Nursing home report
SALEM, MO · Medicare-certified · 18 beds
Salem Memorial District Hospital in Salem, MO has a 3-star overall rating, with stronger health inspection and quality measures scores (4 stars each) but a very low staffing rating of 1 star. It has had no fines in the last 24 months, though recent inspection citations included pharmacist medication review, food and nutrition staffing, and meeting professional standards of quality.
Health inspections
Staffing
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the pneumonia vaccine
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited October 2025 — widespread issue, potential for harm.
F-Tag 756 — 42 CFR §483.45(c) — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited October 2025 — widespread issue, potential for harm.
F-Tag 801 — 42 CFR §483.60 — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited September 2024 — limited pattern, potential for harm.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited September 2024 — limited pattern, potential for harm.
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited September 2024 — limited pattern, potential for harm.
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 3 health deficiencies.
Health inspection found 5 health deficiencies.
Health inspection found 4 health deficiencies.
On record with Medicare: 13 fines · $106,623 in total fines.
Federal fine
Feb 20, 2024
Federal fine
Feb 12, 2024
Federal fine
Jan 22, 2024
Federal fine
Jan 8, 2024
Federal fine
Jan 2, 2024
Federal fine
Dec 11, 2023
Federal fine
Nov 20, 2023
Federal fine
Nov 13, 2023
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.
