Salem, VA

Snyder Nursing Home

5-star overall rating with 5-star inspections with 4 recent health deficiencies

11 North Broad St, Salem, VA

(540) 389-6305

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

38

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1974-12-01

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

Staffing

Hours and turnover

RN hours / resident day

0.94

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.40

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

3.26

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

4.60

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

4.06

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.81

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.01

CMS adjusted RN staffing hours

Adjusted total hours

4.92

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

11%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 48% · national 46%

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
Number of hospitalizations per 1000 long-stay resident days	1.7	1.5 0.2 pts worse	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	1.4 0.7 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	91.2% 8.8 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.1%	94.0% 3.1 pts better	95.5% 1.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of long-stay residents experiencing one or more falls with major injury	0.8%	3.6% 2.8 pts better	3.3% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	27.9%	15.7% 12.2 pts worse	11.4% 16.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 31.2% · Q3 28.1% · Q4 33.3% · 4Q avg 27.9%
Percentage of long-stay residents who lose too much weight	4.6%	5.7% 1.1 pts better	5.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.2% · Q3 3.0% · Q4 3.0% · 4Q avg 4.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.7%	20.2% 12.5 pts better	19.6% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 9.4% · Q3 9.1% · Q4 6.1% · 4Q avg 7.7%
Percentage of long-stay residents who received an antipsychotic medication	17.4%	15.0% 2.4 pts worse	16.7% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 17.9% · Q3 16.7% · Q4 15.6% · 4Q avg 17.4% · 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	13.0%	17.5% 4.5 pts better	16.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.9%	15.7% 1.8 pts better	14.9% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 11.5% · Q3 7.1% · Q4 6.9% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 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	11.4%	1.6% 9.8 pts worse	1.7% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 18.2% · Q3 8.8% · Q4 6.1% · 4Q avg 11.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.5%	22.2% 3.7 pts better	19.8% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 5.9% · Q3 22.0% · Q4 27.5% · 4Q avg 18.5%
Percentage of long-stay residents with pressure ulcers	2.1%	5.2% 3.1 pts better	5.1% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	74.6% 25.4 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-08-23 · Fire 2023-08-23

4 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2021-02-11 · Fire 2021-02-11

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2018-12-20 · Fire 2018-12-20

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-10-29

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-12-01

D · Potential for more than minimal harm 2023-08-23

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 2023-10-13

D · Potential for more than minimal harm 2023-08-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-08-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-13

E · Potential for more than minimal harm 2021-02-11

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2021-03-31

D · Potential for more than minimal harm 2021-02-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-03-31

F · Potential for more than minimal harm 2018-12-20

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 2019-02-03

E · Potential for more than minimal harm 2018-12-20

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-02-03

D · Potential for more than minimal harm 2018-12-20

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 2019-02-03

D · Potential for more than minimal harm 2018-12-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2019-02-03

D · Potential for more than minimal harm 2018-12-20

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 2019-02-03

D · Potential for more than minimal harm 2018-12-20

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 2019-02-03

Penalties and ownership