Salem Memorial District Hospital is a very-small hospital-based facility in Salem, Missouri. Featuring an overall grade of A+, we scored this facility to be the top nursing home in Salem. An overall grade in this range is a great indicator of a high-end nursing home. Based on our ratings, this nursing home is simply as good as it gets. As you can see below, this facility also performed just fine in our category scores. It would be hard to find any major flaws in this facility's profile.

Additional Details:

Accepts Medicare 1 : FalseUsed to indicate false.

Accepts Medicaid 1 : 18 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Government - Hospital district

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Facility Inspections

A+
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+May 19: A+Jun 19: A+Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: A+Mar 20: A+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

We also wanted to point out that this nursing home has received near flawless inspections in recent years. We awarded them an A+ in this category. Our inspection scores account for several factors found on a nursing home's inspection report. One of the most important criteria we look at is the number and severity of deficiencies. Facilities with better scores in this category usually have few of these severe deficiencies. Although this place had a few deficiencies on its report, none of them were major deficiencies based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Long-term Care Quality

A+
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A-Feb 19: A-May 19: A+Jun 19: A+Jul 19: AAug 19: ASep 19: AJan 20: A+Mar 20: A+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

This high end nursing home also fared very well in the area of long-term care, where we awarded it a grade of A+. Very few facilities performed better in this area. Facilities that excel in long-term care typically are well-staffed and provide extensive hands on care to residents. Once we concluded our assessment of the quantity of care provided by nurses, we then looked at the facility's vaccination records. This nursing home vaccinated 100 percent of its residents for pneumonia, which is very impressive. Pneumonia is often a deadly illness for nursing home patients so we strongly prefer when a facility does not take any chances. Clearly, this nursing home is doing something right in this area as it also excelled at keeping its patients out of the hospital. It had less than one hospitalization per one thousand long-term resident days, which is a remarkably low number.

Nurse Quality

A
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A-Feb 19: A-May 19: AJun 19: AJul 19: AAug 19: ASep 19: AJan 20: AMar 20: AApr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

To complement its strong performance in other areas, we awarded this nursing home a grade of A+ for our inspections rating. We weighed the qualifications of nurses at the facility, in addition to the number of hours the nurses worked with residents, in determining our rating in this category. This nursing home provides 0 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This place performed well in this area. Avoiding major falls is typically a good indicator that a nursing home has reliable quality controls in place. Major falls can often be prevented if more nurses aids and better safety protocols are in place.

Short-term Care Quality

B+
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: B+Feb 19: B+May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: BMar 20: BApr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

The last category we scored is short-term care, where this nursing home was awarded a B+. This topped off a very strong report card. Not many facilities earned a B+ or higher in every category. Short-term care grades are generally used to score a facility's performance with rehabilitation. To offer good rehabilitation services, facilities generally need to feature higher levels of skilled nursing services. Skilled nursing includes registered nurses, physical therapists, occupational therapists and other types of therapists. Unfortunately, it doesn't appear that this facility submitted registered nurse or physical therapist staffing data. Finally, we looked at the number of residents who were able to return to the community from this nursing home. We found that 0 percent of this facility's residents returned home.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
A+
State:
B-
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Salem Memorial District Hospital Quality Metrics

Minimizes Pressure Ulcers

This tells you the percent of residents who suffered from a pressure ulcer. Pressure ulcers are skin damage due to staying in one position for too long.

Provider
A
2.82%
State
B
8.39%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This is the percentage of residents that suffered from a major fall. Falls leading to major injury are considered by many experts to be a measure of nursing care . Falls leading to injury are routinely the result of poor nursing care.

Provider
A
1.41%
State
B-
4.16%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This statistic is an indication of the percent of long-term residents that had UTI's. While more of these infections may reflect poorly on a nursing home's nursing care, it can be problematic to compare between nursing homes due to inconsistent reporting standards.

Provider
D
5.63%
State
B
3.59%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This statistic indicates the percent of long-term patients taking antipsychotic drugs. While antipsychotic drugs serve an important medical purpose, it is important to confirm these drugs are being used only where medically required. In limited situations, high levels of antipsychotic drug use may mean that a nursing home is using these drugs to control patient behavior.

Provider
A
7.04%
State
B-
18.42%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This tells you the percentage of residents prescribed antianxiety medications. These medications are commonly prescribed to residents experiencing depression and anxiety.

Provider
F
42.25%
State
B-
24.61%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percent of patients who are demonstrating symptoms of depression. High levels of depression could indicate lower quality care.

Provider
D
10.45%
State
B
3.59%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This datapoint is a measure of the percentage of long-term care residents who were vaccinated against pneumonia and flu.

Provider
A
100%
State
B-
89.7%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This indicates the percentage of patients that needed more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with ADL's may indicate decline of a resident's well-being.

Provider
A
7.46%
State
B
14.44%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This is a measure of the percentage of long-term stay patients that were able to retain mobility. Many believe that the ability to move around is critical to patients well-being.

Provider
F
4.79%
State
B-
14.54%
National
B
17.10%

Percentage of Residents
Higher is Better

Short-term Care: Rehospitalizations

This tells you the number of rehospitalizations per 1,000 days of short-term patient care.

Provider
A+
4.79
State
B+
14.54
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better