Snyder Nursing Home

Name: Snyder Nursing Home
Address: 11 NORTH BROAD ST, Salem, VA, 24153, US
Telephone: 5403896305

11 North Broad St, Salem, VA 24153 · Salem City County · 45 certified beds · avg 40 residents/day · certified since Dec 1, 1974

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.61

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 (10)

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
Oct 29, 2025	F · Potential for harm, facility-wide	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.
Oct 29, 2025	F · Potential for harm, facility-wide	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.
Oct 29, 2025	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint
Oct 29, 2025	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.
Oct 29, 2025	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.
Aug 23, 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.
Aug 23, 2023	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.
Aug 23, 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.
Feb 11, 2021	E · Potential for harm, repeated	The facility did not perform required COVID-19 testing on residents and staff.
Feb 11, 2021	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 5).

Year	Citations	Worst severity that year
2021	2	E
2023	3	D
2025	5	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	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.61	3.67	3.95	top 17% in Virginia; top 20% in the U.S.
Registered Nurse hours	0.92	0.66	0.69	top 14% in Virginia; top 20% in the U.S.
Weekend total nurse staffing	4.05	3.21	3.50	top 17% in Virginia; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.76	0.46	0.48	top 10% in Virginia; top 13% in the U.S.
Total nursing staff turnover (%)	29.5	48.1	45.8	top 11% in Virginia; top 13% in the U.S.
RN turnover (%)	12.5	48.2	42.9	top 4% in Virginia; top 6% 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 4.53, RN 0.90, weekend 3.98. Staffing rating: 5/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

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

"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current policy for testing residents and staff when someone shows symptoms or there's an outbreak?"
"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
Salem Health & Rehabilitation	2.3 mi	Salem, VA	★☆☆☆☆	2/5
Davis and McDaniel Veterans Care Center	2.7 mi	Roanoke, VA	★★★★★	5/5
Brandon Oaks Nursing and Rehabilitation Center	3.2 mi	Roanoke, VA	★★★★★	4/5
Richfield Health Center - Salem	3.9 mi	Salem, VA	★★★☆☆	3/5
Raleigh Court Health and Rehabilitation Center	4.9 mi	Roanoke, VA	★★★★☆	3/5
South Roanoke Nursing and Rehabilitation	6.3 mi	Roanoke, VA	★★★☆☆	2/5
Old Southwest Health and Rehabilitation	6.5 mi	Roanoke, VA	★☆☆☆☆	1/5
Our Lady of the Valley	6.6 mi	Roanoke, VA	★★★★☆	4/5
Friendship Health and Rehab Center	6.7 mi	Roanoke, VA	★★★★☆	4/5
Pheasant Ridge Nursing and Rehabilitation	7.2 mi	Roanoke, VA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Salem →

Facility data as of CMS processing date 2026-08-01. CCN 49E076.

The Care File

Visit checklist — Snyder Nursing Home

11 North Broad St, Salem, VA 24153 · 5403896305

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current policy for testing residents and staff when someone shows symptoms or there's an outbreak?"
☐ "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 49E076 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)