Salem Home
704 S Ash Street, Hillsboro, KS 67063 · Marion County · (620) 947-1429
45 certified beds, about 43 residents a day · Non profit - Other · Medicare and Medicaid since 2005
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175484 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 10, 2026, inspectors cited 8 health deficiencies (the Kansas average is 9.5, the national average 9.2).
Of 14 health citations since December 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.29 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
62.5% of nursing staff left within the year CMS measured (Kansas 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.
212/22
408/24
806/26
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
3F
Potential for minimal harm
0A
0B
1C
June 10, 2026Standard inspection · 8 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to store and prepare food in the main kitchen and kitchenette under sanitary conditions to prevent food borne illnesses.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess and ensure cognitively impaired Resident (R) 4 ability to safely self-administer medications prior to leaving the medications with the resident to self-administer.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide privacy for Residents (R)3 and R5, while staff performed cares in their rooms.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide appropriate activity of daily living (ADL) assistance to Resident (R)3 when staff did not assist him to change his soiled clothing.- R3's Electronic Medical Record (EMR) documented a diagnosis of cerebral infarction (stroke - sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain). R3's admission Minimum Data Set (MDS), dated [DATE], documented that R3 had a Brief Interview for Mental Status (BIMS) score of eight, indicating moderately impaired cognition. He was dependent on staff for upper-body dressing. [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on interviews, observation, and record review, the facility failed to provide Resident (R) 17 with a bilevel positive airway pressure (BiPAP- a noninvasive ventilator that helps breathing) as per physician orders.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on interview and record review the facility failed to provide sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services necessary to care for residents' needs related to provision of enteral tube feeding and medication administration via percutaneous enteral epigastric tube feeding (PEG tube-external device inserted in the abdomen to deliver nutrition, hydration, and/or medication directly to the stomach).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on interviews, observation and record review, the facility failed to implement adequate infection control practices related to respiratory equipment for Resident (R) 17 and hand hygiene during incontinence care for R7.
- C Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain and/or dispose of garbage and refuge properly in a closed dumpster to prevent pests and odors, and related contamination.
August 7, 2024Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility reported a census of 44 residents. Based on observation, interview, and record review, the facility failed to ensure foods were stored, prepared, and distributed in a manner to prevent foodborne illness to the residents.
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteThe facility reported a census of 44 residents. Based on interview and record review, the facility failed to electronically submit complete and accurate staffing information to the Federal regulatory agency through Payroll-Based Journaling (PBJ) when the facility failed to accurately submit hourly staffing data for all nursing personnel.
- 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.
Inspectors wroteThe facility census totaled 44 residents on two halls with a commons area where residents gathered for meals and activities. The facility had two medication carts and a nurse treatment cart. Based on observation, interview, and record review, the facility failed to provide a safe environment for nine residents by the failure to ensure a nurse treatment cart that contained insulin (a medication used to treat diabetes [a disease when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin]) remained locked when not in direct line of vision of the nurse.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteThe facility reported a census of 44 residents. The facility identified two residents required pureed diets. Based on observation, interview, and record review, the facility failed to ensure pureed foods were prepared to ensure nutritional and flavor compatibility with the menu to enhance the dining experience for these two residents.
December 13, 2022Standard inspection · 2 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility had a census of 42 residents. The sample included 13 residents. Based on observation, record review, and interview the facility failed to provide adequate supervision for Resident (R) 4 who was independent with ambulation and required staff supervision for safety due to a diagnosis of schizoaffective (mental health disorder that is marked by a combination of schizophrenia symptoms, such as hallucinations [perception of having seen, heard, touched, tasted, or smelled something that wasn't actually there] or delusions [altered reality that is persistently held despite evidence or agreement to the contrary], and mood disorder symptoms, such as depression [persistent feeling of sadness and loss of interest] or mania [abnormally elevated, extreme changes in your mood or emotions, energy level or activity level]) disorder, intellectual disabilities, and a personal history of [...]
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteThe facility had a census of 42 residents. The sample included 13 residents of which one reviewed for dignity. Based on observation, record review and interviews, the facility failed to ensure Resident (R)21 was treated with respect and dignity and cared for in a manner that promotes quality of life. This placed R21 at risk for impaired psychosocial well-being.
Fire safety inspections
21 fire safety citations on file: 3 on June 10, 2026, 9 on August 7, 2024, 9 on December 13, 2022.
Every fire safety citation21 citations
- F Ensure proper usage of power strips and extension cords.
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
- F Establish emergency prep training and testing.
