Richfield Health Center - Salem

3719 Knollridge Road · Salem, VA · 24153 · 5403804500

112 certified beds Non profit - Corporation

  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 94
Staffing 20% 76
Federal penalties 15% 74
Trend 10% 74
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.253.48 min · 4.1 strong
RN hours / resident-day0.630.55–0.75
Weekend hours / resident-day3.63≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)1 · $15,465

Inspection citations (31 in the current record)

  • Actual harm · G December 5, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected January 8, 2025 · Pharmacy Service

  • Potential for harm · D December 5, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 5, 2024 · found via complaint

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

    Corrected January 8, 2025 · Administration

  • Potential for harm · D December 5, 2024 · found via complaint

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected January 8, 2025 · Quality of Life and Care

  • Potential for harm · D May 15, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 15, 2024 · Resident Rights

  • Potential for harm · D May 15, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected July 15, 2024 · Resident Rights

  • Potential for harm · D May 15, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected July 15, 2024 · Resident Rights

  • Potential for harm · D May 15, 2024

    Ensure each resident receives an accurate assessment.

    Corrected July 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 15, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 15, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected July 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 15, 2024

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

    Corrected July 15, 2024 · Quality of Life and Care

  • Potential for harm · D May 15, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected July 15, 2024 · Pharmacy Service

  • Potential for harm · D May 15, 2024

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

    Corrected July 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 15, 2024

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

    Corrected July 15, 2024 · Infection Control

  • Potential for harm · D February 8, 2023

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected March 23, 2023 · Resident Rights

  • Potential for harm · E February 8, 2023

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected March 23, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 8, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 23, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E February 8, 2023

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

    Corrected March 23, 2023 · Quality of Life and Care

  • Potential for harm · D February 8, 2023

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected March 23, 2023 · Pharmacy Service

  • Potential for harm · D February 8, 2023

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

    Corrected March 23, 2023 · Administration

  • Potential for harm · D February 8, 2023

    Provide and implement an infection prevention and control program.

    Corrected March 23, 2023 · Infection Control

  • Potential for harm · D July 29, 2021

    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.

    Corrected September 10, 2021 · Resident Rights

  • Potential for harm · D July 29, 2021

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected September 10, 2021 · Resident Rights

  • Potential for harm · D July 29, 2021

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 10, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D July 29, 2021

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

    Corrected September 10, 2021 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 5, 2024Fine$15,465

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495013 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.