center - South Roanoke, 9.2 mi · 3 of 5 stars · 19 citations
- Pheasant Ridge Nursing and Rehabilitation Roanoke, 9.9 mi · 1 of 5 stars · 44 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Richfield Health Center - Salem's Medicare star rating?
- CMS rates Richfield Health Center - Salem 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Richfield Health Center - Salem get at its last inspection?
- 10 health deficiencies at the standard inspection on May 15, 2024. The Virginia average is 14.3.
- Has Richfield Health Center - Salem been fined?
- Yes. CMS lists 1 fine totaling $15,465 in the last three years.
- Does Richfield Health Center - Salem accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Richfield Health Center - Salem?
- CMS lists 55 owners and managers. Legal business name: FRIENDSHIP RL LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.