Salem Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.08 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 60 beds and averages 43.4 residents a day — about 72% occupied, or roughly 17 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.25 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.90 hrs/resident/day on weekends vs 3.40 on weekdays — 15% thinner on weekends. RN hours go from 0.43 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

27 citations, most serious first. The 10 most serious are shown; the remaining 17 are one tap away and print in full.

• Potential for harm · E2026-06-16 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, facility staff failed to ensure the amount of liquid Lorazepam medication (a controlled substance) for one resident (Resident #1) out of three sampled residents was counted at each shift change, to identify any discrepancies or prevent potential misappropriation of the medication. Staff failed to complete controlled medication counts with two staff members at each shift change for two out of two sampled medication carts as directed by facility policy. The facility census was 49.The administrator was notified on 06/16/26 of past Non-Compliance which occurred on 06/15/26 when the Director of Nursing (DON) completed in-services to licensed staff and Certified Medication Technicians (CMTs) on the facility's policies on Abuse & Neglect to include misappropriation, count controlled medications at the beginning and end of each shift with two staff members and document on the Controlled Drugs form, procedures for medication destruction, and notification of any discrepancies found with controlled medications. The DON provided re-education…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Past Non-Compliance
• Potential for harm · F2026-03-27 · tag F0570 — widespread
  Assure the security of all personal funds of residents deposited with the facility.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, facility staff failed to purchase a surety bond in an amount sufficient to assure security of all resident funds the facility holds. The facility census was 44.1. Review of the resident's trust fund account for March 2025 through February 2026, showed an average monthly balance of $47,132.42 which required a surety bond of $75,000 or greater.Review of the Department of Health and Senior Services (DHSS) database, showed the facility has an approved non-cancelable Escrow Agreement Account in the amount of $70,000.During an interview on 03/27/26 at 3:47 P.M., the business office manager (BOM) said he/she is responsible for resident funds and ensuring the bond is sufficient. The BOM said he/she said was not aware their bond needed to be increased.During an interview on 03/27/26 at 2:52 P.M., the administrator said the BOM is responsible for resident funds and ensuring the surety bond is sufficient. He/She was not aware their bond was insufficient. The administrator said the facility bond increased in 2024 so he/she believed it was enough.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-03-27 · tag F0728 — failed to protect against nurse-aide misconduct — widespread
  Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, facility staff failed to ensure three Nurse Aide's ((NA) NA A, NA D, AND NA E) of three completed the nurse aide training program within four months of his/her employment in the facility. The census was 44.1.Review of the facility's Nurse Aide Qualifications and Training Requirements, revised 12/2011, showed nursing assistants failing to successfully complete the required training program within the first four (4) months of their date of employment may be terminated from employment or may be reassigned to non-nursing related services.2.Review of NA A's personnel change form, showed he/she transferred from housekeeper to NA on 8/15/25. The file did not contain documentation the NA completed a nurse aide training program.During an interview on 3/26/26 at 2:55 P.M., NA A said he/she started at the facility in January of 2025 and started in nursing in July of 25. He/She is aware he/she is supposed to get certified. He/She has taken all the classes and finished the program when he/she worked in St. Louis. He/She has been working on trying to get the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-03-27 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, facility staff failed to maintain a comfortable and homelife. The facility census was 441. Review of the facility policy titled, Environment/Homelike, dated 01/01/2025, showed it is the policy of this facility to provide a safe, clean, comfortable and homelike environment.2. Observation on 03/24/26 at 11:30 A.M., showed 13 light bulbs need replacement in the main dining hall and four of the ceiling light fixtures missing covers.3. Observation on 03/24/26 at 11:40 A.M., showed the ceiling light fixture in the egress between the lobby and the nurse's desk missing its cover.4. Observation on 03/25/26 at 3:15 P.M., showed one ceiling light fixture on the 200 hall, one ceiling light fixture on the 300 hall missing covers and two light bulbs need replacement in the ceiling light fixtures at the end of the 100 hall.5. Observation on 03/26/26 at 9:17 A.M., showed the sheetrock next to room [ROOM NUMBER]'s hallway doorframe was peeling and exposed a large area of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-03-27 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, facility staff failed to store medications in a safe and effective manner, when staff did not store insulin pens separately according to facility policy. The facility census was 44.1. Review of the facility policy titled, Policy and Procedure; Medication Storage' dated 11/1/2013, showed the purpose of the policy is to ensure medications and biologicals are stored in a safe, secure storage and safe handling. Each resident is assigned a cubicle or drawer to prevent the possibility of a drug for one resident being given to another.2. Observation on 03/24/26 at 11:45 A.M. showed the insulin