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Salem Crossing

200 Connie Ave, Salem, IN 47167 · Washington County · (812) 883-1877

92 certified beds, about 84 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155330 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 6, 2025, inspectors cited 1 health deficiency (the Indiana average is 7.2, the national average 9.2).

None of its 8 health citations since May 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.52 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.

37.9% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to American Senior Communities, an affiliated group of 90 nursing homes.

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.

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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
2E
0F
Potential for minimal harm
0A
0B
0C
June 6, 2025Standard inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents medication administration records accuretly refleted the administration of narcotics at the time of administration for 2 of 39 residents observed for pharmacy service procedures. (Residents 35 and 8)
December 3, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to follow procedures, adequately supervise, and ensure a resident's safety while on an outing related to a resident falling and rolling into a lake (Resident B) for 1 of 3 residents reviewed for accident hazards.
June 5, 2024Standard inspection, Complaint inspection · 3 citations
  1. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 14, 2024
    Inspectors wroteBased on record review and interview, the facility failed to schedule 8-hour consecutive RN coverage for 4 of 4 months reviewed. (March, April, May, and June, 2024). This had the potential to affect all 84 residents currently residing in the facility.
  2. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 14, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure appropriate pharmacy labeling for 4 of 13 insulin flexpens observed for medication storage. (Residents 19, 31, 85, and 42)
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 14, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure staff provided the necessary care and services in a timely manner for 2 of 4 residents observed for Activities of Daily care. (Residents D and E)
May 12, 2023Standard inspection · 3 citations
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the development and implementation of person-centered interventions to prevent falls for 2 of 8 residents reviewed for accidents. (Residents 65 and 45)
  2. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure proper indwelling urinary catheter care, and handling of the catheter was provided during care for 2 of 4 residents catheter care reviewed. (Residents 79 and 52)
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure accurate documentation in the Controlled Substances Record sheet of the administered narcotics and appropriate storage and labeling of medications for 1 of 4 medications carts and 1 of 2 medication storage rooms observed. (100 Hall Cart and 100/200/300 Hall Storage Room)

Fire safety inspections

8 fire safety citations on file: 8 on June 5, 2024.

Every fire safety citation8 citations
  1. E
    Meet other general requirements.
    K 100 · June 5, 2024 · Corrected (the home has a date of correction)
  2. E
    Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
    K 227 · June 5, 2024 · Corrected (the home has a date of correction)
  3. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 5, 2024 · Corrected (the home has a date of correction)
  4. E
    Install an approved automatic sprinkler system.
    K 351 · June 5, 2024 · Corrected (the home has a date of correction)
  5. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 5, 2024 · Corrected (the home has a date of correction)
  6. E
    Install corridor and hallway doors that block smoke.
    K 363 · June 5, 2024 · Corrected (the home has a date of correction)
  7. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 5, 2024 · Corrected (the home has a date of correction)
  8. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 5, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.523.693.86
Registered nurses0.450.670.69
All nursing staff on weekends3.053.253.42
Nurse aides2.21
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)37.9%45.9%45.8%
Registered nurse turnover22.2%40.3%42.9%
Administrators who left0

CMS expects 3.90 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 3.72 on weekdays and 3.05 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.79 in April to June 2025 to 3.52 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.520.453.723.05 0.0%0 of 9084
Oct to Dec 20253.540.413.713.11 0.0%0 of 9282
Jul to Sep 20253.590.393.773.14 0.0%0 of 9283
Apr to Jun 20253.790.414.003.26 0.0%1 of 9178
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% 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.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
0.811.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.11.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.13.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
0.011.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.93.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.413.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.822.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.710.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.11.41.8

Owners and operators

Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY. CMS links this home to American Senior Communities, a group of 90 nursing homes averaging 3.9 stars overall.

NameRoleTypeShareSince
Ohi Asset (in) Salem, LLC5% or greater security interestOrganization10/31/2013
Chies, StevenManaging control - governing bodyIndividual03/17/2016
Jackson, BlakeManaging control - governing bodyIndividual10/17/2011
Jackson, EthanManaging control - governing bodyIndividual10/17/2011
Jackson, MarkManaging control - governing bodyIndividual10/17/2011
Jackson, MichaelManaging control - governing bodyIndividual05/14/2024
Jackson, WessleyManaging control - governing bodyIndividual10/17/2011
Justice, DavidManaging control - governing bodyIndividual10/17/2011
Kelsey, DonnaManaging control - governing bodyIndividual07/18/2024
Stitle, StephenManaging control - governing bodyIndividual03/16/2016
Wright, TheressaManaging control - governing bodyIndividual05/21/2021
Doucet, KellyCorporate directorIndividual02/03/2025
Drummer, CarlCorporate directorIndividual01/01/2017
Fisch, GaryCorporate directorIndividual01/01/2025
Hanify, ThomasCorporate directorIndividual01/01/2022
Horn, BrendaCorporate directorIndividual09/20/2023
Lazard, RobertCorporate directorIndividual01/29/2021
O'Brien, MichaelCorporate directorIndividual02/03/2025
Babcock, PaulCorporate officerIndividual09/30/2020
Caine, VirginiaCorporate officerIndividual01/10/1994
Goddard, NicholeCorporate officerIndividual07/11/2022
Harris, LisaCorporate officerIndividual12/22/2003
Simpson, JamesCorporate officerIndividual08/06/2023
American Senior Communities LLCOperational/managerial controlOrganization10/17/2011
The Health and Hospital Corporation of Marion CountyOperational/managerial controlOrganization10/17/2011
Babcock, PaulOperational/managerial controlIndividual09/30/2020
Dice, MarkOperational/managerial controlIndividual06/01/2023
Draw, AzmiOperational/managerial controlIndividual11/15/2018
Goddard, NicholeOperational/managerial controlIndividual07/11/2022
Shane, AndrewOperational/managerial controlIndividual02/01/2023
Simpson, JamesOperational/managerial controlIndividual08/06/2023
Tharp, RobinOperational/managerial controlIndividual03/01/2021
Thompson, HollyOperational/managerial controlIndividual02/12/2021
Van Camp, StevenOperational/managerial controlIndividual06/01/2023
American Senior Communities LLCAdp of the SNFOrganization06/23/2026
Ohi Asset (in) Salem, LLCAdp of the SNFOrganization10/31/2013
Dice, MarkAdp of the SNFIndividual06/01/2023
Draw, AzmiAdp of the SNFIndividual06/23/2026
Shane, AndrewAdp of the SNFIndividual02/01/2023
Thompson, HollyAdp of the SNFIndividual07/15/2025
Van Camp, StevenAdp of the SNFIndividual06/01/2023

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on December 3, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 6, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on June 5, 2024: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
  4. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the Indiana average of 3.25.

Other nursing homes nearby

Indiana contacts for a concern about a nursing home

These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Salem Crossing's Medicare star rating?
CMS rates Salem Crossing 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Salem Crossing get at its last inspection?
1 health deficiency at the standard inspection on June 6, 2025. The Indiana average is 7.2.
Has Salem Crossing been fined?
CMS lists no fines in the last three years.
Does Salem Crossing 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 Salem Crossing?
CMS lists 41 owners and managers, and links the home to American Senior Communities. Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY.

Sources

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