All states › Virginia › Salem › Salem Health & Rehabilitation
1945 Roanoke Blvd Salem, VA 24153 · Salem City County
All 3 nursing homes in Salem, VA (3 take Medicaid)
CMS certification number 495087 · See this home on Medicare Care Compare
Is Salem Health & Rehabilitation 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 Salem Health & Rehabilitation 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 3.37 hours per resident per day at Salem Health & Rehabilitation, below the Virginia median of 3.57 (US median: 3.72). About 0.76 of those hours are from registered nurses. On weekends it falls to 2.70 hours, 20% below its all-week average. Ask how weekends are staffed. 66% of nursing staff left within a year (Virginia median 47.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Salem Health & Rehabilitation: Medicare and Medicaid
Salem Health & Rehabilitation 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 June 4, 2024 and found 11 deficiencies, plus 3 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 32 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 32 citations at Salem Health & Rehabilitation across 6 inspection dates, 15 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 32 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (13) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "ensure 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" (tag F0803, level E, June 4, 2024).
May 6, 2026 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 28, 2025 · 8 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
February 26, 2025 · 3 citations · includes complaint inspection
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide and implement an infection prevention and control program.
June 4, 2024 · 14 citations · includes complaint inspection
EEnsure 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.
EPut firmly secured handrails on each side of hallways.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide enough food/fluids to maintain a resident's health.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
November 2, 2022 · 3 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide enough food/fluids to maintain a resident's health.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 12, 2019 · 3 citations
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Salem Health & Rehabilitation
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 66% a year. How many of the staff come from agencies?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
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Location
Hospitals near Salem Health & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.3 mi
-
1.0 mi
Lewisgale Medical Center SalemEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 2m for patients treated and sent home
-
4.7 mi
Carilion Medical Center RoanokeEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 32m for patients treated and sent home
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 Salem Health & Rehabilitation › All nursing homes in Salem ›
Compare Salem Health & Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Davis and McDaniel Veterans Care Center · Roanoke · 5 stars · 0.5 mi
- Brandon Oaks Nursing and Rehabilitation Center · Roanoke · 5 stars · 1.0 mi
- Snyder Nursing Home · Salem · 5 stars · 2.3 mi
- Our Lady of the Valley · Roanoke · 5 stars · 4.5 mi
Other Lifeworks Rehab nursing homes in Virginia
- Berkshire Health & Rehabilitation Center · Vinton · 5 stars
- Springtree Healthcare & Rehab Center · Roanoke · 4 stars
- Burke Health & Rehabilitation Center · Burke · 4 stars
- Pulaski Health & Rehab Center · Pulaski · 4 stars
- Stanleytown Health and Rehabilitation Center · Bassett · 4 stars
- Raleigh Court Health and Rehabilitation Center · Roanoke · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 64 Lifeworks Rehab nursing homes ›
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.