Federal inspection record · CMS data as of October 1, 2026
Richfield Health Center - Salem
3719 Knollridge Road, Salem, VA · (540) 380-4500
- Certified beds
- 112
- Residents per day
- 105
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Richfield Health Center - Salem carries 47 inspection points. That is fewer than 63% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
31 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Resident Assessment and Care Planning7D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care6E
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights6D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- D
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.
- D
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.
Administration3D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Pharmacy Service2D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control2D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2024-05-15
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2023-02-08
11 health deficiencies · 10 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
2021-07-29
10 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 16 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
4 h 16 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 32% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$15,465 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-05 | Fine | $15,465 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 0.8 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts better | 98.7% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts better | 100.0% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse | 5.4% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.6 pts better | 10.9% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts worse | 8.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.3 pts better | 15.4% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13 pts worse | 27.2% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.8 pts worse | 18.0% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.9 pts worse | 21.4% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.0% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.6% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better | 21.0% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts worse | 5.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.2 pts better | 99.4% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.2 pts better | 7.3% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.8% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.1 pts better | 89.4% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts worse | 22.2% | 22.0% | 23.4% |
·
Who owns and runs it
55 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Friendship Foundation Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Bishop, Nathaniel | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Bishop, Nathaniel | Corporate Director · Individual | 0% | 3 facilities |
| Bishop, Nathaniel | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Brown, Edwards & Company, Llp | Adp Of The SNF · Organization | 0% | 1 facilities |
| Campbell, Luke | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Campbell, Luke | Adp Of The SNF · Individual | 0% | 1 facilities |
| Combs, Glen | Corporate Director · Individual | 0% | 3 facilities |
| Combs, Glen | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Duncan, Stephanie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Duncan, Stephanie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Feinour, Edwin | Corporate Director · Individual | 0% | 3 facilities |
| Feinour, Edwin | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Feldmann, Greg | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Feldmann, Greg | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Friendship Foundation Inc | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Friendship Foundation Inc | Adp Of The SNF · Organization | 0% | 3 facilities |
| Grove, Lucian | Corporate Director · Individual | 0% | 3 facilities |
| Grove, Lucian | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Higgins, Benjamin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Higgins, Benjamin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hoff, Joseph | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Hoff, Joseph | Corporate Officer · Individual | 0% | 3 facilities |
| Hoff, Joseph | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Hoff, Joseph | Adp Of The SNF · Individual | 0% | 3 facilities |
| Hughes, Angela | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Johnson, Cynda | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Johnson, Cynda | Corporate Director · Individual | 0% | 3 facilities |
| Johnson, Cynda | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Lawson, Robert | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Lawson, Robert | Corporate Director · Individual | 0% | 3 facilities |
| Lawson, Robert | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Layell, Erin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Layell, Erin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lowe, Todd | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lowe, Todd | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mitchell, Cynthia | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Nester, Paul | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Nester, Paul | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nichols, Whitney | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Oelschlager, Kathryn | Corporate Director · Individual | 0% | 3 facilities |
| Oelschlager, Kathryn | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Rodger, Mary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rodger, Mary | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sandel, Robert | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Sandel, Robert | Corporate Director · Individual | 0% | 3 facilities |
| Sandel, Robert | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Shannon, Charles | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Shannon, Charles | Corporate Officer · Individual | 0% | 3 facilities |
| Shannon, Charles | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Shannon, Charles | Adp Of The SNF · Individual | 0% | 3 facilities |
| Valley Management Co Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Valley Management Co Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Walker & Associates Pc | Adp Of The SNF · Organization | 0% | 47 facilities |
| Williamson, John | Corporate Director · Individual | 0% | 3 facilities |
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Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services4F
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have elevators that firefighters can control in the event of a fire.
Egress4E
- D
Install emergency lighting that can last at least 1 1/2 hours.
- E
Provide rooms that can be unlocked from inside without a key.
- E
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.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous2F
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems2E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Construction1E
- E
Use approved construction type or materials.
Emergency Preparedness1D
- D
Establish staff and initial training requirements.
·
Other homes nearby
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Snyder Nursing Home
Salem, VA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 2 min
- Fines
- $0
-
Salem Health & Rehabilitation
Salem, VA · Lifeworks Rehab
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0
-
Davis and McDaniel Veterans Care Center
Roanoke, VA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 2 min
- Fines
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