Salem Care Center

In the surveyor’s words

From the most serious findings on record at Salem Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF570Mar 27, 2026

  Based on interview and record review, facility staff failed to purchase a surety bond in an amount sufficient to assure security of all resident funds the facility holds. The facility census was 44.1. Review of the resident's trust fund account for March 2025 through February 2026, showed an average monthly balance of $47,132.42 which required a surety bond of $75,000 or greater.Review of the Department of Health and Senior Services (DHSS) database, showed the facility has an approved non-cancelable Escrow Agreement Account in the amount of $70,000.During an interview on 03/27/26 at 3:47 P.M., the business office manager (BOM) said he/she is responsible for resident funds and ensuring the bond is sufficient. […]

• No harm, potential for more than minimal, widespreadF728Mar 27, 2026

  Based on interview and record review, facility staff failed to ensure three Nurse Aide's ((NA) NA A, NA D, AND NA E) of three completed the nurse aide training program within four months of his/her employment in the facility. The census was 44.1.Review of the facility's Nurse Aide Qualifications and Training Requirements, revised 12/2011, showed nursing assistants failing to successfully complete the required training program within the first four (4) months of their date of employment may be terminated from employment or may be reassigned to non-nursing related services.2.Review of NA A's personnel change form, showed he/she transferred from housekeeper to NA on 8/15/25. […]

• No harm, potential for more than minimal, widespreadF812Aug 9, 2024

  Based on observation, interview and record review, facility staff failed sanitize kitchen wares in a manner to prevent contamination. Facility staff failed to ensure the dish machine was operating according to manufacturer's instructions in a manner adequate to prevent cross contamination of kitchen wares. The facility census was 46. 1. Review of the facility's Steps to Clean and Sanitize in a 3-Compartment Sink policy, undated, showed staff were directed to: -Clean items in the first sink; -Rinse items in the second sink; -Sanitize items in the third sink. […]

• No harm, potential for more than minimal, widespreadF880Aug 9, 2024

  Based on observation, interview and record review, facility staff failed to develop, implement and educate on an enhanced barrier precautions (EBP) system for four (Resident #12, #17, #38, and #200) of four sampled residents when facility staff failed to post signage or other system to alert staff of resident's who required EBP and place appropriate personal protective equipment (PPE) in close proximity. The facility census was 46. 1. Review of the facility's policies showed staff did not provide a policy for EBP. […]

• No harm, potential for more than minimal, widespreadF880Oct 5, 2023

  43327 Based on observation, interview, and record review, the facility failed to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility water systems to inhibit growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (LD). The facility staff also failed to use appropriate hand hygiene to prevent the spread of bacteria during incontinent care and failed to properly clean a mechanical lift between residents for three (Resident #1, #2, and #8) of four sampled residents, failed to change gloves between cares, failed to ensure sanitary conditions for a catheter bag (a container to hold urine) by keeping the catheter off the floor and a trash can, failed to properly store a Continuous Positive Airway… […]