- F 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.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Provide properly protected cooking facilities.
- F Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Install corridor and hallway doors that block smoke.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have restrictions on the use of highly flammable decorations.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure proper usage of power strips and extension cords.
- D Use approved construction type or materials.
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.
| Measure | This home | Kansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.29 | 4.07 | 3.86 |
| Registered nurses | 0.39 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.82 | 3.60 | 3.42 |
| Nurse aides | 3.33 | ||
| Licensed practical nurses | 0.57 | ||
| Nursing staff turnover (share who left in a year) | 62.5% | 48.1% | 45.8% |
| Registered nurse turnover | 62.5% | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.54 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 4.48 on weekdays and 3.82 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.37 in April to June 2025 to 4.29 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 | 4.29 | 0.39 | 4.48 | 3.82 | 21.3% | 0 of 90 | 43 |
| Oct to Dec 2025 | 4.10 | 0.43 | 4.37 | 3.44 | 23.7% | 1 of 92 | 43 |
| Jul to Sep 2025 | 4.44 | 0.52 | 4.73 | 3.71 | 19.3% | 0 of 92 | 41 |
| Apr to Jun 2025 | 4.37 | 0.54 | 4.65 | 3.68 | 17.0% | 0 of 91 | 41 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kansas, Jan to Mar 2026 | 4.01 | 0.67 | 4.19 | 3.56 | 4.8% | 0.6% 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 | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.1 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.6 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.6 | 18.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.1 | 1.8 |
Owners and operators
Legal business name: SALEM HOSPITAL, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ensey, Laura | Corporate director | Individual | 09/30/2021 | |
| Herbel, Delayne | Corporate director | Individual | 11/29/2018 | |
| Jost, Jared | Corporate director | Individual | 08/29/2024 | |
| Koslowsky, Thomas | Corporate director | Individual | 09/16/2018 | |
| Lancaster, Mary | Corporate director | Individual | 06/29/2023 | |
| Wiebe, Henry | Corporate director | Individual | 11/29/2018 | |
| Crocker, Heather | Corporate officer | Individual | 07/31/2016 | |
| Mungai, Peter | Corporate officer | Individual | 10/01/2016 | |
| Crocker, Heather | Operational/managerial control | Individual | 04/10/2016 | |
| Donahue, Lisa | Operational/managerial control | Individual | 12/20/2024 | |
| Hamm, Jodie | Operational/managerial control | Individual | 12/20/2024 | |
| Hamm, Michael | Operational/managerial control | Individual | 12/20/2024 | |
| Mungai, Peter | Operational/managerial control | Individual | 10/01/2016 | |
| Reeh, Michael | Operational/managerial control | Individual | 01/13/2025 | |
| Weber, Virgilene | Operational/managerial control | Individual | 12/20/2024 | |
| Williams, Angela | Operational/managerial control | Individual | 12/20/2024 | |
| Zaragoza, Angie | Operational/managerial control | Individual | 12/20/2024 | |
| Salem Hospital, Inc. | Adp of the SNF | Organization | 03/15/2021 | |
| Mungai, Peter | Adp of the SNF | Individual | 04/10/2025 | |
| Reeh, Michael | Adp of the SNF | Individual | 01/13/2025 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on June 10, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 10, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on June 10, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on June 10, 2026: "Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being."
Other nursing homes nearby
- Parkside Homes Hillsboro, 0.1 mi · 2 of 5 stars · 42 citations
- Bethesda Home Goessel, 10.1 mi · 5 of 5 stars · 5 citations
- St. Luke Living Center Marion, 10.6 mi · 4 of 5 stars · 22 citations
- Access Mental Health Peabody, 13.1 mi · not rated · 45 citations
- Peabody Health and Rehab Peabody, 13.2 mi · 4 of 5 stars · 23 citations
- Schowalter Villa Hesston, 19.1 mi · 5 of 5 stars · 6 citations
- Moundridge Manor Moundridge, 19.5 mi · 5 of 5 stars · 7 citations
- Bethel Health Care Center North Newton, 20 mi · 5 of 5 stars · 5 citations
Common questions
- What is Salem Home's Medicare star rating?
- CMS rates Salem Home 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Salem Home get at its last inspection?
- 8 health deficiencies at the standard inspection on June 10, 2026. The Kansas average is 9.5.
- Has Salem Home been fined?
- CMS lists no fines in the last three years.
- Does Salem Home 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 Home?
- CMS lists 20 owners and managers. Legal business name: SALEM HOSPITAL, INC..
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.