Salem, VA

Richfield Health Center - Salem

3-star overall rating with 3-star inspections with $17,226 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

3719 Knollridge Road, Salem, VA

(540) 380-4500

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

106

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.48

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

1.21

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

2.31

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

3.99

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.69

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.21

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.51

CMS adjusted RN staffing hours

Adjusted total hours

4.23

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,749

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

15.45

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.74% · Performance 23.41% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.55

Baseline 5.07% · Performance 7.37% · Measure score 1.55 · Achievement 1.55 · Improvement 0

Total nurse turnover

Baseline 55.40% · Performance 67.11% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

4.63

Baseline 4.64 hours · Performance 4.40 hours · Measure score 4.63 · Achievement 4.63 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.87%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 505 · Observed rate 10.69% · Lower 95% interval 8.19%
Discharge to community	57.91%	50.57% 7.3 pts better	Better than the National Rate · Eligible stays 526 · Observed rate 53.61% · Lower 95% interval 53.23%
Medicare spending per beneficiary	0.79	1.02 0.2 pts better
Drug regimen review with follow-up	97.48%	95.27% 2.2 pts better	Numerator 271 · Denominator 278
Falls with major injury	1.44%	0.77% 0.7 pts worse	Numerator 4 · Denominator 278
Discharge self-care score	50.92%	53.69% 2.8 pts worse	Numerator 111 · Denominator 218
Discharge mobility score	61.93%	50.94% 11 pts better	Numerator 135 · Denominator 218
Pressure ulcers or injuries, new or worsened	3.96%	2.29% 1.7 pts worse	Numerator 11 · Denominator 278 · Adjusted rate 4.58%
Healthcare-associated infections requiring hospitalization	7.37%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 304 · Observed rate 6.58% · Lower 95% interval 5.23%
Staff COVID-19 vaccination coverage	3.59%	8.2% 4.6 pts worse	Numerator 6 · Denominator 167
Staff flu vaccination coverage	26.48%	42% 15.5 pts worse	Numerator 58 · Denominator 219
Discharge function score	57.34%	56.45% 0.9 pts better	Numerator 125 · Denominator 218
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 49 · Denominator 49
Transfer of health information to patient	98.32%	96.28% 2 pts better	Numerator 176 · Denominator 179
Resident COVID-19 vaccinations up to date	27.03%	25.2% 1.8 pts better	Numerator 40 · Denominator 148

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.5 0.2 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	1.4 0.6 pts better	1.8 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	91.2% 8.2 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 100.0% · Q4 98.8% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.6%	94.0% 2.6 pts better	95.5% 1.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of long-stay residents experiencing one or more falls with major injury	4.9%	3.6% 1.3 pts worse	3.3% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.5% · Q3 6.0% · Q4 8.4% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.2%	15.7% 11.5 pts better	11.4% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.9% · Q3 1.2% · Q4 7.8% · 4Q avg 4.2%
Percentage of long-stay residents who lose too much weight	7.0%	5.7% 1.3 pts worse	5.4% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 4.5% · Q3 3.9% · Q4 4.1% · 4Q avg 7.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.3%	20.2% 1.9 pts better	19.6% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 17.9% · Q3 18.2% · Q4 18.4% · 4Q avg 18.3%
Percentage of long-stay residents who received an antipsychotic medication	26.7%	15.0% 11.7 pts worse	16.7% 10 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 25.9% · Q3 27.0% · Q4 27.1% · 4Q avg 26.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	14.6%	17.5% 2.9 pts better	16.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 19.1% · Q3 14.4% · Q4 11.8% · 4Q avg 14.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.9%	15.7% 3.2 pts worse	14.9% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 15.9% · Q3 13.0% · Q4 32.4% · 4Q avg 18.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.8%	0.5% 1.3 pts worse	1.0% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.2% · Q3 1.9% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.9%	1.6% 0.3 pts worse	1.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 3.8% · Q3 0.0% · Q4 2.5% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.0%	22.2% 5.2 pts better	19.8% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 22.8% · Q3 19.4% · Q4 15.4% · 4Q avg 17.0%
Percentage of long-stay residents with pressure ulcers	8.6%	5.2% 3.4 pts worse	5.1% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 8.4% · Q3 12.0% · Q4 5.1% · 4Q avg 8.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	74.6% 24.5 pts better	81.7% 17.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 99.0% · Q3 99.4% · Q4 99.4% · 4Q avg 99.1%
Percentage of short-stay residents who had an outpatient emergency department visit	14.3%	11.7% 2.6 pts worse	12.0% 2.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 12.6% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.2% 0.2 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 1.6% · Q4 0.8% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.3%	73.6% 15.7 pts better	79.7% 9.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.9%	22.0% 6.9 pts worse	23.9% 5 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.9% · Observed 23.2% · Expected 19.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-15 · Fire 2024-05-15

