Nursing HomeInspections

Richfield Health Center - Salem

Nursing home in Salem, VA

Medicare & Medicaid certified3★ overall (CMS)

Call (540) 380-4500Send a messageMap ↗

Public-record details

Address
3719 Knollridge Road, Salem, VA 24153
Phone
(540) 380-4500
Listed under
Nonprofit
Medicare CCN
495013
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
112
Average residents per day
107
Ownership
Nonprofit, corporation
Legal business name
Friendship Rl LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1967
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 495013. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 15, 2024. CMS lists 31 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 29, 2021 to Dec 5, 2024): 4 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Dec 5, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 5, 2024Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 5, 2024Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 5, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		G
Actual harm, isolated
May 15, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
May 15, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
May 15, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
May 15, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 15, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 15, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 15, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 15, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 31. 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 1 fine totalling $15,465 in the last three years.

Dec 5, 2024Fine: $15,465

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
4.34 hours
Registered nurse (RN) time per resident per day
0.61 hours
Nurse aide time per resident per day
2.41 hours
Total nurse staffing on weekends
3.49 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
56%
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

Snyder Nursing Home11 North Broad St · Salem, VA 24153 · (540) 389-6305 · Nonprofit10 health citations in 3 inspection cycles · last standard inspection Oct 29, 2025 · no CMS fines in 3 yrsMedicaid-certified5★ overall (CMS)Salem Health & Rehabilitation1945 Roanoke Blvd · Salem, VA 24153 · (540) 345-3894 · For-profit32 health citations in 3 inspection cycles · last standard inspection Jun 4, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)

All 3 in Salem →