Nursing home report card · Salem, MO
Salem Memorial District Hospital
35629 Highway 72, Salem, MO 65560
Call this home: (573) 729-6626
View this home on Medicare.gov ↗
Quick summary
Large fines appear in this home’s records
Reported penalties total about $92,988. Fines often follow serious or repeated inspection failures.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Oct 15, 2026
- Last routine health inspection
- Oct 16, 2025
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
About average for U.S. nursing homes
Based on problems found during health inspections.
Above average
Based on staffing levels and related measures.
Among the lowest Medicare ratings
Based on reported health and care results.
Above average
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 26A381
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Could have caused harm · widespread case
Oct 16, 2025 · Inspection rule 0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Could have caused harm · widespread case
Oct 16, 2025 · Inspection rule 0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Could have caused harm · isolated case
Oct 16, 2025 · Inspection rule 0658
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 3 stars
- Health inspection rating: 4 stars
- Staffing rating: 1 stars
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; Missouri averages Unavailable; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- Recent citations include infection-control problems
- CMS has fined this home in the recent reporting period
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Could have caused harm10 citations
- Low risk of harm2 citations
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 12
- Fire safety
- 0
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as Non profit - Corporation.
- We do not have individual owner names for this home.
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
October 16, 20253 findings
- Pharmacy Service problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0756 · code F
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Nutrition and Dietary problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0801 · code F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
September 27, 20245 findings
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0658 · code E
Ensure services provided by the nursing facility meet professional standards of quality.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0700 · code E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed r…
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0759 · code E
Ensure medication error rates are not 5 percent or greater.
- Nutrition and Dietary problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0812 · code E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Administration problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0867 · code D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
August 22, 20234 findings
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0585 · code D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0677 · code D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- Administration problemsLow risk of harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0851 · code C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- Infection Control problemsLow risk of harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0881 · code C
Implement a program that monitors antibiotic use.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- Fine · Feb 20, 2024$4,893
- Fine · Feb 12, 2024$4,893
- Fine · Jan 22, 2024$14,679
- Fine · Jan 8, 2024$4,893
- Fine · Jan 2, 2024$4,545
- Fine · Dec 11, 2023$13,635
- Fine · Nov 20, 2023$4,545
- Fine · Nov 13, 2023$4,545
- Fine · Oct 23, 2023$13,635
- Fine · Sep 25, 2023$13,635
- Fine · Sep 5, 2023$4,545
- Fine · Aug 28, 2023$4,545
Related topics
Questions about Salem Memorial District Hospital
What is Salem Memorial District Hospital's Medicare star rating?
Has Salem Memorial District Hospital been fined?
Does Salem Memorial District Hospital have a Medicare abuse warning?
How does Salem Memorial District Hospital compare with other nursing homes in Missouri?
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