Deficiency Index

Salem Home

Hillsboro, Kansas · CCN 175484

23 surveys since 2010. The first finding at harm level was recorded in 2016.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
85
Surveys
23
Harm or worse
6
Immediate jeopardyall corrected before survey
2
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file19/23

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
45
Ownership
Non profit - Other
Chain
Independent
County
Marion · rural
Medicare-certified since
2005

CMS ratings

Overall
5
Health inspection
4
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 83 not-for-profit facilities with fewer than 66 beds in Kansas.

Last survey on record

Jun 10, 2026

152 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.294.29
Registered-nurse hours per resident day0.39—
Annual nurse turnover62.5%43.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ15.6%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1266.7%E15.6%F316.7%
No harm, potential for minimalA—B—C15.6%
CMS’s current file: 18 of the 85 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F5831×

    Keep residents' personal and medical records private and confidential.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF689Dec 13, 2022

    The facility had a census of 42 residents. The sample included 13 residents. Based on observation, record review, and interview the facility failed to provide adequate supervision for Resident (R) 4 who was independent with ambulation and required staff supervision for safety due to a diagnosis of schizoaffective (mental health disorder that is marked by a combination of schizophrenia symptoms, such as hallucinations [perception of having seen, heard, touched, tasted, or smelled something that wasn't actually there] or delusions [altered reality that is persistently held despite evidence or agreement to the contrary], and mood disorder symptoms, such as depression [persistent feeling of sadness and loss of interest] or mania [abnormally elevated, extreme changes in your mood or emotions,… […]

  • Immediate jeopardy, isolatedF686Jan 27, 2022

    The facility reported a census of 38 residents with three selected for review for pressure ulcers/injuries. Based on interview and record review, the facility failed to inspect/assess one of the three resident's skin, Resident (R)7, under a CAM (controlled ankle motion) boot (a boot designed for the lower extremity that provides support, protection, and immobilization of the ankle after injury) between 12/13/21 and 12/31/21 (17 days) during the scheduled weekly skin assessment. […]

  • Actual harm, isolatedF689Jun 22, 2022

    The facility reported a census of 41, including three residents reviewed for accidents. Based on observations, interviews, and record review, the facility failed to ensure the safety of one Resident (R)1, of the three sampled residents when Certified Nurse Aide (CNA) M failed to supervise the resident while in the whirlpool room by turning around to gather supplies and staff further failed to use the safety belt while giving R1 a whirlpool bath. These failures resulted in R1 falling out of the whirlpool chair, onto the floor, and as a result of the fall the resident sustained a left [CONDITION(S)]. […]

  • No harm, potential for more than minimal, widespreadF812Jun 10, 2026

    Based on observation and interview, the facility failed to store and prepare food in the main kitchen and kitchenette under sanitary conditions to prevent food borne illnesses. Findings included:- The initial tour of South Kitchen on 06/08/2026 at 08:13 AM with Dietary Staff BB identified the following concerns:The reach-in freezer had built-up frost on three shelves.Two deep freezers had food stuck to the top.The table holding coffee pots and a tea machine had dried-on fluids on the white plastic legs and a buildup of dust on the wooden board behind the table.The side by side two-door refrigerator had food on the bottom and front of the bottom door.There was no trash can by the hand-washing sink.Flour and sugar containers had flour and sugar on top of the lid.The kitchen floor drain had a… […]

  • No harm, potential for more than minimal, widespreadF812Aug 7, 2024

    The facility reported a census of 44 residents. Based on observation, interview, and record review, the facility failed to ensure foods were stored, prepared, and distributed in a manner to prevent foodborne illness to the residents. Findings included: - Observation on 08/06/24 at 10:45 AM, revealed room trays for residents set with beverages. Two trays contained a glass of milk, and one contained a liquid nutritional supplement in a glass. Observation, on 08/06/24 at 11:15 AM, revealed Dietary Staff DD, obtained the temperature a glass of milk on the tray and revealed a temperature of 60 degrees Fahrenheit (F). Dietary Staff DD stated the milk should be served at 41 degrees F, and the supplier delivered the milk earlier and may not have cooled down to 41 degrees F. […]

Read 23 findings in full →The most serious and the most recent: 23 of 85 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 10, 2026Standard8 findings
  • Aug 7, 2024Standard4 findings
  • Dec 13, 2022Standard and complaint2 findings · 1 harm
  • Jun 22, 2022Complaint1 finding · 1 harm
  • Jan 27, 2022Complaint3 findings · 1 harm
  • Apr 27, 2021Standard4 findings
  • Oct 22, 2020Complaint1 finding
  • Jun 4, 2020Complaint1 finding
Show the 15 earlier surveys
  • Aug 8, 2019Standard8 findings
  • Dec 11, 2018Complaint1 finding · 1 harm
  • Oct 11, 2018Standard7 findings
  • Aug 28, 2018Complaint1 finding · 1 harm
  • Jun 19, 2017Standard6 findings
  • Feb 10, 2016Standard and complaint6 findings · 1 harm
  • Sep 23, 2015Complaint2 findings
  • Mar 9, 2015Complaint2 findings
  • Nov 13, 2014Standard10 findings
  • Jul 21, 2014Complaint2 findings
  • Aug 14, 2013—3 findings
  • May 31, 2012—2 findings
  • Aug 17, 2011—1 finding
  • Apr 18, 2011—5 findings
  • Oct 21, 2010—5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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