Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Salemhaven during CMS and state inspections, most recent first.
The facility failed to follow infection control protocols, including improper hand hygiene and glove use during medication administration, incorrect disposal of medical waste, and inadequate cleaning of medical equipment. Additionally, Enhanced Barrier Precautions were not implemented for residents with open wounds or indwelling devices, as required by facility policies and CDC guidelines.
The facility failed to report alleged neglect involving two residents to the SSA within the required timeframe. One resident's call bell was ignored for 45 minutes, and they were treated dismissively by staff. Another resident experienced incontinence due to ignored calls and was told to manage care independently. These incidents were not reported as per facility policy.
The facility failed to notify the Office of the State Long-Term Care Ombudsman of two residents' hospital transfers. Despite the facility's policy requiring such notifications, the Director of Social Services confirmed that notices were not sent. This oversight was identified during a review of the residents' transfer/discharge forms.
The facility failed to ensure accurate MDS assessments for four residents. Two residents had incorrect coding regarding bed rail use, which was intended for mobility assistance. Another resident's discharge was inaccurately coded as unplanned, despite being a planned transfer. Additionally, a resident's use of bed rails was incorrectly coded as a restraint, although it was for mobility assistance. These discrepancies were confirmed by staff interviews.
The facility did not conduct annual performance reviews for two LNAs. One LNA, employed since June 2022, and another, employed since July 2023, had no documented evaluations. This was confirmed by the DON.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to adhere to infection prevention and control guidelines, as evidenced by multiple observations of improper hand hygiene and glove use during medication administration. Staff O, an LPN, was observed administering insulin, eye drops, and nasal spray to a resident without changing gloves or performing hand hygiene between procedures. This was confirmed by both the staff member and the infection preventionist, who acknowledged the breach in protocol. The facility's policies and CDC guidelines clearly outline the necessity of hand hygiene and glove changes between patient contacts and procedures, which were not followed in this instance. Another deficiency was noted with the improper disposal of medical waste and inadequate cleaning of medical equipment. Staff P, another LPN, was observed disposing of a used lancet needle in a regular trash bin instead of a sharps container and failed to properly disinfect a glucometer after use. The infection preventionist confirmed that the glucometer should have been cleaned with bleach wipes according to the manufacturer's instructions, and the lancet needle should have been disposed of in a sharps container, as per OSHA guidelines. Additional deficiencies were identified in the implementation of Enhanced Barrier Precautions (EBP) for residents with open wounds or indwelling medical devices. Several residents, including those with pressure ulcers and PICC lines, were not placed on EBP as required. Staff members were either unaware of the need for EBP or failed to implement it correctly, as evidenced by the lack of PPE and improper gown use during high-contact care activities. These lapses were confirmed through interviews with staff and a review of the facility's policies and CDC guidelines.
Failure to Timely Report Alleged Neglect
Penalty
Summary
The facility failed to report alleged violations of neglect to the State Survey Agency (SSA) within the required timeframe for two residents. Resident #79 reported an incident where their call bell was not answered for 45 minutes, and when staff finally responded, they were dismissive, telling the resident to wait their turn. Additionally, the resident reported that a Licensed Nursing Assistant (LNA) entered their room before breakfast and abruptly pulled the blankets off, instructing them to get up. These allegations were documented in the facility's grievance log but were not reported to the SSA as required. Similarly, Resident #20 alleged neglect when their call bell was ignored, resulting in incontinence. When the LNA eventually responded, they told the resident to manage their toileting and incontinence care independently. An interview with Resident #20 confirmed the grievance, and a subsequent interview with Staff A verified that these allegations were not reported to the SSA. The facility's policy mandates immediate reporting of such allegations, or within two hours if they do not result in serious bodily injury, which was not adhered to in these cases.
Failure to Notify Ombudsman of Resident Transfers
Penalty
Summary
The facility failed to send a copy of the notice of Transfer/Discharge to a representative of the Office of the State Long-Term Care Ombudsman for two residents who were hospitalized. Resident #30 was transferred to the hospital for a higher level of care, and upon review of their Notice of Transfer/Discharge form, there was no evidence that it was sent to the Ombudsman. Similarly, Resident #57 was hospitalized, and their Notice of Transfer/Discharge form also lacked evidence of being sent to the Ombudsman. An interview with the Director of Social Services confirmed that the facility does not send copies of the transfer/discharge notices to the Ombudsman. This is contrary to the facility's policy, which requires that a copy of the notice be faxed or mailed to the Ombudsman. The policy, dated January 17, 2019, outlines the procedure for transfers to hospitals, including the responsibility of the Social Services representative to follow up on written notifications.
Inaccurate MDS Assessments for Residents
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessments accurately reflected the residents' status for four residents. For Resident #12, the MDS indicated daily use of bed rails, which was confirmed by the resident and supported by a physician's order for bed rails to assist with mobility due to muscle weakness and a cerebrovascular accident. Similarly, Resident #34's MDS was incorrectly coded for bed rail use, which was intended to assist with bed mobility and transfers, as confirmed by the MDS Coordinator. Resident #90's discharge was inaccurately coded as unplanned in the MDS, despite social services notes and interviews confirming it was a planned transfer to a memory care unit. Additionally, Resident #5's MDS inaccurately coded the use of bilateral bed rails as a restraint, although they were used for mobility assistance, as confirmed by the resident, physician orders, and care plan. These discrepancies were confirmed through interviews with staff, including the MDS Coordinator and Unit Manager.
Failure to Conduct Annual Performance Reviews for LNAs
Penalty
Summary
The facility failed to complete a performance review at least once every 12 months for two of the four Licensed Nurse Assistants (LNAs) reviewed. Staff I, who started employment on June 3, 2022, had no evidence of a performance evaluation completed. Similarly, Staff J, who began employment on July 25, 2023, also lacked evidence of a performance evaluation. These findings were confirmed during an interview with the Director of Nurses.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Salem
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Warde Health Center | 3.3 mi | — | 2 | 0 |
| Cedar View Rehabilitation And Healthcare Center | 4 mi | — | 5 | 0 |
| Nevins Nursing & Rehabilitation Center | 4.1 mi | — | 13 | 0 |
| Whittier Bradford Transitional Care Unit | 4.9 mi | — | 0 | 0 |
| Berkeley Retirement Home,the | 4.9 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.