All states › Virginia › Salem › Richfield Health Center - Salem
3719 Knollridge Road Salem, VA 24153 · Salem City County
All 3 nursing homes in Salem, VA (3 take Medicaid)
CMS certification number 495013 · See this home on Medicare Care Compare
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.
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%).
About this nursing home
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.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DProvide or get specialized rehabilitative services as required for a resident.
May 15, 2024 · 10 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
February 8, 2023 · 7 citations
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DProvide and implement an infection prevention and control program.
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.
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.
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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DHave an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
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.
DKeep all essential equipment working safely.
Questions to ask on a tour of Richfield Health Center - Salem
- 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?
- CMS cited the home under its abuse and neglect rules on February 8, 2023. How are staff trained, and how are concerns reported?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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.
| Date | Type | Amount or length |
|---|---|---|
| Dec 5, 2024 | Fine | $15,465 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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5.4 mi
Lewisgale Medical Center SalemEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 2m for patients treated and sent home
- 6.1 mi
- 7.8 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Richfield Health Center - Salem › All nursing homes in Salem ›
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Higher-rated nursing homes within 10 miles
- Snyder Nursing Home · Salem · 5 stars · 3.9 mi
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- Brandon Oaks Nursing and Rehabilitation Center · Roanoke · 5 stars · 6.4 mi
- Raleigh Court Health and Rehabilitation Center · Roanoke · 4 stars · 8.3 mi
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.