Senior CareScorecard

Nursing home · Salem, MO

Salem Memorial District Hospital

35629 Highway 72, Salem, MO 65560 · 18 certified beds · non profit ownership

Medicaid onlyFined $83,898 in 3 years
Medicare overall rating3 / 5AverageSalem area 2.1 · Missouri 2.51 · U.S. 2.99
4/5Health inspections Above average
1/5Staffing Much below average
4/5Quality measures Above average
–Short-stay (rehab) quality Not rated
4/5Long-stay quality Above average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Oct 16, 2025, when they cited 3 problems. The most common area was pharmacy service (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Oct 16, 2025) it had 3 citations, compared with an average of 9.6 for Salem-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

CMS has not published staffing figures for this facility.

How Salem Memorial District Hospital compares

This home's latest CMS figures next to the averages for Salem-area homes (7), Missouri (487) and the U.S. (14,680).

This homeSalem areaMissouriU.S.
Total nurse hours per resident per day—3.423.433.86
Registered nurse hours per resident per day—0.480.460.68
Weekend nurse hours per resident per day—2.993.013.42
Nursing staff turnover (past year)—57%56%46%
Registered nurse turnover (past year)—49%48%43%
Citations at the most recent standard inspection39.611.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Oct 16, 20253standard
Sep 27, 20245standard
Aug 22, 20234standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 12 of 12 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Oct 16, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy service
FDeficient, Provider has date of correction
Oct 16, 2025Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and dietary
FDeficient, Provider has date of correction
Oct 16, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Sep 27, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Sep 27, 2024Try 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.
Quality of life and care
EDeficient, Provider has date of correction
Sep 27, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy service
EDeficient, Provider has date of correction
Sep 27, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Sep 27, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration
DDeficient, Provider has date of correction
Aug 22, 2023Honor 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.
Resident rights
DDeficient, Provider has date of correction
Aug 22, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
DDeficient, Provider has date of correction
Aug 22, 2023Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration
CDeficient, Provider has date of correction
Aug 22, 2023Implement a program that monitors antibiotic use.
Infection control
CDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Feb 20, 2024Fine$4,893
Feb 12, 2024Fine$4,893
Jan 22, 2024Fine$14,679
Jan 8, 2024Fine$4,893
Jan 2, 2024Fine$4,545
Dec 11, 2023Fine$13,635
Nov 20, 2023Fine$4,545
Nov 13, 2023Fine$4,545
Oct 23, 2023Fine$13,635
Sep 25, 2023Fine$13,635

Location

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Questions about Salem Memorial District Hospital

Answers computed from CMS data for this facility.

What is Salem Memorial District Hospital's Medicare rating?

Medicare rates Salem Memorial District Hospital 3 out of 5 stars overall (average). The average for Salem-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.

How did Salem Memorial District Hospital do on its last inspection?

Inspectors' most recent visit in the CMS data was on Oct 16, 2025, when they cited 3 problems. The most common area was pharmacy service (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Oct 16, 2025) it had 3 citations, compared with an average of 9.6 for Salem-area homes, 11.4 in Missouri and 9.2 nationally.

Has Salem Memorial District Hospital been fined?

Yes. CMS reports 10 fines totaling $83,898 in the past three years.

Does Salem Memorial District Hospital accept Medicaid?

Salem Memorial District Hospital is certified for Medicaid only. Call (573) 729-6626 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.