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C
Below Standard

SALEM HEALTH & REHABILITATION

1945 ROANOKE BLVD · SALEM, VA 24153

5403453894 · For profit - Corporation

240 beds195.5 residents275 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SALEM HEALTH & REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.1358 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5106 HPRD, below the recommended 0.75. It is 0.76 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 23.91% compared to weekdays. The facility has low agency staff usage (7.53% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1358 HPRD — needs 0.34 more hours per resident per day.
⚠️RN staffing (0.5106 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.1358hrs/resident/day▼ 0.76
CMS benchmark: 3.48
RN HPRD
0.5106hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
23.91%
3.363 weekday → 2.5589 weekend
⚠ Significant weekend reduction
Agency Staff
7.53%
1.46% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4838hrs/resident/day
Direct care aides
LPN HPRD
0.8109hrs/resident/day
Licensed practical nurses
Consistency
0.4828std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Salem City County Average-0.77 HPRD
3.91
03.14 HPRD
vs. Virginia State Average-0.69 HPRD
3.83
03.14 HPRD
vs. National Average-0.76 HPRD
3.90
03.14 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SALEM HEALTH & REHABILITATION ★
SALEM · This facility
—
C
3.13580.5106★☆☆☆☆
VIRGINIA VETERANS CARE CENTER
ROANOKE
0.5 mi
B
3.69840.7134★★★★★
RALEIGH COURT HEALTH AND REHABILITATION CENTER
ROANOKE
2.6 mi
C
3.35050.5311★★★☆☆
SOUTH ROANOKE NURSING AND REHABILITATION
ROANOKE
4 mi
C
3.19340.5116★★★☆☆
OLD SOUTHWEST HEALTH AND REHABILITATION
ROANOKE
4.2 mi
D
3.48040.3368★☆☆☆☆
Pheasant Ridge Nursing and Rehabilitation
ROANOKE
4.9 mi
C
3.44550.711★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
37
Total Deficiencies
$0
Fines Assessed
Aug 28, 2025Health
8 deficiencies cited
▼
Feb 26, 2025Health
3 deficiencies cited
▼
Jun 4, 2024Health
14 deficiencies cited
▼
Mar 28, 2023Health
6 deficiencies cited
▼
Nov 2, 2022Health
3 deficiencies cited
▼
Dec 12, 2019Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.