Richfield Health Center - Salem: Staffing, Turnover, and Inspection Record
Richfield Health Center - Salem is a 112-bed nonprofit nursing home in Salem, Virginia. In the CMS August 2026 release it reported 2.41 nurse aide hours per resident per day, 16% above the Virginia average of 2.07, and 51.5% nursing staff turnover (Virginia average 48.1%).
Richfield Health Center - Salem
3719 Knollridge RoadSalem, VA 24153
Salem City County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Richfield Health Center - Salem, nurse aides logged 2.41 hours per resident per day, 16% above the Virginia average. With about 107 residents a day, that works out to roughly 256 aide hours a day, or about 32 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 20% below the all-days figure.
| Hours per resident per day | This home | Virginia avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.41 | 2.07 | 2.32 |
| Licensed practical nurses | 1.32 | 1.00 | 0.86 |
| Registered nurses | 0.61 | 0.69 | 0.69 |
| All nursing staff | 4.34 | 3.76 | 3.86 |
| All nursing staff, weekends | 3.49 | 3.29 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
51.5% of nursing staff at Richfield Health Center - Salem left over the year CMS measured, against a Virginia average of 48.1% and a US average of 45.8%. Registered nurse turnover was 55.6%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 15, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 10 health deficiencies (Virginia average 14.5). CMS lists 1 fine totaling $15,465 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 5, 2024 | Fine | $15,465 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Richfield Health Center - Salem holds 3 of 5 overall; the Virginia average is 3.0.
About Richfield Health Center - Salem
- Ownership: Non profit - Corporation
- Legal name: Friendship RL LLC
- Medicare and Medicaid certified since: Jan 1, 1967
- Councils: resident council
- Area: urban
Nursing homes near Richfield Health Center - Salem
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Snyder Nursing Home Salem | 3.9 | 45 | 3.23 | 4.53 | 29.5% | 5 | None |
| Salem Health & Rehabilitation Salem | 5.8 | 240 | 1.87 | 3.14 | 64.0% | 1 | None |
| Davis and McDaniel Veterans Care Center Roanoke | 6.3 | 180 | 2.47 | 3.99 | 28.7% | 5 | None |
| Brandon Oaks Nursing and Rehabilitation Center Roanoke | 6.4 | 62 | 2.82 | 5.40 | 34.6% | 5 | None |
| Raleigh Court Health and Rehabilitation Center Roanoke | 8.3 | 120 | 1.91 | 3.48 | 53.4% | 4 | None |
| South Roanoke Nursing and Rehabilitation Roanoke | 9.2 | 98 | 1.93 | 3.23 | 38.2% | 3 | None |
| Friendship Health and Rehab Center - South Roanoke | 9.2 | 120 | 2.31 | 4.24 | 48.4% | 3 | $8,281 |
| Pheasant Ridge Nursing and Rehabilitation Roanoke | 9.9 | 101 | 1.69 | 3.27 | 53.8% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.