GoodStanding

Nursing home report

SALEM MEMORIAL DISTRICT HOSPITAL

SALEM, MO · Medicare-certified · 18 beds

In good standing
Non-profit
3 of 5 overall

Salem Memorial District Hospital has a 3-star overall rating. Its staffing rating is low at 1 star, though reported nurse staffing is 5.25 hours per resident per day, above the federal benchmark of 4.1; it had no fines in the last 24 months and a 4-star health inspection rating.

Facility ratings

Health inspections

Staffing

5.2528 hrs/resident/day

Quality measures

Last inspection: October 16, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.2528.

Staffing detail

Registered nurses
0.79
Licensed practical nurses
1.19
Nurse aides
3.27
Weekend nursing
4.41

Hours per resident per day.

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

18%Steady

Residents with a fall causing major injury

0%Steady

Residents with pressure ulcers (bedsores)

1%Steady

Residents with a urinary tract infection

11.9%Steady

Residents who lost too much weight

7.5%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

40.7%Steady

Residents whose ability to walk got worse

4.4%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

44.8%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

16.2%Steady

Residents with depressive symptoms

20%Steady

Long-stay residents given the pneumonia vaccine

91%Steady

What the inspectors found

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 13 fines · $106,623 in total fines.

  • Federal fine

    Feb 20, 2024

    $4,893
  • Federal fine

    Feb 12, 2024

    $4,893
  • Federal fine

    Jan 22, 2024

    $14,679
  • Federal fine

    Jan 8, 2024

    $4,893
  • Federal fine

    Jan 2, 2024

    $4,545
  • Federal fine

    Dec 11, 2023

    $13,635
  • Federal fine

    Nov 20, 2023

    $4,545
  • Federal fine

    Nov 13, 2023

    $4,545

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
17.5 residents on an average day (97% of 18 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years

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.