See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Salem West Healthcare Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

2511 Bentley Drive, Salem, OH 4446080 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 27 Google reviews

5
4
3
2
1
Salem West Healthcare Center Nursing Home in Salem, OH — Street View
Street View

Watch Salem West Healthcare Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

8/ 10
critical Risk

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

Source: Medicare data

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 details
FoodN/AStaff4.0Clean3.0Activities8.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • 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

234'18(1)'20(10)'22(1)'24(6)'26(1)

Distribution · 29 analyzed

5
16
4
0
3
0
2
0
1
13

How They Respond to Reviews

7%response rate

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.

Short-term rehab family member · 2021☆☆☆☆

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.

Long-term resident's family · 2020☆☆☆☆

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.

Long-term resident's family · 2021☆☆☆☆
Source: 27 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.74hrs
99%
Registered nurses for medical care
Total Nursing
3.19hrs
78%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
22%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
12.1%
OH
28.2%
Columbiana
24.9%

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 Facility2.9%
Better than Avg
Here
2.9%
US
14.4%
OH
5.8%
Columbiana
9.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
15.3%
OH
6.9%
Columbiana
11.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.8%
Mixed vs Avgs
Here
6.8%
US
15.4%
OH
9.4%
Columbiana
5.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
19.5%
OH
25.4%
Columbiana
25.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
93.4%
OH
92.6%
Columbiana
95.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility70.2%
Worse than Avg
Here
70.2%
US
81.8%
OH
78.4%
Columbiana
84.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility75.6%
Worse than Avg
Here
75.6%
US
79.7%
OH
75.6%
Columbiana
82.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.3%
Worse than Avg
Here
4.3%
US
1.6%
OH
1.2%
Columbiana
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

36deficiencies
1penalties
Well above state avg (10.1)
24 complaint-triggered

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, 2025Complaint
5
0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0600Potential for harm · IsolatedCorrected

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Aug 25, 2025Complaint
4
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0842Potential for harm · PatternCorrected

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.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 29, 2025Routine
20
0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0838Potential for harm · WidespreadCorrected

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0847Potential for harm · PatternCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0576Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0620Potential for harm · IsolatedCorrected

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.

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.

0693Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0730Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

Apr 29, 2025Complaint
9
0725Potential for harm · WidespreadCorrected

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.

0584Potential for harm · PatternCorrected

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 · PatternCorrected

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.

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.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

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.

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Sep 3, 2024Complaint
4
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0600Potential for harm · IsolatedResolved (past non-compliance)

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 10, 2024Complaint
1
0880Potential for harm · PatternCorrected

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

Owner / Operator

Salem West Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Communicare Health

Chain Size

122 facilities nationwide

Chain avg rating: 2.8/5 · Rank 111 of 121 (Worst)

Ownership & Management

Owners

Sxcy Mstr Lsco, LLC

Owner · Organization

100%

Health Care Lease Facilities, LLC

Owner (parent company) · Organization

Sxcy Holdings, LLC

Owner (parent company) · Organization

Key personnel

Groves, DonnaOfficer / DirectorStoltz, CharlesOfficer / DirectorWilheim, RonaldOfficer / DirectorBentley Mgt Co., LLCManagerDemidovich, JamesManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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.

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.

Call