1945 Roanoke Blvd, Salem, VA 24153 · Salem City County · (540) 345-3894
240 certified beds, about 201 residents a day · For profit - Corporation · Medicare and Medicaid since 1971
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495087 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 4, 2024, inspectors cited 13 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 32 health citations since December 2019 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 3.14 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
64.0% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Lifeworks Rehab, an affiliated group of 64 nursing homes.
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.
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 32 health citations on file.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure residents receive treatment and care in accordance with a medical provider orders for (1) one of (3) three sampled residents, Resident #2.
Inspectors wroteBased on observation, Resident interview, staff interview and facility document review the facility staff failed to ensure call bell was accessible for 1 of 7residents, Resident #5.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide written notification of a room change prior to the change for 1 of 10 sampled residents (Resident #3).
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review the facility staff failed to provide activities of daily living (ADL) care to 1 of 10 dependent residents, Resident #5.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure a resident received treatment and care in accordance with professional standards of practice for 1 of 10 sampled residents. Resident #6.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review the facility staff failed to provide care and treatment to promote healing of pressure ulcers for 1 of 10 residents, Resident #5.
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 2 of 10 sampled residents. Resident #4 and Resident #6.
Inspectors wroteBased on observation, staff interview and facility document review the facility staff failed follow established infection control procedures for 2 of 7 residents, Resident #5 and Resident #10The
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to provide a safe, functional, sanitary, and comfortable environment for 3 of 15 sampled resident rooms (room [ROOM NUMBER], room [ROOM NUMBER], and room [ROOM NUMBER]).
Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to provide written notification of reasons for transfer or discharge to the resident and the resident's representative(s) and failed to send a copy of the notice of transfer or discharge to the representative of the Office of the State Long-Term Care Ombudsman for two (2) of seven (7) sampled residents and/or residents' representatives, (Resident #3 and Resident #4).
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow the medical provider's orders for 1 of 10 sampled residents (Resident #10).
Inspectors wroteBased on observation, the facility staff failed to maintain an infection prevention and control program to provide a safe and sanitary environment and help prevent the development and transmission of infections for 1 of 10 residents (Resident #10).
Inspectors wroteBased on observations, interviews, and the review of documents, the facility staff failed to ensure menus were followed for two (2) of approximately 11 - 13 resident tray carts (each tray cart was used to transport multiple residents' trays to nursing units); this observation occurred for the lunch meal on 5/30/24. (The dietary staff members working on the food service line during the lunch meal on 5/30/24 indicated the last two (2) resident tray carts were the smallest carts to be sent out; the dietary staff members indicated each cart contained trays for approximately 20 residents.)
Inspectors wroteBased on observation facility staff failed to ensure hand rails were intact on 4 of 4 nursing units. During initial tour and throughout the course of the facility, surveyors observed residents utilizing hand rails for stabilization while ambulating and as an anchor to pull themselves down the halls while in wheelchairs. On 6/3/24, the surveyor checked handrails throughout the building and found a number of missing handrail segments or end caps which left sharp edges exposed posing a risk of injury: On the front hallway, there were no end caps between the elevator and dining room and no end cap or corner segment by the ladies' restroom. On Unit 1, a segment of the hand rail was missing near the door to the unit manager's office. End caps were missing by rooms 14, 17, 23, 25, and 26. On unit 2, the rail by the pantry was missing an end cap. [...]
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to screen for a mental disorder or intellectual disability prior to admission for 1 of 38 sampled residents. Resident #154.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to follow the medical provider orders for 2 of 38 sampled residents (Residents #84 and #160).
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a resident who is fed by enteral means receives the appropriate provider ordered hydration for 1 of 4 sampled residents dependent on enteral feeding (Resident #160).
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure a resident who is fed by enteral means receives the appropriate treatment to prevent complications for 1 of 4 sampled residents dependent on enteral feeding (Resident #384).
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to provide respiratory care consistent with the comprehensive person-centered care plan and the provider orders for 1 of 38 sampled residents (Resident #84).
