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Nursing HomeMedicaid

Richfield Health Center - Salem

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

3719 Knollridge Road, Salem, VA 24153112 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 9 Google reviews

5
4
3
2
1
Richfield Health Center - Salem Nursing Home in Salem, VA — Street View
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What this means for your family

Because the available reviews provide very little insight into the daily nursing care or clinical environment, you should not rely on these ratings for your decision. We strongly recommend scheduling an in-person tour to observe staff responsiveness at the front desk and to ask specific questions about the quality of care provided to residents.

Google Reviews

Google Reviews

9 reviews on Google
Reviews for Richfield Health Center are sparse and lack detailed feedback regarding nursing home care. Most available comments are generic or refer to unrelated services like eye care, meeting spaces, or security checks, making it difficult to assess the quality of clinical care.

Quality Themes

Tap a score for details
FoodN/AStaff3.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Responsive security personnel
  • Scenic views
  • Suitable for hosting meetings

Concerns

  • Lack of staff presence at the front desk

Rating Trends

Tap a year to see what changed

2345.02020(1)4.02021(1)5.02022(1)5.02023(3)5.02024(2)3.02025(1)

Distribution · 9 analyzed

5
7
4
1
3
1
2
0
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that the facility has 112 residents, how do you ensure consistent staff presence at the front desk and in common areas throughout the day?
  • 2With a current staffing rating of 2/5 stars, what specific steps is the leadership team taking to improve staff-to-resident interaction and quality of care?
  • 3I noticed the facility has had some recent state violations; could you walk me through the process of how you address and correct these findings to ensure ongoing resident safety?
  • 4The scenic views here are beautiful—how do you incorporate these outdoor spaces into the daily activity schedule for residents?
  • 5How are medical emergencies handled during evening or weekend hours when administrative staff may not be at the front desk?
  • 6Since you have space for hosting meetings, are there opportunities for families to get involved in facility events or community gatherings here?

Personalized based on this facility's data


Key Review Excerpts

It didn’t take long for security to come check on an elderly friend. 💗

Visitor · 2023★★★★★

They need to be more available, and have someone working the desk.

Visitor · 2025★★★☆☆

Nice place to have a meeting. Views are awesome.

Visitor · 2023★★★★★
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
84%
Registered nurses for medical care
Total Nursing
4.25hrs
OK
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

8

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
15.5%
VA
14.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
12.1%
VA
16.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.6%
Worse than Avg
Here
23.6%
US
14.4%
VA
15.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
93.4%
VA
91.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.6%
Better than Avg
Here
18.6%
US
19.4%
VA
22.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility18.4%
Worse than Avg
Here
18.4%
US
15.3%
VA
16.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
81.8%
VA
73.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.3%
Better than Avg
Here
89.3%
US
79.8%
VA
73.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
VA
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
1penalties
Near state avg (14.5)
4 complaint-triggered
$17,226 in fines

Richfield Health Center shows significant ongoing problems with families filing recent complaints about medication errors and care quality in December 2024. The facility has persistent issues with medication management, fire safety systems, and care planning that have appeared repeatedly across multiple surveys from 2021 to 2024. While all deficiencies show correction dates, the pattern of recurring problems in critical areas like medication safety raises concerns about sustained quality improvement.

Dec 5, 2024Complaint
4
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

May 15, 2024Routine
12
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Feb 8, 2023Routine
17
0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0037Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

Jul 29, 2021Routine
21
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0521Potential for harm · Pattern

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0221Potential for harm · PatternCorrected

Egress Deficiencies

Provide rooms that can be unlocked from inside without a key.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0772Potential for harm · IsolatedCorrected

Administration Deficiencies

Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0531Potential for harm · IsolatedCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

Federal Penalties

Fine

Dec 5, 2024

$15,465

Ownership & Operations

Who Operates This Facility

Owner / Operator

Richfield Health Center - Salem

Organization Type

nonprofit

Ownership & Management

Owners

Friendship Foundation INC

Owner · Organization

100%

Key personnel

Bishop, NathanielManaging Control - Governing BodyFeldmann, GregManaging Control - Governing BodyHoff, JosephManaging Control - Governing BodyJohnson, CyndaManaging Control - Governing BodyLawson, RobertManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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