Salem Memorial District Hospital

35629 Highway 72 · Salem, MO · 65560 · 5737296626

18 certified beds Non profit - Corporation Hospital-based

  • Staffing hours comfortably above national benchmarks.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 63
Serious harm & abuse 20% 100
Staffing 20% 89
Federal penalties 15% 0
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day5.253.48 min · 4.1 strong
RN hours / resident-day0.790.55–0.75
Weekend hours / resident-day4.41≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)13 · $106,623

Inspection citations (12 in the current record)

  • Potential for harm · D October 16, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F October 16, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected November 30, 2025 · Pharmacy Service

  • Potential for harm · F October 16, 2025

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected November 30, 2025 · Nutrition and Dietary

  • Potential for harm · E September 27, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 27, 2024

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected November 11, 2024 · Quality of Life and Care

  • Potential for harm · E September 27, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected November 11, 2024 · Pharmacy Service

  • Potential for harm · E September 27, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 11, 2024 · Nutrition and Dietary

  • Potential for harm · D September 27, 2024

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected November 11, 2024 · Administration

  • Potential for harm · D August 22, 2023

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected October 1, 2023 · Resident Rights

  • Potential for harm · D August 22, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 1, 2023 · Quality of Life and Care

  • No harm found · C August 22, 2023

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected October 1, 2023 · Administration

  • No harm found · C August 22, 2023

    Implement a program that monitors antibiotic use.

    Corrected October 1, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
February 20, 2024Fine$4,893
February 12, 2024Fine$4,893
January 22, 2024Fine$14,679
January 8, 2024Fine$4,893
January 2, 2024Fine$4,545
December 11, 2023Fine$13,635
November 20, 2023Fine$4,545
November 13, 2023Fine$4,545
October 23, 2023Fine$13,635
September 25, 2023Fine$13,635
September 5, 2023Fine$4,545
August 28, 2023Fine$4,545
August 7, 2023Fine$13,635

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 26A381 · certified since June 25, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.