RICHFIELD HEALTH CENTER - SALEM
CCN: 495013 · SALEM, VA 24153 · Salem City County
Overview
- Address
- 3719 KNOLLRIDGE ROAD, SALEM, VA 24153
- Phone
- 5403804500
- Certified beds
- 112
- Avg daily residents
- 106 (95% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1967-01-01
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.99 | 3.65 | 4.23 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.48 | 0.64 | 0.51 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.21 | 0.81 | 1.28 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.31 | 2.20 | 2.44 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.69 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.10 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-05-15 | 10 | 10 | 0 | 40 | 1 | 40 |
| Cycle 2/3 (prior) | 2023-02-08 | 11 | 7 | 4 | 68 | 1 | 68 |
Deficiencies (31)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-05 | 2025-01-08 |
| 0760 | Ensure that residents are free from significant medication errors. | G | 2024-12-05 | 2025-01-08 |
| 0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-12-05 | 2025-01-08 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2024-12-05 | 2025-01-08 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-15 | 2024-07-15 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-05-15 | 2024-07-15 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-05-15 | 2024-07-15 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2024-05-15 | 2024-07-15 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-05-15 | 2024-07-15 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-05-15 | 2024-07-15 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-15 | 2024-07-15 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-05-15 | 2024-07-15 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-05-15 | 2024-07-15 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-05-15 | 2024-07-15 |
| 0584 | 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 | 2023-02-08 | 2023-03-23 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-02-08 | 2023-03-23 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-02-08 | 2023-03-23 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-02-08 | 2023-03-23 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-02-08 | 2023-03-23 |
| 0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-02-08 | 2023-03-23 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-02-08 | 2023-03-23 |
| 0578 | 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 | 2021-07-29 | 2021-09-10 |
| 0584 | 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 | 2021-07-29 | 2021-09-10 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2021-07-29 | 2021-09-10 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-07-29 | 2021-09-10 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-07-29 | 2021-09-10 |
| 0690 | 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 | 2021-07-29 | 2021-09-10 |
| 0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | 2021-07-29 | 2021-09-10 |
| 0803 | 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 | 2021-07-29 | 2021-09-10 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2021-07-29 | 2021-09-10 |
| 0908 | Keep all essential equipment working safely. | D | 2021-07-29 | 2021-09-10 |
Penalties (2)
| Date | Type | Fine amount |
|---|---|---|
| 2023-03-20 | Fine | $1,761 |
| 2024-12-05 | Fine | $15,465 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| FRIENDSHIP FOUNDATION INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 10/01/2023 |
| FRIENDSHIP FOUNDATION INC | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| VALLEY MANAGEMENT CO INC | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
Owner / manager individuals (31)
| Name | Role | Association |
|---|---|---|
| BISHOP, NATHANIEL | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| CAMPBELL, LUKE | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| COMBS, GLEN | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| DUNCAN, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| FEINOUR, EDWIN | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| FELDMANN, GREG | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| GROVE, LUCIAN | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| HIGGINS, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| HOFF, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| HUGHES, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2002 |
| JOHNSON, CYNDA | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| LAWSON, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| LAYELL, ERIN | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2024 |
| LOWE, TODD | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| NESTER, PAUL | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2024 |
| NICHOLS, WHITNEY | OPERATIONAL/MANAGERIAL CONTROL | since 03/04/2023 |
| OELSCHLAGER, KATHRYN | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| RODGER, MARY | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| SANDEL, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| SHANNON, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| BISHOP, NATHANIEL | CORPORATE DIRECTOR | since 10/01/2023 |
| COMBS, GLEN | CORPORATE DIRECTOR | since 10/01/2023 |
| FEINOUR, EDWIN | CORPORATE DIRECTOR | since 10/01/2023 |
| GROVE, LUCIAN | CORPORATE DIRECTOR | since 10/01/2023 |
| JOHNSON, CYNDA | CORPORATE DIRECTOR | since 10/01/2023 |
Showing 25 of 31 individuals. Full list in CSV.
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $60 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 2.82 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 48.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 21.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-5,990,093 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $12,916,289 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 88.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -18.2% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $41,446,386 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,158,899 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-55,021,310 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $96,467,696 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -24.2% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.27990 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.44032 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.50594 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.22616 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.40000 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 106.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.80964 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.20041 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.63817 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.64822 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.21552 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | SALEM | City/Town |
| Provider Information | CMS Certification Number (CCN) | 495013 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Salem City | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.2799 | Latitude |
| Provider Information | Legal Business Name | FRIENDSHIP RL LLC | Legal Business Name |
| Provider Information | Location | 3719 KNOLLRIDGE ROAD,SALEM,VA,24153 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -80.128 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 112 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.29240 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.93812 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 3719 KNOLLRIDGE ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | RICHFIELD HEALTH CENTER - SALEM | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 838 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 40 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 10 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-05-15 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 40 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 10 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-02-08 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 68 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 4 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 68 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 11 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.27074 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 66.7 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.68745 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.20939 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.30588 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.10266 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.47806 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.99333 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | VA | State |
| Provider Information | Telephone Number | 5403804500 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 17226.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.21269 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 2 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 53.6 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 47.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 24153 | ZIP Code |