3719 Knollridge Road, Salem, VA 24153 (opens Google Maps) · Salem City County · (540) 380-4500· 112 certified beds · avg 107 residents/day · certified since Jan 1, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Actual harm, isolated · Dec 5, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 8, 2025 (Deficient, Provider has date of correction)
Showing the latest 3 of 31 inspection findings. Open the full record below to read every finding.
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint F-0760
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint F-0658
The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint F-0770
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 5, 2024 | ▲ G · Actual harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint · F-0770 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint · F-0825 |
| May 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| May 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| May 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| May 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| May 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| May 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| May 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| May 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| May 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| May 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Feb 8, 2023 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607 |
| Feb 8, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Feb 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Feb 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Feb 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Feb 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770 |
| Feb 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jul 29, 2021 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jul 29, 2021 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Jul 29, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jul 29, 2021 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Jul 29, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jul 29, 2021 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 29, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Jul 29, 2021 | D · Potential for more than minimal harm, isolated | The facility did not have an agreement with an approved laboratory to provide lab services, even though it doesn't offer lab services on site. · F-0772 |
| Jul 29, 2021 | D · Potential for more than minimal harm, isolated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Jul 29, 2021 | D · Potential for more than minimal harm, isolated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 10 | 0 | E |
| 2023 | 7 | 0 | E |
| 2024 | 14 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
1 fine totaling $15,465.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Dec 5, 2024 | Fine | $15,465 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.47 | 3.67 | 3.95 | top 18% in Virginia; top 24% in the U.S. |
| Registered Nurse hours | 0.63 | 0.66 | 0.69 | top 32% in Virginia; top 45% in the U.S. |
| Weekend total nurse staffing | 3.59 | 3.21 | 3.50 | top 22% in Virginia; top 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.46 | 0.48 | top 44% in Virginia; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 51.5 | 48.1 | 45.8 | bottom 42% in Virginia; bottom 33% in the U.S. |
| RN turnover (%) | 55.6 | 48.2 | 42.9 | bottom 37% in Virginia; bottom 28% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.34, RN 0.61, weekend 3.49.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.34 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Richfield Health Center - Salem. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Friendship Foundation INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2023 |
| Bishop, Nathaniel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2023 |
| Bishop, Nathaniel | Individual | Corporate Director | NOT APPLICABLE | 10/01/2023 |
| Bishop, Nathaniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Brown, Edwards & Company, LLP | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2023 |
| Campbell, Luke | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Campbell, Luke | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2023 |
| Combs, Glen | Individual | Corporate Director | NOT APPLICABLE | 10/01/2023 |
| Combs, Glen | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Duncan, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Duncan, Stephanie | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2023 |
| Feinour, Edwin | Individual | Corporate Director | NOT APPLICABLE | 10/01/2023 |
| Feinour, Edwin | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Feldmann, Greg | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2023 |
| Feldmann, Greg | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Friendship Foundation INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Friendship Foundation INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2023 |
| Grove, Lucian | Individual | Corporate Director | NOT APPLICABLE | 10/01/2023 |
| Grove, Lucian | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Higgins, Benjamin | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
Showing 20 of 55 parties CMS has on file for this facility; 35 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Snyder Nursing Home | 3.9 mi | Salem, VA | ★★★★★ | 4/5 | |
| Salem Health & Rehabilitation | 5.8 mi | Salem, VA | ★☆☆☆☆ | 2/5 | |
| Davis and McDaniel Veterans Care Center | 6.3 mi | Roanoke, VA | ★★★★★ | 5/5 | |
| Brandon Oaks Nursing and Rehabilitation Center | 6.4 mi | Roanoke, VA | ★★★★★ | 4/5 | |
| Raleigh Court Health and Rehabilitation Center | 8.3 mi | Roanoke, VA | ★★★★☆ | 3/5 | |
| South Roanoke Nursing and Rehabilitation | 9.2 mi | Roanoke, VA | ★★★☆☆ | 2/5 | |
| Friendship Health and Rehab Center - South | 9.2 mi | Roanoke, VA | ★★★☆☆ | 3/5 | |
| Pheasant Ridge Nursing and Rehabilitation | 9.9 mi | Roanoke, VA | ★★☆☆☆ | 2/5 | |
| Old Southwest Health and Rehabilitation | 10.0 mi | Roanoke, VA | ★☆☆☆☆ | 1/5 | |
| Our Lady of the Valley | 10.3 mi | Roanoke, VA | ★★★★☆ | 4/5 | |
| Friendship Health and Rehab Center | 10.6 mi | Roanoke, VA | ★★★★☆ | 4/5 | |
| Star City Rehabilitation and Nursing | 12.6 mi | Roanoke, VA | ★★☆☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 495013.
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