Snyder Nursing Home

11 North Broad St, Salem, VA 24153 (opens Google Maps) · Salem City County · (540) 389-6305· 45 certified beds · avg 40 residents/day · certified since Dec 1, 1974 · Medicaid only — not Medicare certified

Certified for Medicaid only. It cannot bill Medicare, so a short post-hospital rehabilitation stay would not be covered the usual way here. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Oct 29, 2025

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

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.

Inspection findings in the public record

Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.

Oct 29, 2025F · Potential for more than minimal harm, widespread
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
Oct 29, 2025F · Potential for more than minimal harm, widespread
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
Oct 29, 2025D · Potential for more than minimal harm, isolated
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 F-0627

View all 10 inspection findingsShow only the latest 3 findings

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
Oct 29, 2025	F · Potential for more than minimal harm, widespread	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
Oct 29, 2025	F · Potential for more than minimal harm, widespread	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
Oct 29, 2025	D · Potential for more than minimal harm, isolated	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 · F-0627
Oct 29, 2025	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
Oct 29, 2025	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
Aug 23, 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
Aug 23, 2023	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
Aug 23, 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
Feb 11, 2021	E · Potential for more than minimal harm, pattern	The facility did not perform required COVID-19 testing on residents and staff. · F-0886
Feb 11, 2021	D · Potential for more than minimal harm, isolated	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. · F-0686

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2021

2023

2025

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityVirginia averageU.S. average

Total nurse staffing (hours per resident per day)

4.61

3.67

3.95

Registered Nurse hours

0.92

0.66

0.69

Weekend total nurse staffing

4.05

3.21

3.50

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)	4.61	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 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 4.53, RN 0.90, weekend 3.98.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.53 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Snyder Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

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.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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
		Ownership Data Not Available

All 1 owning or managing party CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 30% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 17 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
Friendship Health and Rehab Center - South	7.2 mi	Roanoke, VA	★★★☆☆	3/5
Star City Rehabilitation and Nursing	8.7 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 49E076.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Snyder Nursing Home

11 North Broad St, Salem, VA 24153 · (540) 389-6305

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 30% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)