facebook tracking Richfield Health Center - Salem, Salem VA: CMS Ratings
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Richfield Health Center - Salem

All states › Virginia › Salem › Richfield Health Center - Salem

3719 Knollridge Road Salem, VA 24153 · Salem City County

(540) 380-4500

All 3 nursing homes in Salem, VA (3 take Medicaid)

Accepts Medicare Accepts Medicaid 112 certified beds Non profit

CMS certification number 495013 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Richfield Health Center - Salem a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Richfield Health Center - Salem as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Virginia average of 3.1. Inspectors issued 31 citations in the last three years. CMS imposed 1 penalty, including $15,465 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.27 hours per resident per day at Richfield Health Center - Salem, above the Virginia median of 3.57 (US median: 3.72). About 0.58 of those hours are from registered nurses. On weekends it falls to 3.42 hours, 20% below its all-week average. Ask how weekends are staffed. 46.7% of nursing staff left within a year (Virginia median 47.7%).

Nursing care per resident per day 4.27 hours
Above the Virginia median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.58 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.42 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 46.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 31.8% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds112
Residents per day 105 About 93% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1967
Legal business nameFRIENDSHIP RL LLC

Paying for care at Richfield Health Center - Salem: Medicare and Medicaid

Richfield Health Center - Salem is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Virginia's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 15, 2024 and found 10 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 31 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 31 citations at Richfield Health Center - Salem across 4 inspection dates, 4 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on December 5, 2024. The most common areas cited were resident assessment and care planning (7) and quality of life and care (6). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level G, December 5, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.

December 5, 2024 · 4 citations · includes complaint inspection

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Jan 8, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jan 8, 2025)

DProvide timely, quality laboratory services/tests to meet the needs of residents.

Potential for more than minimal harm · Administration Deficiencies · Tag F0770 · Complaint inspection · Deficient, Provider has date of correction (Jan 8, 2025)

DProvide or get specialized rehabilitative services as required for a resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0825 · Complaint inspection · Deficient, Provider has date of correction (Jan 8, 2025)

May 15, 2024 · 10 citations

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jul 15, 2024)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Jul 15, 2024)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Jul 15, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jul 15, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 15, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jul 15, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jul 15, 2024)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Jul 15, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Jul 15, 2024)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jul 15, 2024)

February 8, 2023 · 7 citations

EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Mar 23, 2023)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Mar 23, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Mar 23, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Mar 23, 2023)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Mar 23, 2023)

DProvide timely, quality laboratory services/tests to meet the needs of residents.

Potential for more than minimal harm · Administration Deficiencies · Tag F0770 · Deficient, Provider has date of correction (Mar 23, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 23, 2023)

July 29, 2021 · 10 citations

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Sep 10, 2021)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Sep 10, 2021)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Sep 10, 2021)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Sep 10, 2021)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Sep 10, 2021)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Sep 10, 2021)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Sep 10, 2021)

DHave an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

Potential for more than minimal harm · Administration Deficiencies · Tag F0772 · Deficient, Provider has date of correction (Sep 10, 2021)

DEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Sep 10, 2021)

DKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Sep 10, 2021)

Questions to ask on a tour of Richfield Health Center - Salem

  1. Inspectors cited the home at the actual-harm level on December 5, 2024 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on February 8, 2023. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
  4. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $15,465 in fines.

DateTypeAmount or length
Dec 5, 2024 Fine $15,465

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 4/5 4/5
August 2026 3/5 3/5 3/5 3/5
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Location

Hospitals near Richfield Health Center - Salem

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Snyder Nursing Home Salem · 3.9 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 45 beds · Medicaid
Salem Health & Rehabilitation Salem · 5.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 240 beds · Medicaid
Davis and McDaniel Veterans Care Center Roanoke · 6.3 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 180 beds · Medicaid
Brandon Oaks Nursing and Rehabilitation Center Roanoke · 6.4 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 62 beds · Medicaid
Raleigh Court Health and Rehabilitation Center Roanoke · 8.3 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 120 beds · Medicaid

More nursing homes near Richfield Health Center - Salem ›   All nursing homes in Salem ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/virginia/salem/richfield-health-center-salem/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.