Richfield Health Center - Salem

Name: Richfield Health Center - Salem
Address: 3719 KNOLLRIDGE ROAD, Salem, VA, 24153, US
Telephone: 5403804500

3719 Knollridge Road, Salem, VA 24153 · Salem City County · 112 certified beds · avg 107 residents/day · certified since Jan 1, 1967

3/5

Health inspection rating (on-site)

Serious findings on record

$15,465

Fines, last 3 years

4.47

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

⚠ 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 self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 8, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (31)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 5, 2024	▲ G · Actual harm, one-off	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
Dec 5, 2024	D · Potential for harm, one-off	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
Dec 5, 2024	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint
Dec 5, 2024	D · Potential for harm, one-off	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
May 15, 2024	D · Potential for harm, one-off	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.
May 15, 2024	D · Potential for harm, one-off	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.
May 15, 2024	D · Potential for harm, one-off	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.
May 15, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 15, 2024	D · Potential for harm, one-off	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.
May 15, 2024	D · Potential for harm, one-off	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.
May 15, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 15, 2024	D · Potential for harm, one-off	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.
May 15, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
May 15, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Feb 8, 2023	E · Potential for harm, repeated	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.
Feb 8, 2023	E · Potential for harm, repeated	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.
Feb 8, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 8, 2023	D · Potential for harm, one-off	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.
Feb 8, 2023	D · Potential for harm, one-off	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.
Feb 8, 2023	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Feb 8, 2023	D · Potential for harm, one-off	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.
Jul 29, 2021	E · Potential for harm, repeated	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.
Jul 29, 2021	D · Potential for harm, one-off	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.
Jul 29, 2021	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 29, 2021	D · Potential for harm, one-off	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.
Jul 29, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 29, 2021	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 29, 2021	D · Potential for harm, one-off	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.
Jul 29, 2021	D · Potential for harm, one-off	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.
Jul 29, 2021	D · Potential for harm, one-off	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.
Jul 29, 2021	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 10).

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.

Fines and enforcement (last 3 years)

1 fine totaling $15,465.

Date	Type	Amount / length
Dec 5, 2024	Fine	$15,465

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

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

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How quickly are lab tests done and results acted on when a resident's doctor orders them?"
"How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
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

Compare this facility with the 3 closest →

All facilities in Salem →

Facility data as of CMS processing date 2026-08-01. CCN 495013.

The Care File

Visit checklist — Richfield Health Center - Salem

3719 Knollridge Road, Salem, VA 24153 · 5403804500

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $15,465

Most serious findings on record:

▲ Dec 5, 2024 (F-0760, Actual harm, one-off): 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.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
☐ "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 495013 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)