Nursing HomeInspections

Salem Care Center

Nursing home in Salem, MO

Medicare & Medicaid certified2★ overall (CMS)

Call (573) 729-6649Send a messageMap ↗

Public-record details

Address
1203 N Jackson, Salem, MO 65560
Phone
(573) 729-6649
Listed under
For-profit, No fines in 3 years
Medicare CCN
265885
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
1 of 5
Certified beds
60
Average residents per day
43
Ownership
For-profit, corporation
Legal business name
Elm Investment Group LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 26, 2024
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265885. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 27, 2026. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 5, 2023 to Jun 16, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 16, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 27, 2026Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights		E
Potential for more than minimal harm, pattern
Mar 27, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Mar 27, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 27, 2026Assure the security of all personal funds of residents deposited with the facility.
Resident Rights		F
Potential for more than minimal harm, widespread
Mar 27, 2026Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services		F
Potential for more than minimal harm, widespread
Aug 9, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 9, 2024Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration		D
Potential for more than minimal harm, isolated
Aug 9, 2024Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights		E
Potential for more than minimal harm, pattern
Aug 9, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Aug 9, 2024Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Aug 9, 2024Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 27. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.25 hours
Registered nurse (RN) time per resident per day
0.43 hours
Nurse aide time per resident per day
2.17 hours
Total nurse staffing on weekends
2.90 hours
Nursing staff turnover (yearly)
32%
RN turnover (yearly)
38%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Salem

Salem Memorial District Hospital35629 Highway 72 · Salem, MO 65560 · (573) 729-6626 · Nonprofit12 health citations in 3 inspection cycles · last standard inspection Oct 16, 2025 · $92,988 in CMS fines (3 yrs)Medicaid-certified3★ overall (CMS)Seville Care Center35625 Highway 72 · Salem, MO 65560 · (573) 729-6142 · For-profit38 health citations in 3 inspection cycles · last standard inspection Jan 16, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)CMS abuse icon

All 3 in Salem →