Salem Springlake Health & Rehabilitation Center
A nursing home in Salem, Kentucky 42078
509 North Hayden Avenue, Salem, Kentucky 42078. (270) 988-4572.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 1 health citation at the latest inspection cycle Kentucky average: 2.9
- 3.19 nurse hours per resident per day Kentucky average: 3.99
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
1 health citation at the latest inspection cycle
The Kentucky average is 2.9.
Last standard inspection Nov 14, 2025.
Most serious in three years: F: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
7 citations in 2 months of the last 36. Last cited Nov 2025. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 7 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Nov 14, 2025: standard inspection1 citation
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 8, 2023: standard inspection6 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide enough food/fluids to maintain a resident’s health.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Provide and implement an infection prevention and control program.
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Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 23, 1967.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 75 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.19 nurse hours per resident per day
The Kentucky average is 3.99.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Kentucky average |
|---|---|---|
| Nurse hours per resident per day | 3.19 | 3.99 |
| Of which registered nurses | 0.50 | 0.80 |
| At weekends | 2.74 | 3.48 |
| Nursing staff turnover | 34% | 45.4% |
| Registered nurse turnover | 37.5% | 40.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Orion Operating Services LLC owns 100% directly since Oct 8, 2004.
- Fifth Third Bank and Orion Operating Services LLC and Atrium Centers Management LLC run it.
- 15 owners or officers are people: Miguel Paredes (owns 5% or more through other companies, 100%); Essel W Bailey (corporate director); A person CMS lists without a name (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); David R Zetter (runs it (operational or managerial control)); David R Zetter (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Miguel Paredes (trustee); Miguel Paredes (additional disclosable party (controls, leases property to, or provides services to the home)); Susan Albright Ross (corporate officer); Donald D Finney (corporate director); A person CMS lists without a name (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Shayne Dacuir Handy (runs it (operational or managerial control)).
- Part of Atrium Centers (26 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Amicus Capital Holdings, Inc. Employee Stock Ownership Trust | Owns 5% or more through other companies | 100% | Aug 18, 2021 |
| Amicus Capital Holdings Inc. | Owns 5% or more through other companies | 100% | Jan 1, 2021 |
| Orion Operating Services LLC | Owns 5% or more directly | 100% | Oct 8, 2004 |
| Atrium Centers, LLC | Owns 5% or more through other companies | 100% | Oct 8, 2004 |
| Fifth Third Bank | Holds 5% or more security interest | 84% | Mar 7, 2017 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 1, 2004 | |
| Omnicare LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Fifth Third Bank | Runs it (operational or managerial control) | Mar 7, 2017 | |
| Plante & Moran PLLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Broad River Rehabilitation | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2021 | |
| Amicus Capital Holdings, Inc. Employee Stock Ownership Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 18, 2021 | |
| Amicus Capital Holdings Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 18, 2021 | |
| Ocs Real Estate Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2021 | |
| Leaderstat Ltd | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Orion Operating Services LLC | Runs it (operational or managerial control) | Oct 8, 2004 | |
| Forvis Mazars LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2023 | |
| Atrium Centers Management LLC | Runs it (operational or managerial control) | Sep 18, 2024 | |
| Atrium Centers Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 18, 2024 | |
| Amicus Properties LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2021 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Kentucky average 3.3).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 27.4 miles, this one had the 8th most health citations at the latest inspection cycle (1; the middle value was 2).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Salem Springlake Health & Rehabilitation Center This nursing home | 1 | |
| Crittenden County Health & Rehabilitation Center | 9.6 | 2 |
| Axiom Healthcare of Rosiclare | 12.0 | 6 |
| River’s Bend Retirement Community | 15.3 | 2 |
| Lake Barkley Health & Rehabilitation | 15.9 | 0 |
| Calvert City Convalescent Center | 17.6 | 1 |
| Oakview Nursing & Rehabilitation Center | 21.4 | 0 |
| Princeton Nursing & Rehabilitation | 21.5 | 0 |
| River Haven Nursing and Rehabilitation Center | 25.3 | 3 |
| Parkview Nursing & Rehabilitation Center | 26.0 | 5 |
| Stonecreek Health and Rehabilitation | 27.0 | 7 |
| Metropolis Rehab & HCC | 27.4 | 57 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.