Virginia › Salem City County › Salem
Richfield Health Center - Salem
3719 Knollridge Road, Salem, VA 24153
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 112 beds, Richfield Health Center - Salem serves Salem in Salem City County, Virginia and has taken Medicare and Medicaid residents since 1967.
CMS gives it 3 of 5 stars overall, equal to the Virginia median; the health inspection rating is 3, staffing 3 and quality measures 3.
Inspectors recorded 31 health deficiencies across the three most recent survey cycles (10, 11, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 27.7 per 100 beds, about the same as the state median of 34.5.
CMS lists 1 penalty in the period covered: fines totalling $15K.
Reported nurse staffing is 4.3 hours per resident per day (0.6 RN), above the Virginia median of 3.4; nursing staff turnover is 51.5%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Salem City Co. median | Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 31 | 31 | 32 | 28.7 |
| Citations per 100 beds | 27.7 | 22.2 | 34.5 | 26.8 |
| Total nurse hours per resident day | 4.3 | 4.3 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 51.5% | 51.5% | 48.3% | 45.8% |
| Fines listed | $15,465 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 May 2024, 8 Feb 2023.
Severity mix: G ×1 D ×27 E ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 8 Jan 2025 |
| 5 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 8 Jan 2025 |
| 5 Dec 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 8 Jan 2025 |
| 5 Dec 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 8 Jan 2025 |
| 15 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Jul 2024 |
| 15 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 15 Jul 2024 |
| 15 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 Jul 2024 |
| 15 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Jul 2024 |
| 15 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Jul 2024 |
| 15 May 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Jul 2024 |
| 15 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Jul 2024 |
| 15 May 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 15 Jul 2024 |
| 15 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 15 Jul 2024 |
| 15 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 15 Jul 2024 |
| 8 Feb 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 23 Mar 2023 |
| 8 Feb 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 23 Mar 2023 |
| 8 Feb 2023 | F0584 | 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. | D | Standard survey | 23 Mar 2023 |
| 8 Feb 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Mar 2023 |
| 8 Feb 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 23 Mar 2023 |
| 8 Feb 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 23 Mar 2023 |
| 8 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Mar 2023 |
| 29 Jul 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Sep 2021 |
| 29 Jul 2021 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 10 Sep 2021 |
| 29 Jul 2021 | F0584 | 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. | D | Standard survey | 10 Sep 2021 |
| 29 Jul 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Sep 2021 |
| 29 Jul 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Sep 2021 |
| 29 Jul 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Sep 2021 |
| 29 Jul 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Sep 2021 |
| 29 Jul 2021 | F0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | Standard survey | 10 Sep 2021 |
| 29 Jul 2021 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 10 Sep 2021 |
| 29 Jul 2021 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 10 Sep 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Dec 2024 | Fine | $15,465 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 51.5%, RNs 55.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.6% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.7% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.1% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.9% | 13.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Friendship Rl Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Friendship Foundation Inc | 5% or greater direct ownership interest | 100% | 10/01/2023 |
| Friendship Foundation Inc | Operational/managerial control | NOT APPLICABLE | 10/01/2023 |
| Valley Management Co Inc | Operational/managerial control | NOT APPLICABLE | 10/01/2023 |
| Brown, Edwards & Company, LLP | Adp of the snf | NOT APPLICABLE | 10/01/2023 |
| Friendship Foundation Inc | Adp of the snf | NOT APPLICABLE | 10/01/2023 |
| Valley Management Co Inc | Adp of the snf | NOT APPLICABLE | 10/01/2023 |
| Walker & Associates Pc | Adp of the snf | NOT APPLICABLE | 10/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Salem City County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Snyder Nursing Home | Salem | 45 | 5 | 4 | 5 | 10 | 22.2 | — | 29 Oct 2025 |
| Salem Health & Rehabilitation | Salem | 240 | 1 | 2 | 1 | 32 | 13.3 | — | 6 May 2026 |
All 3 facilities in Salem City County
Questions and answers
How many deficiencies has Richfield Health Center - Salem been cited for?
31 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.
Has Richfield Health Center - Salem been fined?
Yes. CMS lists fines totalling $15K in the period covered.
How does staffing at Richfield Health Center - Salem compare?
Reported total nurse staffing is 4.3 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.
Who operates Richfield Health Center - Salem?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Friendship Foundation Inc, Friendship Foundation Inc and Valley Management Co Inc. Individual owners and managers are not listed on this site.
When was Richfield Health Center - Salem last inspected?
The most recent survey or investigation in the CMS record is dated 5 Dec 2024; the most recent standard health survey was 15 May 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.