Nursing homeActive
Richfield Health Center - Salem
3719 Knollridge Road, Salem, VA 241535403804500112 certified beds · 107 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2021
Deficiencies
31
● 0● 30● 1
Penalties · 3 yrs
$15,465
1 fine
Last survey
2024-12-05
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Virginia Office of Licensure and Certification · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2024-12-05 | Complaint | 031 | CMS-2567 (Care Compare) | — |
| 2024-05-15 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2023-02-08 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2021-07-29 | Standard | 0100 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Virginia Office of Licensure and Certification publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-08Record 495013-20241205-F760
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 495013-20241205-F658
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 495013-20241205-F770
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 495013-20241205-F825
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 495013-20240515-F550
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 495013-20240515-F580
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 495013-20240515-F582
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 495013-20240515-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 495013-20240515-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 495013-20240515-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 495013-20240515-F684
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 495013-20240515-F756
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 495013-20240515-F842
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 495013-20240515-F883
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 495013-20230208-F584
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 495013-20230208-F607
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 495013-20230208-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 495013-20230208-F677
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 495013-20230208-F757
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 495013-20230208-F770
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 495013-20230208-F880
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-10Record 495013-20210729-F578
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-10Record 495013-20210729-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-10Record 495013-20210729-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-10Record 495013-20210729-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-10Record 495013-20210729-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-10Record 495013-20210729-F690
F772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-10Record 495013-20210729-F772
F803Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-10Record 495013-20210729-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-09-10Record 495013-20210729-F812
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-09-10Record 495013-20210729-F908
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-12-05 | Civil money penalty | $15,465 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.61
Facility
Virginia
National
Virginia 0.69 · National 0.69
Total nurse hours per resident day4.34
Facility
Virginia
National
Virginia 3.76 · National 3.86
Weekend total nurse hours3.49
Facility
Virginia
National
Virginia 3.29 · National 3.42
Total nursing staff turnover52%
Facility
Virginia
National
Virginia 48% · National 46%
Registered nurse turnover56%
Facility
Virginia
National
Virginia 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Virginia | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.1% | 4.7% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.6% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 28.9% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.3% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 22.6% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.3% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.1% | 20.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Friendship Foundation Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bishop, Nathaniel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell, Luke Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Combs, Glen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Duncan, Stephanie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Feinour, Edwin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Feldmann, Greg Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Friendship Foundation Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Grove, Lucian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Higgins, Benjamin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hoff, Joseph Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hughes, Angela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Johnson, Cynda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lawson, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Layell, Erin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lowe, Todd Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nester, Paul Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nichols, Whitney Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Oelschlager, Kathryn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rodger, Mary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sandel, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shannon, Charles Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Valley Management Co Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bishop, Nathaniel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bishop, Nathaniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brown, Edwards & Company, LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell, Luke Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Combs, Glen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Duncan, Stephanie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Feinour, Edwin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Feldmann, Greg Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Friendship Foundation Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Grove, Lucian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Higgins, Benjamin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hoff, Joseph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hoff, Joseph Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hoff, Joseph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Johnson, Cynda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnson, Cynda Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Lawson, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lawson, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Layell, Erin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lowe, Todd Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mitchell, Cynthia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nester, Paul Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Oelschlager, Kathryn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rodger, Mary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sandel, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Sandel, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Shannon, Charles Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Shannon, Charles Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Shannon, Charles Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Valley Management Co Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Walker & Associates PC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Williamson, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Virginia.
No county cost figures on file for Salem City.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Snyder Nursing Home Salem | 3.9 mi | 2025-10-29 | 050 |
| Salem Health & Rehabilitation Salem | 5.8 mi | 2026-05-06 | 0260 |
| Davis and McDaniel Veterans Care Center Roanoke | 6.3 mi | 2026-01-08 | 030 |
| Brandon Oaks Nursing And Rehabilitation Center Roanoke | 6.4 mi | 2023-09-08 | 030 |
| Raleigh Court Health And Rehabilitation Center Roanoke | 8.3 mi | 2024-08-15 | 1100 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |