Snyder Nursing Home
11 North Broad St., Salem, VA 24153 · Salem City County · (540) 389-6305
45 certified beds, about 40 residents a day · Non profit - Corporation · Medicaid since 1974
CMS Care Compare ratings, data as of September 1, 2026 · CCN 49E076 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 29, 2025, inspectors cited 5 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 10 health citations since February 2021 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 4.53 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.
29.5% 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.
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 10 health citations on file.
October 29, 2025Standard inspection, Complaint inspection · 5 citations
- F 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, clinical record review and facility document review the facility staff failed to provide evidence that Advance Care planning information was provided to residents/resident representatives upon admission and reviewed periodically.
- F 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 staff interviews, clinical record reviews, and facility document review, the facility staff failed to develop comprehensive care plans that included the residents code status for all current residents of the facility.
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide a valid basis for a declination of readmission of the resident after a hospitalization with return anticipated and the facility staff failed to develop and implement an appropriate discharge process to the resident and/or resident representative for (1) one of (2) closed record reviews, Resident #45.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure the highest practicable well-being for 2 of 16 current residents of the facility. Resident #39 and #2.
- 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 maintain a complete and/or accurate clinical record for (1) of (16) sampled residents, Resident #3.
August 23, 2023Standard inspection · 3 citations
- 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, and facility document review, the facility staff failed to review and revise the comprehensive person-centered plan of care for 3 of 14 residents in the survey sample, Residents #10, #18, and #22.
- 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 follow the providers orders for 1 of 14 residents, Resident #20.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, resident interview, staff interview, interviews with local health department staff, clinical record review, and facility document review, the facility staff failed to maintain an infection prevention program for preventing and controlling infection and communicable diseases during an identified outbreak of COVID-19. Facility staff failed to follow facility policy and procedure and CDC (Centers for Disease Control and Prevention) guidance related to cohorting COVID-19 positive and untested, asymptomatic residents together when vacant rooms were available creating the likelihood of the resident being exposed to and contracting COVID-19 for 1 of 29 current residents residing in the facility, Resident #18. [...]
February 11, 2021Standard inspection · 2 citations
- E Perform COVID19 testing on residents and staff.
Inspectors wroteBased on staff interview and review of facility documents, the facility staff failed to conduct COVID-19 testing for asymptomatic staff based on the county positivity rate for 30 of 60 staff members.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on clinical record review, staff interview, and facility document review, the facility staff failed to ensure residents with pressure ulcers receive necessary treatment to promote healing as evidenced by failure to follow physician's orders for 1 of 14 residents, Resident #8.
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 | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.53 | 3.76 | 3.86 |
| Registered nurses | 0.90 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.98 | 3.29 | 3.42 |
| Nurse aides | 3.23 | ||
| Licensed practical nurses | 0.40 | ||
| Nursing staff turnover (share who left in a year) | 29.5% | 48.1% | 45.8% |
| Registered nurse turnover | 12.5% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.77 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 4.76 on weekdays and 3.98 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.18 in April to June 2025 to 4.53 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 | 4.53 | 0.90 | 4.76 | 3.98 | 0.1% | 0 of 90 | 40 |
| Oct to Dec 2025 | 4.37 | 0.93 | 4.54 | 3.92 | 0.8% | 0 of 92 | 39 |
| Jul to Sep 2025 | 4.60 | 0.94 | 4.81 | 4.06 | 1.2% | 0 of 92 | 38 |
| Apr to Jun 2025 | 5.18 | 1.03 | 5.51 | 4.35 | 0.5% | 0 of 91 | 33 |
| 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
Staff pay at this home
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.
Official wage estimates for Virginia
| 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.
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 | 8.5 | 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 | 8.4 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.6 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.6 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.3 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.4 | 14.2 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 3 problems in this area, most recently on October 29, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- 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 October 29, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on October 29, 2025: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on August 23, 2023: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Salem Health & Rehabilitation Salem, 2.3 mi · 2 of 5 stars · 32 citations
- Davis and McDaniel Veterans Care Center Roanoke, 2.7 mi · 5 of 5 stars · 10 citations
- Brandon Oaks Nursing and Rehabilitation Center Roanoke, 3.2 mi · 5 of 5 stars · 12 citations
- Richfield Health Center - Salem Salem, 3.9 mi · 3 of 5 stars · 31 citations
- Raleigh Court Health and Rehabilitation Center Roanoke, 4.9 mi · 4 of 5 stars · 29 citations
- South Roanoke Nursing and Rehabilitation Roanoke, 6.3 mi · 3 of 5 stars · 39 citations
- Old Southwest Health and Rehabilitation Roanoke, 6.5 mi · 1 of 5 stars · 126 citations
- Our Lady of the Valley Roanoke, 6.6 mi · 5 of 5 stars · 12 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 Snyder Nursing Home's Medicare star rating?
- CMS rates Snyder Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Snyder Nursing Home get at its last inspection?
- 5 health deficiencies at the standard inspection on October 29, 2025. The Virginia average is 14.3.
- Has Snyder Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Snyder Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Snyder Nursing Home?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.