Salem Memorial District Hospital has received an F grade based on CMS data, with a score of 29/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Salem facility should carefully review its inspection history and quality metrics.
Staffing levels at Salem Memorial District Hospital exceed national averages, with 5.45 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.88 hours per resident per day also exceeds the national average of 0.7 hours.
Recent inspections identified 12 deficiencies at Salem Memorial District Hospital. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 5.45 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.88 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.09 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.47 | 2.4 | Above Average |
| Weekend Total Nursing | 4.46 | 3.8 | Above Average |
| Weekend RN Hours | 0.71 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0756 Severity FEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develoOct 15, 2025 · Pharmacy Service Deficiencies
- Tag 0801 Severity FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a quOct 15, 2025 · Nutrition and Dietary Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Oct 15, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.Sep 26, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0700 Severity ETry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review theseSep 26, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.0% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 21.4% | 14.5% | Worse |
| Urinary tract infections | 14.7% | 2.5% | Worse |
| ADL decline (daily activities) | 41.4% | 14.0% | Worse |
| Excessive weight loss | 9.0% | 7.5% | Worse |
| New/worsened incontinence | 18.7% | 45.0% | Better |
⚠️ Penalties & Fines
13 penalties recorded by CMS
Total fines: $106,623
How This Grade Was Calculated
This facility's grade of F is based on a score of 29 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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