Inspectors wrote2. The facility staff failed to document detailed assessments: (a) when Resident #185 experienced a fall on 10/27/23 which resulted in a medical provider ordering left leg and left hip x-rays and (b) when Resident #185 was provided pain medications which were ordered to be administered as needed. Resident #185's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 10/17/23, was signed as completed on 10/18/23. Resident #185 was assessed as able to make self understood and as able to understand others. Resident #185's Brief Interview for Mental Status (BIMS) summary score was documented as a 14 out of 15; this indicated intact and/or borderline cognition. Resident #185's clinical record included a Fall Note with an effective date of 10/27/23 at 7:11 p.m. This Fall Note indicated a left hip x-ray and a left leg x-ray were ordered. [...]
Inspectors wrote2. For Resident #160, the facility staff failed to obtain a STAT CBC (complete blood count) and BMP (basic metabolic panel) and failed to perform flu and COVID-19 testing timely. Resident #160's diagnosis list indicated diagnoses, which included, but not limited to Respiratory Failure, Vascular Dementia, Dysphagia, Cerebral Infarction, Heart Failure, Type 2 Diabetes Mellitus, and Essential Hypertension. The most recent minimum data set (MDS) with an assessment reference date (ARD) of 4/16/24 assigned the resident a brief interview for mental status (BIMS) summary score of 12 out of 15 indicating the resident was moderately cognitively impaired. [...]
Inspectors wrote2. The facility staff failed to timely obtain Resident #185's medical provider ordered left leg x-ray and left hip x-ray. Resident #185's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 10/17/23, was signed as completed on 10/18/23. Resident #185 was assessed as able to make self understood and as able to understand others. Resident #185's Brief Interview for Mental Status (BIMS) summary score was documented as a 14 out of 15; this indicated intact and/or borderline cognition. Resident #185's clinical record included a Fall Note with an effective date of 10/27/23 at 7:11 p.m. This Fall Note indicated a left hip x-ray and a left leg x-ray were ordered. No documentation was found to indicate what change in the resident's condition/assessment resulted in the medical provider ordering the left leg and left hip x-rays. [...]
Inspectors wrote3. For Resident #31, facility staff failed to accurately document medication administration for the 9:00 p.m. doses on 05/12/24 and 05/17/24. Resident #31's admission Record listed diagnoses which included but were not limited to, metabolic encephalopathy (an underlying condition affecting metabolism), osteoarthritis, anxiety, depression, hypertension, chronic peripheral venous insufficiency, and congestive heart failure. The most recent annual minimum data set (MDS) with an assessment reference date of 05/01/24 assigned the resident a brief interview for mental status summary score a 15 out of 15. Resident #31's medication administration record for May 2024 was reviewed. There was no documentation for the 9:00 p.m. dose for seven medications on two dates, 05/12/24 and 05/17/24. The medications were: 1. Atorvastatin 20mg one tablet for hyperlipidemia, 2. [...]
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to maintain an infection prevention and control program designed to help prevent transmission of communicable diseases and infections for 1 of 38 sampled residents (Resident #90).
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to offer a pneumococcal immunization in accordance with nationally recognized standards for 1 of 5 sampled residents reviewed for immunizations, Resident #90.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide treatment in accordance with the provider orders to promote pressure ulcer wound healing for 1 of 38 sampled residents (Resident #184).
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The facility staff failed to properly sanitize items used for food preparation and serving, stacked wet pans together, and failed to discard an out of date food item.
Inspectors wroteBased on observation, staff interview, clinical record review facility staff failed to ensure the resident maintained acceptable nutrition status as evidenced by failure to assess the resident's condition on admission for one of 35 residents in the survey sample (Resident #175). Resident #175 was admitted to the facility with diagnoses including muscle weakness, unsteadiness on feet, unspecified fracture of occiput, subsequent encounter for fracture with routine healing, anemia, and dysphagia, oropharyngeal phase. On the minimum data set assessment with assessment reference date 10/19/2022, the resident scored 10/15 on the Brief Interview for Mental Status and was assessed as lacking signs of delirium, psychosis, or behaviors affecting care. Height 63 inches and weight 87 pounds with recent gain or loss unknown was documented. [...]
