Richfield Recovery & Care Center
3615 West Main Street, Salem VA 24153 · (540) 380-4500 · 62.6% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Richfield Recovery & Care Center is one of a mere three available nursing homes located in Salem, Virginia. It looks like this is a fine nursing home. We gave it an overall grade of B, which is a favorable grade. You could definitely do much worse than this place. This facility's strong report card was highlighted by its inspection score, which we will address in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 315 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
One of the reasons this place is a quality facility is that it earned an impressive inspection score. Inspections turned out to be its best category. In that area, we gave it a grade of A-. Inspection grades are based on many items found on the a nursing home's recent inspection reports. Nursing homes that score well in this category tend to have very few deficiencies on their reports. Most importantly, these nursing homes generally do not have any severe deficiencies which are associated with risks to patient safety. This place was hit with 3 deficiencies on its inspection report, but none were considered to be severe. This means that the inspectors didn't deem any of these deficiencies to be an imminent threat to patient health or safety. The fact that none of the deficiencies were severe leaves us less concerned with this inspection report.
Long-term Care Quality
Another strong feature for this nursing home is that it was given an impressive long-term care score. In fact, this ended up being its second best category grade. In that category, we awarded this facility a B+. When facilities receive a grade in this range in this category it typically means it has plenty of staff and is a quality place to live on a permanent basis. In addition to providing elite levels of nurse staffing, this facility provided the pneumonia vaccine to 98.71977 percent of its patients. This percentage is also far better than most nursing homes. Lastly, we looked at the nursing home's number of hospitalizations. With 1.75 hospitalizations per one thousand long-term resident days, this place is close to average in this area.
Short-term Care Quality
The third category we assessed was short-term care. This nursing home was awarded an above average short-term care grade, with a B in this category. Short-term care scores are vital for individuals requiring rehabilitation. Rehabilitation typically utilizes more highly-skilled nursing services. This includes a vast spectrum of nursing services, ranging from registered nurses to physical and respiratory therapists, as well as other variations of therapy. Fortunately, this nursing home offers both physical therapists and registered nurses. Not all facilities offer both. Lastly, we looked at the percentage of residents that were able to return home from this facility. This nursing home performed better in this area than in its staffing levels. This place fared as well as just about any nursing home in the country in this area with 62.5 percent of its residents returning home.
Nurse Quality
The next area we looked at is nursing, was this nursing home's least impressive area. We gave this nursing home a D in this category. This really is one of just a few weak points on a quality report card. In determining a nursing home's nursing score, we look at the amount of time nurses are with residents and the levels of training of the nurses. In this facility's case, quantity of care does not appear to be the problem. According to its CMS reports, this facility provided an average of 4.2 hours of nursing care per patient each day, which was above the national average. Finally, we also factored in some quality-based measures in this category. This nursing home fared well in some of the quality-based metrics we looked at. For example, in terms of the number of its patients suffering from pressure ulcers, this place performed better than the national average. This is generally an indicator that a nursing home has reliable quality controls in place. Pressure ulcers can frequently be avoided with better nursing care.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Richfield Recovery & Care Center Quality Metrics
Minimizes Pressure Ulcers
This indicates the percent of patients who suffered from a pressure ulcer. Pressure ulcers are damage to the skin due to remaining in the same position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of patients that have had a major fall. Falls leading to serious injuries are often caused by lower quality nursing care. Closer supervision limits the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents who suffered from a urinary tract infection. UTI's are considered by many in the nursing home industry to be a barometer of nursing care . UTI's are often the result of a facility with lower levels of hygiene. Nevertheless, this datapoint could also be skewed for certain nursing homes due to different reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This measures the percentage of long-term patients that are given antipsychotic medication. Excessive reliance on these medications may mean that a nursing home is using these drugs to subdue residents in scenarios where such drugs aren't medically required. However, some facilities may need to rely more on these medications due to having more residents suffering from dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is a measure of the percentage of long-term care patients taking antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
Measures the percent of long-term care patients demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percent of patients that received the pneumonia and flu vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percentage of long-term care residents who required more assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term care patients that retained mobility levels.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of hospitalizations per 1,000 days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of times residents are sent to the emergency room per thousand days of short-term care. Avoiding medical emergencies is one way to assess patient well-being during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term residents that experienced functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better