Overview

Address
1945 ROANOKE BLVD, SALEM, VA 24153
Phone
5403453894
Certified beds
240
Avg daily residents
196 (81% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1971-11-01
Setting
Urban
1 /5
CMS Overall Rating

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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 3/5

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
3.13 3.94 3.07 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.51 0.69 0.50 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.81 0.87 0.79
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.81 2.38 1.78
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.32
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.06

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

Total nurse (weekend)
2.56
hrs / resident / day
RN (weekend)
0.20
hrs / resident / day
Total nurse (adjusted, weekend)
2.50
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
60.0%
annual
RN turnover
46.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.40
higher acuity than avg
Case-Mix Index Ratio
1.01
facility / state ratio

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) 2024-06-04 21 13 10 92 1 92
Cycle 2/3 (prior) 2022-11-02 13 3 10 56 1 56
Total weighted health score
83.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (37)

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).

37 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-08-28 2025-09-29
0559 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. D 2025-08-28 2025-09-29
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-08-28 2025-09-29
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-08-28 2025-09-29
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-08-28 2025-09-29
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-08-28 2025-09-29
0880 Provide and implement an infection prevention and control program. D 2025-08-28 2025-09-29
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2025-08-28 2025-09-29
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2025-02-26 2025-03-24
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-02-26 2025-03-24
0880 Provide and implement an infection prevention and control program. D 2025-02-26 2025-03-24
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-06-04 2024-07-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-06-04 2024-07-30
0692 Provide enough food/fluids to maintain a resident's health. D 2024-06-04 2024-07-30
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2024-06-04 2024-07-30
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-06-04 2024-07-30
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2024-06-04 2024-07-30
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. E 2024-06-04 2024-07-30
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-06-04 2024-07-30
0880 Provide and implement an infection prevention and control program. D 2024-06-04 2024-07-30
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-06-04 2024-07-30
0924 Put firmly secured handrails on each side of hallways. E 2024-06-04 2024-07-30
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2024-06-04 2024-07-30
0776 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. D 2024-06-04 2024-07-30
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-06-04 2024-07-30
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2023-03-28 2023-06-06
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-03-28 2023-06-06
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-03-28 2023-06-06
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2023-03-28 2023-06-06
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2023-03-28 2023-06-06
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2023-03-28 2023-06-06
0692 Provide enough food/fluids to maintain a resident's health. D 2022-11-02 2022-12-09
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2022-11-02 2022-12-09
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2022-11-02 2022-12-09
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2019-12-12 2020-02-20
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2019-12-12 2020-02-20
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2019-12-12 2020-02-20

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 6.0% Medicaid 72.6% Other 21.4%

Operating performance

Operating Margin
3.6%
Total Margin
4.8%
Occupancy Rate
83.0%
Cost per Resident Day
$36

Revenue & costs

Net Patient Revenue
$24.1M
Total Costs
$2.6M
Net Income
$1.2M

Balance sheet

Total Assets
$34.7M
Total Liabilities
$33.1M
Fund Balance
$1.6M
Current Ratio
1.09

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LIFEWORKS REHAB

Chain ID
768
Facilities in chain
59
Legal business name
SALEM OPERATIONS LLC
Chain-average star ratings (for peer context)
Overall
2.1
Health
2.1
Staffing
1.5
QM
3.9

Owner / manager organizations (14)

Organization Role Association
SALEM HOLDINGS I LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 05/28/2021
AMERICA WEST LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
CHARLES 1994 & FAMILY LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
CHARLES 1994 FAMILY GRANTOR TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
CHARLES 1994 LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
EDWARD 1998 FAMILY GRANTOR TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
EDWARD 1998 LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
KSS 2000 FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
ML 2000 FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
MRV WEST LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
REDROCK WEST LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
SAUL 2012 FAMILY GRANTOR TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
SAUL 2012 LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/28/2021
RCZBM WEST MANAGER LLC OPERATIONAL/MANAGERIAL CONTROL since 05/28/2021

Owner / manager individuals (1)

Name Role Association
PRESSMAN, JENNIFER W-2 MANAGING EMPLOYEE since 09/19/2023

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
Methodology & sources

Full methodology →

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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $36 metrics.cost_per_resident_day
Cost Report Current Ratio 1.09 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 72.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 6.0% metrics.medicare_day_share
Cost Report Net Income ($) $1,178,753 metrics.net_income
Cost Report Net Patient Revenue ($) $24,130,398 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 83.0% metrics.occupancy_rate
Cost Report Operating Margin (%) 3.6% metrics.operating_margin
Cost Report Total Assets ($) $34,743,430 metrics.total_assets
Cost Report Total Costs ($) $2,593,389 metrics.total_costs
Cost Report Total Fund Balances ($) $1,634,259 metrics.fund_balance
Cost Report Total Liabilities ($) $33,109,171 metrics.total_liabilities
Cost Report Total Margin (%) 4.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.79334 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.77607 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.49999 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.06939 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.50416 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 195.5 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 0.87494 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.37790 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.68965 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.94249 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.47489 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.1 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.1 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.5 Chain Average Staffing Rating
Provider Information Chain ID 768 Chain ID
Provider Information Chain Name LIFEWORKS REHAB Chain Name
Provider Information City/Town SALEM City/Town
Provider Information CMS Certification Number (CCN) 495087 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 1971-11-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 37.2766 Latitude
Provider Information Legal Business Name SALEM OPERATIONS LLC Legal Business Name
Provider Information Location 1945 ROANOKE BLVD,SALEM,VA,24153 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -80.022 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 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 240 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 59 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.39665 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.01379 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For 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 1945 ROANOKE BLVD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name SALEM HEALTH & REHABILITATION 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 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 92 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 10 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 13 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-06-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 92 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 21 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 3 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-11-02 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 56 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 10 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 56 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.19854 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 46.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.32065 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.81010 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.81359 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.05811 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.51055 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 3.13424 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 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State VA State
Provider Information Telephone Number 5403453894 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.55706 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 60.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 83.000 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