10 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-02-08 · Fire 2023-02-08

11 health deficiencies

Top issue: Administration (2 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-07-29 · Fire 2021-07-29

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

11 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-05-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-07-09

D · Potential for more than minimal harm 2024-05-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-09

E · Potential for more than minimal harm 2023-02-08

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-04-10

E · Potential for more than minimal harm 2023-02-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-06

E · Potential for more than minimal harm 2023-02-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-06

E · Potential for more than minimal harm 2023-02-08

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-04-10

E · Potential for more than minimal harm 2023-02-08

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-06-06

E · Potential for more than minimal harm 2023-02-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-04-10

D · Potential for more than minimal harm 2023-02-08

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-03-23

D · Potential for more than minimal harm 2023-02-08

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-02-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-04-10

D · Potential for more than minimal harm 2023-02-08

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-04-10

F · Potential for more than minimal harm 2021-07-29

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-11-10

F · Potential for more than minimal harm 2021-07-29

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-11-10

F · Potential for more than minimal harm 2021-07-29

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-11-10

E · Potential for more than minimal harm 2021-07-29

K221 · Egress Deficiencies

Fire Safety

Provide rooms that can be unlocked from inside without a key.

Corrected 2021-09-23

E · Potential for more than minimal harm 2021-07-29

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2021-09-23

E · Potential for more than minimal harm 2021-07-29

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-11-10

E · Potential for more than minimal harm 2021-07-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-11-10

E · Potential for more than minimal harm 2021-07-29

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2021-12-14

E · Potential for more than minimal harm 2021-07-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-11-10

D · Potential for more than minimal harm 2021-07-29

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-11-10

D · Potential for more than minimal harm 2021-07-29

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2021-11-10

Inspection history

Recent health citations

G · Actual harm 2024-12-05

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-05

F770 · Administration Deficiencies

Health

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

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-05

F825 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-05-15

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-15

F580 · Resident Rights Deficiencies

Health

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

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-15

F582 · Resident Rights Deficiencies

Health

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

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-15

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-15

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-15

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-07-15

E · Potential for more than minimal harm 2023-02-08

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-03-23

E · Potential for more than minimal harm 2023-02-08

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-23

D · Potential for more than minimal harm 2023-02-08

F584 · Resident Rights Deficiencies

Health

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 2023-03-23

D · Potential for more than minimal harm 2023-02-08

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-03-23

D · Potential for more than minimal harm 2023-02-08

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-03-23

D · Potential for more than minimal harm 2023-02-08

F770 · Administration Deficiencies

Health

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

Corrected 2023-03-23

D · Potential for more than minimal harm 2023-02-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-23

E · Potential for more than minimal harm 2021-07-29

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2021-09-10

D · Potential for more than minimal harm 2021-07-29

F578 · Resident Rights Deficiencies

Health

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 2021-09-10

D · Potential for more than minimal harm 2021-07-29

F584 · Resident Rights Deficiencies

Health

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 2021-09-10

D · Potential for more than minimal harm 2021-07-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-09-10

D · Potential for more than minimal harm 2021-07-29

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-09-10

D · Potential for more than minimal harm 2021-07-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-09-10

D · Potential for more than minimal harm 2021-07-29

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2021-09-10

D · Potential for more than minimal harm 2021-07-29

F772 · Administration Deficiencies

Health

Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

Corrected 2021-09-10

D · Potential for more than minimal harm 2021-07-29

F803 · Nutrition and Dietary Deficiencies

Health

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 2021-09-10

D · Potential for more than minimal harm 2021-07-29

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2021-09-10

Penalties and ownership

What sits behind the stars

$15,465 2024-12-05

Fine

Fine · fine $15,465

Fine

$1,761 2023-03-20

Fine

Fine · fine $1,761

Fine

Ownership

Friendship Foundation Inc

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2023-10-01

Bishop, Nathaniel