Cycle 1
Health 2025-10-16 · Fire 2024-09-27
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Salem, MO
Salem Memorial District Hospital
3-star overall rating with 4-star inspections with $106,623 in total fines with 3 recent health deficiencies
35629 Highway 72, Salem, MO
(573) 729-6626
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
18
Certified beds
Average residents
17
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-06-25
CMS approved date
Coverage
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.88
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.09
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
3.47
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
5.45
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.97
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
4.46
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.71
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
5.72
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Medicare spending per beneficiary | Not Available |
1.02
|
This provider is not required to submit SNF QRP data. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.8% |
84.8%
2 pts better
|
93.4%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 86.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.1%
4.1 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 17.7% |
14.7%
3 pts worse
|
11.4%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.7% |
| Percentage of long-stay residents who lose too much weight | 9.0% |
5.5%
3.5 pts worse
|
5.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 49.3% |
25.3%
24 pts worse
|
19.6%
29.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 49.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.4% |
25.0%
3.6 pts better
|
16.7%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.4% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.2% |
20.3%
1.9 pts worse
|
16.3%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 41.4% |
19.8%
21.6 pts worse
|
14.9%
26.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.4%
1.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 14.7% |
2.6%
12.1 pts worse
|
1.7%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.7% |
18.1%
0.6 pts worse
|
19.8%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.7% |
| Percentage of long-stay residents with pressure ulcers | 1.0% |
5.0%
4 pts better
|
5.1%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-27 · Fire 2023-08-22
5 health deficiencies
Top issue: Administration (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-08-22 · Fire 2022-05-27
4 health deficiencies
Top issue: Administration (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-05-27
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-07-11
F · Potential for more than minimal harm
2022-05-27
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-07-11
F · Potential for more than minimal harm
2022-05-27
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-07-11
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-10-16
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 2025-11-30
F · Potential for more than minimal harm
2025-10-16
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-11-30
D · Potential for more than minimal harm
2025-10-16
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-11-30
E · Potential for more than minimal harm
2024-09-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-11
E · Potential for more than minimal harm
2024-09-27
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-11-11
E · Potential for more than minimal harm
2024-09-27
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-11-11
E · Potential for more than minimal harm
2024-09-27
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 2024-11-11
D · Potential for more than minimal harm
2024-09-27
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-11-11
D · Potential for more than minimal harm
2023-08-22
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-10-01
D · Potential for more than minimal harm
2023-08-22
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 2023-10-01
C · Minimal harm
2023-08-22
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 2023-10-01
C · Minimal harm
2023-08-22
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2023-10-01
Penalties and ownership
What sits behind the stars
$4,893
2024-02-20
Fine
Fine · fine $4,893
Fine
$4,893
2024-02-12
Fine
Fine · fine $4,893
Fine
$14,679
2024-01-22
Fine
Fine · fine $14,679
Fine
$4,893
2024-01-08
Fine
Fine · fine $4,893
Fine
$4,545
2024-01-02
Fine
Fine · fine $4,545
Fine
$13,635
2023-12-11
Fine
Fine · fine $13,635
Fine
$4,545
2023-11-20
Fine
Fine · fine $4,545
Fine
$4,545
2023-11-13
Fine
Fine · fine $4,545
Fine
$13,635
2023-10-23
Fine
Fine · fine $13,635
Fine
$13,635
2023-09-25
Fine
Fine · fine $13,635
Fine
$4,545
2023-09-05
Fine
Fine · fine $4,545
Fine
$4,545
2023-08-28
Fine
Fine · fine $4,545
Fine
$13,635
2023-08-07
Fine
Fine · fine $13,635
Fine
Ownership
Nearby options
Other facilities in reach
#1
Seville Care Center
Salem, MO
2-star overall rating with 3-star inspections with $31,404 in total fines with 9 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Salem Care Center
Salem, MO
2-star overall rating with 3-star inspections with $3,174 in total fines with 8 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Hickory Manor
Licking, MO
3-star overall rating with 4-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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