Richfield Health Center - Salem
A nursing home in Salem, Virginia 24153
3719 Knollridge Road, Salem, Virginia 24153. (540) 380-4500.
- Not fully inspected in over two years (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 10 health citations at the latest inspection cycle Virginia average: 14.0
- 4.27 nurse hours per resident per day Virginia average: 3.88
- 1 fine in the last three years (needs attention)
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?
10 health citations at the latest inspection cycle
The Virginia average is 14.0.
Last standard inspection May 15, 2024.
Most serious in three years: actual harm (G), at a complaint inspection on Dec 5, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
14 citations in 2 months of the last 36. Last cited Dec 2024. Most serious: actual harm (G). 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 14 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. 4 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Dec 5, 2024: complaint inspection4 citations
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Ensure that residents are free from significant medication errors.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
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Provide or get specialized rehabilitative services as required for a resident.
May 15, 2024: standard inspection10 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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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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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 appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 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 non profit, corporation.
- 112 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $15,465 in all.
- No Medicare payment denials in the last three years.
- 4 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Dec 5, 2024 | Fine | $15,465 |
Who does the caring?
4.27 nurse hours per resident per day
The Virginia average is 3.88.
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 | Virginia average |
|---|---|---|
| Nurse hours per resident per day | 4.27 | 3.88 |
| Of which registered nurses | 0.58 | 0.71 |
| At weekends | 3.42 | 3.35 |
| Nursing staff turnover | 46.7% | 47.5% |
| Registered nurse turnover | 31.8% | 46.5% |
| Administrators who left | 0 | Not given |
Who owns it?
- Friendship Foundation Inc. owns 100% directly since Oct 1, 2023.
- Valley Management Co Inc. and Friendship Foundation Inc. run it.
- 48 owners or officers are people: Cynthia D Mitchell (on the governing body (managing control)); Lucian Y Grove (corporate director, 0%); Lucian Y Grove (runs it (operational or managerial control)); Robert H Sandel (corporate director, 0%); Robert H Sandel (runs it (operational or managerial control)); Robert H Sandel (on the governing body (managing control)); Paul W Nester (runs it (operational or managerial control)); Paul W Nester (on the governing body (managing control)); Erin Layell (runs it (operational or managerial control)); Erin Layell (additional disclosable party (controls, leases property to, or provides services to the home)); Whitney Nichols (runs it (operational or managerial control)); Luke Campbell (runs it (operational or managerial control)); Luke Campbell (additional disclosable party (controls, leases property to, or provides services to the home)); Stephanie G Duncan (runs it (operational or managerial control)); Stephanie G Duncan (additional disclosable party (controls, leases property to, or provides services to the home)); Edwin R Feinour (corporate director, 0%); Edwin R Feinour (runs it (operational or managerial control)); Angela Hughes (runs it (operational or managerial control)); John B Williamson (corporate director, 0%); Mary Rodger (runs it (operational or managerial control)); Mary Rodger (additional disclosable party (controls, leases property to, or provides services to the home)); Greg Feldmann (runs it (operational or managerial control)); Greg Feldmann (on the governing body (managing control)); Joseph Hoff (corporate officer, 0%); Joseph Hoff (runs it (operational or managerial control)); Joseph Hoff (on the governing body (managing control)); Joseph Hoff (additional disclosable party (controls, leases property to, or provides services to the home)); Glen C Combs (corporate director, 0%); Glen C Combs (runs it (operational or managerial control)); Charles M Shannon (corporate officer, 0%); Charles M Shannon (runs it (operational or managerial control)); Charles M Shannon (on the governing body (managing control)); Charles M Shannon (additional disclosable party (controls, leases property to, or provides services to the home)); Cynda Ann Johnson (corporate director, 0%); Cynda Ann Johnson (runs it (operational or managerial control)); Cynda Ann Johnson (on the governing body (managing control)); Kathryn Oelschlager (corporate director, 0%); Kathryn Oelschlager (runs it (operational or managerial control)); Todd Lowe (runs it (operational or managerial control)); Todd Lowe (additional disclosable party (controls, leases property to, or provides services to the home)); Benjamin C Higgins (runs it (operational or managerial control)); Benjamin C Higgins (additional disclosable party (controls, leases property to, or provides services to the home)); Robert C Lawson (corporate director, 0%); Robert C Lawson (runs it (operational or managerial control)); Robert C Lawson (on the governing body (managing control)); Nathaniel Bishop (corporate director, 0%); Nathaniel Bishop (runs it (operational or managerial control)); Nathaniel Bishop (on the governing body (managing control)).
- 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 |
|---|---|---|---|
| Friendship Foundation Inc. | Owns 5% or more directly | 100% | Oct 1, 2023 |
| Brown, Edwards & Company, LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2023 | |
| Valley Management Co Inc. | Runs it (operational or managerial control) | Oct 1, 2023 | |
| Valley Management Co Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2023 | |
| Walker & Associates PC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2023 | |
| Friendship Foundation Inc. | Runs it (operational or managerial control) | Oct 1, 2023 | |
| Friendship Foundation Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2023 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Virginia average 4.0).
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 | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 10.6 miles, this one had the 6th most health citations at the latest inspection cycle (10; the middle value was 8.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Richfield Health Center - Salem This nursing home | 10 | |
| Snyder Nursing Home | 3.9 | 5 |
| Salem Health & Rehabilitation | 5.8 | 14 |
| Davis and Mcdaniel Veterans Care Center | 6.3 | 3 |
| Brandon Oaks Nursing and Rehabilitation Center | 6.4 | 4 |
| Raleigh Court Health and Rehabilitation Center | 8.3 | 7 |
| South Roanoke Nursing and Rehabilitation | 9.2 | 11 |
| Friendship Health and Rehab Center - South | 9.2 | 11 |
| Pheasant Ridge Nursing and Rehabilitation | 9.9 | 29 |
| Old Southwest Health and Rehabilitation | 10.0 | 46 |
| Our Lady of the Valley | 10.3 | 3 |
| Friendship Health and Rehab Center | 10.6 | 5 |
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).
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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.