Salem Health & Rehabilitation
1945 Roanoke Blvd · Salem, VA · 24153 · 5403453894
240 certified beds For profit - Corporation Chain: Lifeworks Rehab
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
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: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 2.31 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Potential for harm · D August 28, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · D August 28, 2025 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · D August 28, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 29, 2025 · Infection Control
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Potential for harm · D August 28, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 29, 2025 · Environmental
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Potential for harm · D February 26, 2025 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 24, 2025 · Resident Rights
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Potential for harm · D February 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 24, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 24, 2025 · Infection Control
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Potential for harm · D June 4, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected July 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 4, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 30, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected July 30, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024
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.
Corrected July 30, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 30, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected July 30, 2024 · Administration
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Potential for harm · E June 4, 2024
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.
Corrected July 30, 2024 · Nutrition and Dietary
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Potential for harm · D June 4, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 4, 2024
Provide and implement an infection prevention and control program.
Corrected July 30, 2024 · Infection Control
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Potential for harm · D June 4, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 30, 2024 · Infection Control
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Potential for harm · E June 4, 2024
Put firmly secured handrails on each side of hallways.
Corrected July 30, 2024 · Environmental
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Potential for harm · D June 4, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 30, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected July 30, 2024 · Administration
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Potential for harm · D June 4, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 30, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495087 · certified since November 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.