The nursing home failed to ensure residents were free from significant medication errors. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
RICHFIELD HEALTH CENTER - SALEM
SALEM, VA · Medicare-certified · 112 beds
Needs attention
Non-profit
Data as of July 1, 2026
3 of 5 overall
Richfield Health Center - Salem has a 3 out of 5 star overall rating, with 3-star inspection, staffing, and quality ratings. It has 4.34 nurse staffing hours per resident per day, slightly above the federal benchmark of 4.1, but it also has a recent federal penalty and $15,465 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.3369 hrs/resident/day
Quality measures
Last inspection: December 5, 2024Penalties, last 24 months: $15,465recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3369.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 1.32
- Nurse aides
- 2.41
- Weekend nursing
- 3.49
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 56%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.3%31.7%Worsening
Residents with a fall causing major injury
6%1.4%Improving
Residents with pressure ulcers (bedsores)
12%4.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.9%12.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13%10.5%Improving
Residents whose ability to walk got worse
14.4%15.7%Worsening
Long-stay residents on antianxiety or sleep medication
18.2%12.3%Improving
Short-stay residents newly given an antipsychotic
1.6%0.7%Improving
Residents with a long-term catheter
1.9%0%Improving
Residents with new or worsening incontinence
19.4%27.8%Worsening
Residents with depressive symptoms
1.2%14.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—89.3%—
Short-stay residents given the pneumonia vaccine
99.4%100%Improving
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited December 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $15,465 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,465 in total fines.
- $15,465
Federal fine
Dec 5, 2024
Operator & ownership
Recent ownership change · Oct 1, 2023
Now operated by Friendship Rl LLC, previously Richfield Living.
- Ownership
- Non profit - Corporation
- Occupancy
- 106.5 residents on an average day (95% of 112 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.