Salem West Healthcare Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 27 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.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Above-median deficiencies (36 vs median 8.0)
Bottom 25% in OH · Below recommended RN staffing · Worst in COMMUNICARE HEALTH chain · Special Focus Facility (CMS) · Abuse citation
What this means for your family
This facility has a history of extremely polarized feedback, with some families reporting excellent care while others describe life-threatening neglect. Before choosing this facility, we strongly advise conducting an unannounced visit to check for cleanliness and speaking directly with the nursing staff about their communication protocols for family updates.
Google Reviews
Google Reviews
27 reviews on Google“Salem West Healthcare Center receives highly polarized feedback, with some families praising the staff's compassion and the facility's atmosphere, while others report severe neglect and poor communication. Critical concerns include allegations of medical mismanagement, inadequate hygiene, and a lack of responsiveness to patient needs. Prospective families should be aware of these significant discrepancies in care quality reported by different visitors.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate nursing staff
- Engaging resident activities
- Inviting facility atmosphere
Concerns
- Neglect and poor medical oversight leading to serious health decline (mentioned by 4 reviewers)
- Lack of communication with family members (mentioned by 2 reviewers)
- Unsanitary conditions and odors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 29 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the recent focus on facility maintenance, could you walk me through your current daily cleaning schedule and how you ensure high standards of hygiene in resident rooms and common areas?
- 2I noticed the facility has a strong reputation for engaging activities; could you share a few examples of recent resident outings or programs that have been particularly popular?
- 3How do you proactively keep families updated on changes in a resident's health status, and what is your preferred method for ensuring consistent communication between your clinical team and our family?
- 4With 36 recent state violations, what specific operational changes or quality improvement plans has the leadership team implemented to address these concerns and improve the overall care environment?
- 5Could you explain your process for medication management and oversight to ensure that residents receive their prescribed treatments accurately and on time?
- 6In the event of a sudden change in a resident's medical condition, what is your protocol for notifying family members and coordinating with their primary physician?
Personalized based on this facility's data
Key Review Excerpts
“The nurse Becky is so mean to my dad who is only 55 and has no mental issues. Told him he can't leave and she made me cry his first day there after he went 24 hours without any care.”
“My grandpa got sick with a uti, they did not treat him for it or push liquids on him, family takes him to hospital an 6 days later he passes away due to kidney failure.”
“It is a horrible place my brother was there and they told me to call funeral home that be was dying. I got him out of there and he went back to hospital. He is now at Windsor house and they r wonderful.”
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 · 17 measures
10
measures
6
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed numerous complaints against this facility, triggering 26 of the 60 total deficiencies found across inspections. Major recurring problems involve pain management (cited twice in complaint investigations), abuse prevention and reporting, and resident rights violations. While the facility has corrected each cited deficiency, the pattern of complaint-driven citations and repeat issues with pain care suggests ongoing quality concerns that warrant careful consideration.
Dec 12, 2025Complaint5
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Aug 25, 2025Complaint4
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
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.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 29, 2025Routine20
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
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
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Apr 29, 2025Complaint9
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Sep 3, 2024Complaint4
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 10, 2024Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Payment Denial
Aug 25, 2025
89-day denial
Ownership & Operations
Who Operates This Facility
Salem West Healthcare Center
for profit
Chain Affiliation
Communicare Health
122 facilities nationwide
Chain avg rating: 2.8/5 · Rank 111 of 121 (Worst)
Ownership & Management
Owners
Sxcy Mstr Lsco, LLC
Owner · Organization
Health Care Lease Facilities, LLC
Owner (parent company) · Organization
Sxcy Holdings, LLC
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
27 reviews from families & visitors
Official Website
Visit communicarehealth.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Salem North Healthcare Center
< 1 miNursing Home · Salem, OH
Circle of Care
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Blossom Nursing and Rehab Center
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Auburn Skilled Nursing and Rehab
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St Mary's Alzheimer's Center
7.3 miNursing Home · Columbiana, OH
Canfield Acres LLC DBA Windsor House at Canfield
8.2 miNursing Home · Canfield, OH