Hillsboro, KS

Salem Home

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

704 S Ash Street, Hillsboro, KS

(620) 947-1429

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

41

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2005-04-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

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

0.52

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.45

Licensed practical nurse staffing · state 0.67 · national 0.87

Aide hours / resident day

3.47

Nurse aide staffing · state 2.69 · national 2.35

Total nurse hours

4.44

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

0.97

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.71

Weekend nurse staffing · state 3.58 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

5.15

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,954

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

Performance score

46.71

Composite VBP score used to determine payment impact.

Payment multiplier

1.0001

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.37

Baseline 49.15% · Performance 45.83% · Measure score 4.37 · Achievement 4.37 · Improvement 0.87

Adjusted total nurse staffing

4.98

Baseline 4.72 hours · Performance 4.49 hours · Measure score 4.98 · Achievement 4.98 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.17%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 12.12% · Lower 95% interval 6.79%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.22	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 25 · Denominator 25
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 25
Discharge self-care score	39.13%	53.69% 14.6 pts worse	Numerator 9 · Denominator 23
Discharge mobility score	56.52%	50.94% 5.6 pts better	Numerator 13 · Denominator 23
Pressure ulcers or injuries, new or worsened	4%	2.29% 1.7 pts worse	Numerator 1 · Denominator 25 · Adjusted rate 4.25%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	4.23%	8.2% 4 pts worse	Numerator 3 · Denominator 71
Staff flu vaccination coverage	13.54%	42% 28.5 pts worse	Numerator 13 · Denominator 96
Discharge function score	56.52%	56.45% 0.1 pts better	Numerator 13 · Denominator 23
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.8 0.1 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	2.2 0.4 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.8 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	91.8% 7 pts better	93.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 100.0% · Q3 100.0% · Q4 97.6% · 4Q avg 98.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.5% 4.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.8%	4.4% 0.6 pts better	3.3% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.1% · Q3 2.4% · Q4 4.9% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	5.6% 5.6 pts better	11.4% 11.4 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 who lose too much weight	2.9%	5.0% 2.1 pts better	5.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.1% · Q3 2.8% · Q4 0.0% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.4%	23.2% 4.8 pts better	19.6% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 20.0% · Q3 15.8% · Q4 21.1% · 4Q avg 18.4%
Percentage of long-stay residents who received an antipsychotic medication	14.0%	19.8% 5.8 pts better	16.7% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 17.2% · Q3 10.0% · Q4 12.1% · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	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	15.2%	18.4% 3.2 pts better	16.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q4 14.6% · 4Q avg 15.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.1%	18.8% 5.7 pts better	14.9% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 14.7% · Q3 13.5% · Q4 15.8% · 4Q avg 13.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.8% 1.8 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	3.1% 3.1 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.9%	23.2% 9.3 pts better	19.8% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 18.4% · Q3 6.1% · Q4 10.9% · 4Q avg 13.9%
Percentage of long-stay residents with pressure ulcers	3.5%	4.6% 1.1 pts better	5.1% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 3.4% · Q3 0.0% · Q4 3.0% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	81.8%	75.6% 6.2 pts better	81.7% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q2 80.0% · 4Q avg 81.8%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.2% 2.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.0%	73.5% 21.5 pts better	79.7% 15.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-07 · Fire 2024-08-07

4 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2022-12-13 · Fire 2022-12-13

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2021-04-27 · Fire 2021-04-27

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-07

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-07

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 2024-09-13

F · Potential for more than minimal harm 2024-08-07

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-07

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-07

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-07

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-13

F · Potential for more than minimal harm 2022-12-13

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-01-30

F · Potential for more than minimal harm 2022-12-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-30

F · Potential for more than minimal harm 2022-12-13

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2023-01-30

F · Potential for more than minimal harm 2022-12-13

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-01-30

F · Potential for more than minimal harm 2022-12-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-01-30

F · Potential for more than minimal harm 2022-12-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-01-30

E · Potential for more than minimal harm 2022-12-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-01-30

E · Potential for more than minimal harm 2022-12-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-01-30

D · Potential for more than minimal harm 2022-12-13

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-01-30

F · Potential for more than minimal harm 2021-04-27

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2021-06-07

F · Potential for more than minimal harm 2021-04-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-06-07

F · Potential for more than minimal harm 2021-04-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-06-07

E · Potential for more than minimal harm 2021-04-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-06-07

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-08-07

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 2024-08-13

F · Potential for more than minimal harm 2024-08-07

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-08-13

E · Potential for more than minimal harm 2024-08-07

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-08-07

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-08-13

J · Immediate jeopardy 2022-12-13

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 2022-08-15

D · Potential for more than minimal harm 2022-12-13

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 2023-01-12

D · Potential for more than minimal harm 2021-04-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-05-28

D · Potential for more than minimal harm 2021-04-27

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-05-28

D · Potential for more than minimal harm 2021-04-27

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 2021-05-28

D · Potential for more than minimal harm 2021-04-27

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2021-05-28

Penalties and ownership

What sits behind the stars

Ownership

Crocker, Heather

Operational/Managerial Control · Individual

0% 1 facilities 2016-04-10

Crocker, Heather

Corporate Officer · Individual

0% 1 facilities 2016-07-31

Donahue, Lisa

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-20

Ensey, Laura

Corporate Director · Individual

0% 1 facilities 2021-09-30

Hamm, Jodie

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-20

Hamm, Michael

Operational/Managerial Control · Individual

0% 3 facilities 2024-12-20

Herbel, Delayne

Corporate Director · Individual

0% 1 facilities 2018-11-29

Jost, Jared

Corporate Director · Individual

0% 1 facilities 2024-08-29

Koslowsky, Thomas

Corporate Director · Individual

0% 1 facilities 2018-09-16

Lancaster, Mary

Corporate Director · Individual

0% 1 facilities 2023-06-29

Mungai, Peter

Operational/Managerial Control · Individual

0% 1 facilities 2016-10-01

Mungai, Peter

Corporate Officer · Individual

0% 1 facilities 2016-10-01

Reeh, Michael

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-13

Weber, Virgilene

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-20

Wiebe, Henry

Corporate Director · Individual

0% 1 facilities 2018-11-29

Williams, Angela

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-20

Zaragoza, Angie

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-20

Nearby options

Other facilities in reach

#1

Parkside Homes

Hillsboro, KS

1-star overall rating with 1-star inspections with $72,818 in total fines with 19 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

Overall: 1 / 5
Health: 1 / 5
Staffing: 4 / 5
Fines: $72,818

#2