Senior CareScorecard

Nursing homes in Salem, MO

All 7 Medicare-certified nursing homes in Salem and 4 nearby towns (Dent, Iron, Reynolds, Texas counties), ranked by our Scorecard score, a 0 to 100 rating built from government inspection, staffing and fine data.

61Average score 616 scored homes · Missouri average 54
76Houston HouseHighest score in the area
7Nursing homes7 accept Medicaid
1Fined by Medicarein the past 3 years

All 7 nursing homes

Pins show each home’s Scorecard score. Map data © OpenStreetMap contributors.

Scores use CMS Provider Data processed Sep 1, 2026. Fines and serious citations (actual harm or immediate jeopardy) are from Medicare inspections.

The data at a glance

How the 7 nursing homes in the Salem area compare, from the same government data as the list.

Homes by Scorecard score

6 scored homes. New homes and short-stay hospital units are not scored.

Top tier 75–1001
Above average 60–743
Middle of the pack 45–592
Below average 30–440
Bottom tier 0–290

Federal fines, past three years

1 home fined, $83,898 in total.

  1. Salem Memorial District Hospital$83,898

Most common citation areas

Health inspection citations in the past three years.

  1. Resident Assessment and Care Planning25
  2. Quality of Life and Care23
  3. Resident Rights22
  4. Infection Control18
  5. Nutrition and Dietary13
  6. Pharmacy Service13

Medicare star ratings

Medicare's own 1 to 5 star rating, for reference.

  1. ★★★★★0
  2. ★★★★★1
  3. ★★★★★1
  4. ★★★★★3
  5. ★★★★★2

How to choose a nursing home in Salem

Start with the record

Use the score to build a short list, then open each home's page. Read the latest inspection and ask about any serious citation or fine directly.

Check staffing

Ask how many residents each aide cares for on nights and weekends, and how long the director of nursing has been there. High turnover is worth a question.

Plan for Medicaid

Medicare covers only short rehab stays. 7 of 7 homes here accept Medicaid, which pays for most long stays, so ask whether a Medicaid bed will be available if savings run out.

Visit, then visit again

Go at a mealtime and once unannounced. Notice how staff speak to residents, how fast call lights are answered and how the building smells.

More for Salem families: Missouri care costs · Paying with Medicaid

Salem nursing home questions

Answers computed from the same data as this page.

How many nursing homes are in Salem, MO?

There are 7 Medicare-certified nursing homes in Salem and 4 nearby towns (Dent, Iron, Reynolds, Texas counties). 7 of them accept Medicaid.

What are the best nursing homes in Salem?

By Scorecard score, the highest scoring homes are Houston House (76), Salem Care Center (63), Stonecrest Healthcare (63). Scores run from 0 to 100 and use government inspection, staffing and fine data.

How do Salem nursing homes compare with the rest of Missouri?

The average Scorecard score here is 61, compared with 54 across Missouri. 4 homes score 60 or higher, and 0 score below 45.

How many Salem nursing homes have been fined?

1 of the 7 homes were fined by Medicare in the past three years, totaling $83,898. The largest total was $83,898 at Salem Memorial District Hospital.

Which nursing homes in Salem accept Medicaid?

7 of 7 homes are certified for Medicaid. Check “Accepts Medicaid” above the list to see only those homes.

What is the Scorecard score?

It's our 0 to 100 rating built from CMS data on staffing, health inspections, resident outcomes, fines and staff stability. Homes with recent serious harm citations are capped, and each facility page shows the breakdown.