Salem Springlake Health & Rehabilitation Center
509 North Hayden Avenue, Salem, KY 42078 · Livingston County · 75 certified beds · avg 54 residents/day · certified since Feb 23, 1967
Part of chain: ATRIUM CENTERS (26 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
All citations in the current public record (14)
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 |
|---|---|---|
| Nov 14, 2025 | F · Potential for harm, facility-wide | 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. |
| Dec 8, 2023 | 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. |
| Dec 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. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Dec 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. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Apr 1, 2021 | 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. |
| Apr 1, 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. |
| Apr 1, 2021 | 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. |
| Apr 1, 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. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 1, 2021 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 7 | 0 | D |
| 2023 | 6 | 0 | D |
| 2025 | 1 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.24 | 3.71 | 3.95 | top 17% in Kentucky; top 31% in the U.S. |
| Registered Nurse hours | 0.68 | 0.74 | 0.69 | top 44% in Kentucky; top 39% in the U.S. |
| Weekend total nurse staffing | 3.60 | 3.27 | 3.50 | top 21% in Kentucky; top 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.53 | 0.48 | bottom 20% in Kentucky; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 38.8 | 46.4 | 45.8 | top 25% in Kentucky; top 33% in the U.S. |
| RN turnover (%) | 37.5 | 41.8 | 42.9 | top 46% in Kentucky; top 42% 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 3.11, RN 0.50, weekend 2.64. Staffing rating: 4/5.
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
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Orion Operating Services LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/08/2004 |
| Albright Ross, Susan | Individual | Corporate Officer | NOT APPLICABLE | 01/02/2018 |
| Amicus Capital Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/18/2021 |
| Amicus Capital Holdings, INC. Employee Stock Ownership Trust | Organization | ADP of the SNF | NOT APPLICABLE | 08/18/2021 |
| Amicus Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Atrium Centers Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/18/2024 |
| Atrium Centers Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/18/2024 |
| Bailey, Essel | Individual | Corporate Director | NOT APPLICABLE | 09/18/2024 |
| Broad River Rehabilitation | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2021 |
| Fifth Third Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 03/07/2017 |
| Fifth Third Bank | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/07/2017 |
| Finney, Donald | Individual | Corporate Director | NOT APPLICABLE | 09/18/2024 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Handy, Shayne | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/30/2018 |
| Leaderstat LTD | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Ocs Real Estate Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Omnicare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Orion Operating Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/08/2004 |
| Paredes, Miguel | Individual | Trustee of the SNF | NOT APPLICABLE | 08/18/2021 |
| Paredes, Miguel | Individual | ADP of the SNF | NOT APPLICABLE | 08/18/2021 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 | Flags |
|---|---|---|---|---|---|
| Crittenden County Health & Rehabilitation Center | 9.6 mi | Marion, KY | ★★★☆☆ | 3/5 | |
| Axiom Healthcare of Rosiclare | 12.0 mi | Rosiclare, IL | ★★☆☆☆ | 3/5 | |
| River's Bend Retirement Community | 15.3 mi | Kuttawa, KY | ★★★★☆ | 4/5 | |
| Lake Barkley Health & Rehabilitation | 15.9 mi | Kuttawa, KY | ★★★☆☆ | 4/5 | |
| Calvert City Convalescent Center | 17.6 mi | Calvert City, KY | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 185046.