Federal inspection record · CMS data as of October 1, 2026
Salem Health & Rehabilitation
1945 Roanoke Blvd, Salem, VA · (540) 345-3894
- Certified beds
- 240
- Residents per day
- 200
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1971
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
Salem Health & Rehabilitation carries 64 inspection points. That is fewer than 52% 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
32 health citations on record since 2019. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care13D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning6D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control4D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Rights3D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Environmental2E
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Put firmly secured handrails on each side of hallways.
Nutrition and Dietary2E
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspection history
2024-06-04
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2022-11-02
14 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2019-12-12
4 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
3 h 22 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 66% of nursing staff and 65% 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
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 days0.1 pts better | 1.3 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 0.5 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.9 pts better | 99.1% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better | 97.9% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 2.7% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms35.6 pts worse | 56.1% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts worse | 7.1% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.3 pts worse | 28.0% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.7 pts worse | 19.9% | 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 worsened5.6 pts better | 8.6% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts better | 13.5% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.1% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.4% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts worse | 29.3% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts worse | 7.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts better | 82.9% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts better | 5.4% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse | 2.9% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.7 pts worse | 70.6% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.3 pts worse | 30.3% | 22.0% | 23.4% |
·
Who owns and runs it
15 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 |
|---|---|---|---|
| Salem Holdings I LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| America West LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Charles 1994 & Family LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 40 facilities |
| Charles 1994 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 38 facilities |
| Edward 1998 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Kss 2000 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Ml 2000 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Mrv West LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Pressman, Jennifer | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Rczbm West Manager LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Redrock West LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Saul 2012 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F
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 properly installed hallway dispensers for alcohol-based hand rub.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
Egress4F
- D
Install emergency lighting that can last at least 1 1/2 hours.
- 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.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Meet other general requirements that are deficient.
Services3F
- 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
Meet other general requirements that are deficient.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have restrictions on the use of highly flammable decorations.
·
Other homes nearby
-
Davis and McDaniel Veterans Care Center
Roanoke, VA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 2 min
- Fines
- $0
-
Brandon Oaks Nursing And Rehabilitation Center
Roanoke, VA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 38 min
- Fines
- $0
-
Snyder Nursing Home
Salem, VA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 2 min
- Fines
- $0