PlainNursing
CMS Nursing Home Compare · August 2026

Salem Health & Rehabilitation

1945 Roanoke Blvd, Salem, VA 24153

Salem Health & Rehabilitation, a 240-bed for profit - corporation nursing facility in Salem, VA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #231 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5403453894

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1 / 5
Much below average · CMS overall · nat'l 3.0
#231 of 286
In-state rank among rated VA homes
3.14
Well below average · nurse hrs/day · nat'l 3.86
32
Inspection findings

The verdict

Salem Health & Rehabilitation, a 240-bed for profit - corporation nursing facility in Salem, VA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #231 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

1 / 5
CMS overall · national 3.0
#231 of 286
In-state rank among rated VA homes
3.14
Nurse hrs/resident-day · national 3.86
32
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 289 VA nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
495087
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
240
Residents
201
In Hospital
No
County
Salem City
Last Inspection
Jun 4, 2024

Staffing Data

How the 3.14 total nursing hours per resident-day are staffed:

RN Hours
0.48 (nat'l avg: 0.69)
LPN Hours
0.79
CNA Hours
1.87
Total Nursing Hours
3.14 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
64.0%
RN Turnover
60.0%

What the CMS Record Reveals About Salem Health & Rehabilitation

According to CMS Nursing Home Compare, Salem Health & Rehabilitation ranks #231 of 286 rated nursing homes in VA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Salem Health & Rehabilitation operates 240 certified beds in Salem, VA with approximately 201 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 4★).

The inspection file contains 32 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 3.14 total hours per resident day (national average 3.86); RN hours specifically are 0.48 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Salem Health & Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 64.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (32 most recent)

D - Isolated - Minimal harm May 6, 2026 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 26, 2026

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Sep 29, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 29, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 29, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 29, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 29, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 29, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0559

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Category: Resident Rights Deficiencies

Corrected: Sep 29, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Sep 29, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 24, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 24, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Mar 24, 2025

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0776

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Category: Administration Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 30, 2024

E - Pattern - Minimal harm Jun 4, 2024 Tag: 0924

Put firmly secured handrails on each side of hallways.

Category: Environmental Deficiencies

Corrected: Jul 30, 2024

E - Pattern - Minimal harm Jun 4, 2024 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm Nov 2, 2022 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 9, 2022

D - Isolated - Minimal harm Nov 2, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 9, 2022

E - Pattern - Minimal harm Nov 2, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 9, 2022

D - Isolated - Minimal harm Dec 12, 2019 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 20, 2020

D - Isolated - Minimal harm Dec 12, 2019 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 20, 2020

D - Isolated - Minimal harm Dec 12, 2019 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 20, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.9% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 8.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 50.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 28.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 87.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 90.2% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Salem Health & Rehabilitation, both outside VA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Salem Health & Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The VA registry aggregates state averages and the highest-rated homes in this cohort. View VA registry
  • Peer homes near 240 beds show how CMS stars vary at a similar scale in VA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Salem Health & Rehabilitation?
Salem Health & Rehabilitation has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (4★).
Where does Salem Health & Rehabilitation rank among nursing homes in VA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Salem Health & Rehabilitation ranks 231st among 286 rated nursing homes in VA (#231 of 286). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Salem Health & Rehabilitation?
Salem Health & Rehabilitation reports 3.14 total nursing hours per resident day (national average: 3.86). RN hours are 0.48 per resident day (national average: 0.69). Nursing staff turnover is 64.0%.
How many beds does Salem Health & Rehabilitation have?
Salem Health & Rehabilitation has 240 certified beds with approximately 201 residents. The facility is located at 1945 Roanoke Blvd, Salem, VA 24153.
Does Salem Health & Rehabilitation have any deficiencies on record?
Yes, Salem Health & Rehabilitation has 32 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Salem Health & Rehabilitation received any fines or penalties?
No, Salem Health & Rehabilitation has no fines or penalties on record.
Who owns Salem Health & Rehabilitation?
Salem Health & Rehabilitation is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Salem Health & Rehabilitation last inspected?
The most recent health inspection for Salem Health & Rehabilitation was on Jun 4, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Salem Health & Rehabilitation?
Salem Health & Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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