Salem Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 20 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
Below average in MO · Meets national RN staffing standard · $3,174 in fines
What this means for your family
Salem Care Center is highly regarded for its compassionate, family-oriented staff and consistent communication with families. While the facility may not be the most modern, the quality of care is a clear priority. We recommend confirming their current administrative procedures for final billing to avoid the communication gaps noted by some families.
Google Reviews
Google Reviews
20 reviews on Google“Salem Care Center is frequently praised for its warm, family-like atmosphere and dedicated staff who prioritize resident comfort. While the facility may lack modern luxury, families consistently report that the care provided is compassionate and responsive. However, some administrative issues regarding billing and communication after a resident's passing have been noted as a point of frustration.”
Quality Themes
Tap a score for detailsStrengths
- Warm, family-like atmosphere
- Caring and attentive nursing staff
- Effective communication with families
- Knowledgeable administrative leadership
Concerns
- Administrative delays or lack of responsiveness regarding billing/refunds after resident death (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 25 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard wonderful things about the warm, family-like atmosphere here; how do you foster that sense of community among the 60 residents?
- 2Since we value clear communication, what is your process for keeping families updated on daily care and any changes in a resident's condition?
- 3We noticed the administrative leadership is highly regarded; how does the management team support the nursing staff in maintaining high standards of care?
- 4In the event of a medical emergency during the night, what is the immediate protocol for ensuring a resident receives urgent care?
- 5Could you tell us about the daily activities and social opportunities available to help residents stay engaged and active?
- 6How does the facility approach addressing and resolving any administrative or billing discrepancies to ensure everything remains transparent for families?
Personalized based on this facility's data
Key Review Excerpts
“Salem Care is not country club beautiful, but the staff is caring and concerned about my mother's needs and that is very important to our”
“My Mother was always clean, well fed and entertained by the social director. The nurses and health care staff were on top of things and kept me informed of any and all problems.”
“Excellent Supervision, caring staff, explains situations in a timely manner when it involves family. If problems exist, they are dealt with immediately.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
7
measures
6
measures
2
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Salem Care Center shows concerning patterns with 52 deficiencies across both surveys, including one complaint from families regarding wrongful use of residents' belongings. The facility has persistent issues with fire safety systems, emergency preparedness, and infection control that recurred in both inspections. While all deficiencies show correction dates, the repeated problems with safety systems and the family complaint suggest ongoing operational challenges that warrant careful consideration.
Aug 9, 2024Routine19
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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.
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.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Aug 9, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Oct 5, 2023Routine32
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Ownership & Operations
Who Operates This Facility
Salem Care Center
for profit
Ownership & Management
Owners
Elm Investment Group LLC
Owner · Organization
Krisley Properties LLC
Owner (parent company) · Organization
Mjz Investment LLC
Owner (parent company) · Organization
North Star Equity Group LLC
Owner (parent company) · Organization
Silver Maple Properties LLC
Owner (parent company) · Organization
Williza Properties
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
20 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.