cart contained 13 separate insulin pens belonging to 13 different residents stored together in one basket.3. Observation on 03/26/26 at 1:05 P.M. showed the insulin cart contained 11 separate insulin pens from 11 different residents stored together in the same basket.4. Observation on 03/27/26 at 12:06 P.M. showed the insulin cart contained 11 separate insulin pens for 11 different residents loose in the bottom of the drawer. Nine insulin pens for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-27 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility staff failed to ensure residents received food at safe and appetizing temperatures when the staff failed to ensure the internal temperature of pureed food placed in hot holding remained at least 140 degrees Fahrenheit ( F) to prevent the growth of food-borne pathogens and prevent food-borne illness and. The facility census was 44.1. Review of the facility's policy titled, Preventing Foodborne Illness - Food Handling, undated, showed potentially hazardous foods will be cooked to the appropriate internal temperatures and held at the designated temperature for the appropriate length of time to destroy pathogenic organisms. Review of the facility's policy titled, Preventing Foodborne Illness - Food Preparation, dated 04/01/24, showed the danger zone should be observed (41 F to 135 F) for potential hazardous food and the rapid growth of pathogenic microorganisms that may cause foodborne illness, and mechanically altered hot foods prepared for modified consistency diet must stay above 135 F during preparation. Review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-08-09 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, facility staff failed sanitize kitchen wares in a manner to prevent contamination. Facility staff failed to ensure the dish machine was operating according to manufacturer's instructions in a manner adequate to prevent cross contamination of kitchen wares. The facility census was 46. 1. Review of the facility's Steps to Clean and Sanitize in a 3-Compartment Sink policy, undated, showed staff were directed to: -Clean items in the first sink; -Rinse items in the second sink; -Sanitize items in the third sink. Read the label for time and temperature requirements for the sanitizer you are using. Review of the sanitizer directions for use showed: -Thoroughly wash equipment and utensils in hot detergent solution; -Rinse utensils and equipment thoroughly with potable water; -Sanitize equipment and utensils by immersion in a use solution of one ounce of this product per four gallons of water (200-400 parts per million (ppm) active solution) for at least 60 seconds at a temperature of 75 degrees Fahrenheit (F); -For equipment and utensils…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-09 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, facility staff failed to develop, implement and educate on an enhanced barrier precautions (EBP) system for four (Resident #12, #17, #38, and #200) of four sampled residents when facility staff failed to post signage or other system to alert staff of resident's who required EBP and place appropriate personal protective equipment (PPE) in close proximity. The facility census was 46. 1. Review of the facility's policies showed staff did not provide a policy for EBP. Review of the Centers for Disease Control (CDC) website https://www.cdc.gov/hicpac/workgroup/EnhancedBarrierPrecautions.html article, Consideration for Use of Enhanced Barrier Precautions in Skilled Nursing Facilities, dated June 2021, showed: -Facilities should develop a method to identify residents with wounds or indwelling medical devices, and post clear signage outside of resident rooms indicating the type of PPE required and defining high risk resident care activities; -Gowns and gloves should be…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-09 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, facility staff failed to provide a clean and homelike environment when staff failed to provide housekeeping and maintenance services to maintain a sanitary, orderly and comfortable environment. The facility census is 46. 1. Review of the facility's Environment/Homelike policy, undated, showed: -The facility will remain clean and sanitary; -The facility will maintain clutter and remove it if it poses a hazard; -Equipment will be in good repair; -The safety of the residents and staff will take precedence over resident choice. Review of the facility's Work Orders/Repairs policy, undated, showed: -To prioritize repairs, work orders are to be completed and forwarded to the maintenance director; -The maintenance director will review and address all work order concerns; -Any concerns the maintenance director cannot address will be brought to the administrator's attention immediately; -Repairs will be addressed in order of priority and emergency repairs will be given…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, facility staff failed to keep the environment free of accident hazards when staff failed to keep chemicals and razors behind locked doors and inaccessible to residents. The facility census was 46. 1. Review of the facility's hazardous storage policy, undated, showed hazardous items must be stored behind locked doors. Items include but not limited to razors, scissors, cleaning chemicals, toe-nail clippers, and etc. 2. Observation on 08/06/24 at 11:06 A.M. and 2:53 P.M., showed the 300 hall shower room unlocked and unattended. Observation showed a large, unlocked cart and a large grey unlocked cabinet contained loose razors and a bag of ice melt chemical on the floor. Observation showed multiple unlabeled bottles, cans and tubes of shampoo, deodorant and soap sat on the top of the unlocked cart, the sink and the handrail in the shower stall. Observation showeeds several staff and resident's passed by the shower room. Observation on 08/07/24 at 08:32 A.M., showed the 300 hall shower room unlocked and unattended. Observation showed a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in MO