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to maintain a complete and accurate clinical record for 1 of 35 residents in the survey sample, Resident #53.
Inspectors wroteBased on record review and staff interview, facility staff failed to conduct initially a comprehensive, accurate, standardized reproducible assessment of the resident's functional capacity as evidenced by failure to reflect receipt of hospice care for 1 of 38 residents in the survey sample (Resident #216). Resident #216 was admitted to the facility for end of life care. Diagnoses included hypertension, diabetes mellitus, dysphagia, oropharyngeal stage, bacteremia, methicillin staphylococcus aureus infection, pulmonary hypertension, and spinal stenosis. On the Minimum Data Set assessment with assessment reference date 8/12/2019, the resident scored 3/15 on the brief interview for mental status and was assessed as without signs of delirium or psychosis. The resident was not coded as receiving hospice services. The resident was admitted for hospice per the admission assessment. [...]
Inspectors wroteBased on resident interview, staff interview and clinical record review, facility staff failed to ensure that residents receive treatment and care in accordance with the comprehensive person-centered care plan as evidenced by failure to administer medications per physician's order for 1 of 38 residents in the survey sample (Resident #61).
Inspectors wroteBased on staff interview and clinical record review the facility staff failed to ensure a complete and accurate clinical record evidenced by an inaccurate physician's order summary and electronic medication administration record for 1 of 38 residents, Resident #190.
25 fire safety citations on file: 2 on June 4, 2024, 12 on November 2, 2022, 11 on December 12, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.14 | 3.76 | 3.86 |
| Registered nurses | 0.48 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.48 | 3.29 | 3.42 |
| Nurse aides | 1.87 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 64.0% | 48.1% | 45.8% |
| Registered nurse turnover | 60.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.93 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.40 on weekdays and 2.48 on weekends, 27% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.25 in April to June 2025 to 3.14 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 | 3.14 | 0.48 | 3.40 | 2.48 | 13.3% | 0 of 90 | 201 |
| Oct to Dec 2025 | 2.96 | 0.44 | 3.21 | 2.31 | 10.7% | 0 of 92 | 198 |
| Jul to Sep 2025 | 3.13 | 0.51 | 3.36 | 2.56 | 7.5% | 0 of 92 | 196 |
| Apr to Jun 2025 | 3.25 | 0.58 | 3.51 | 2.60 | 6.0% | 0 of 91 | 202 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 13.1 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.7 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.9 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.6 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.7 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.4 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.3 | 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 | 0.5 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Salem Health & Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.2% this home
No different from the national rate
US median of homes 51.5% · Virginia: 101 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 173 eligible stays.
9.4% this home
No different from the national rate
US median of homes 10.7% · Virginia: 1 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 166 eligible stays.
6.5% this home
No different from the national rate
US median of homes 7.1% · Virginia: 2 better, 8 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 118 eligible stays.
57.8% this home
Median of homes: Virginia60.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 102 residents counted.
1.9% this home
Median of homes: Virginia0.7% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 158 residents counted.
2.2% this home
Median of homes: Virginia2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 158 residents counted.
98.5% this home
Median of homes: Virginia97.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 69 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SALEM OPERATIONS LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Salem Holdings I LLC | 5% or greater direct ownership interest | Organization | 100% | 05/28/2021 |
| America West LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 & Family LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Edward 1998 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Edward 1998 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Kss 2000 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Ml 2000 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Mrv West LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Redrock West LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Saul 2012 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Saul 2012 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Pressman, Jennifer | W-2 managing employee | Individual | 09/19/2023 | |
| Rczbm West Manager LLC | Operational/managerial control | Organization | 05/28/2021 |
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.
Chosen from this home's own inspection record.
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