Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Salem Place Nursing And Rehabilitation Center, Inc during CMS and state inspections, most recent first.
The facility failed to ensure proper hand hygiene and food safety practices, affecting 84 residents. Staff members were observed handling food with contaminated gloves and without washing hands. Additionally, ice cream and milk were improperly stored, and hot food items were not maintained at safe temperatures. These actions violated the facility's hand washing policy and could lead to foodborne illnesses.
The facility did not complete an accurate MDS discharge assessment for a resident with moderate cognitive impairment. The required discharge summary was missing, potentially due to the MDS Coordinator's absence, despite system notifications for overdue assessments.
A resident with moderate cognitive impairment was left with medications unattended at their bedside, contrary to facility policy requiring staff to ensure medications are swallowed. Additionally, a handrail in the Rehab hallway was missing an end-cap, posing a risk of skin tears. The Maintenance Supervisor admitted to not keeping maintenance logs, highlighting a lack of systematic checks.
A facility failed to securely store medications, leaving an anti-fungal cream at a resident's bedside. The resident, with severe cognitive impairment, used the cream without a physician's order. The ADON confirmed the medication should be stored in the treatment cart, as per facility policy, to prevent unauthorized access.
The facility failed to serve meals according to the planned menu, affecting residents on mechanical soft and pureed diets. Observations revealed that dietary staff served incorrect portions of chicken, lettuce, and pureed foods, deviating from the menu requirements. The staff member admitted to not consulting the menu before serving.
The facility failed to prepare pureed meals according to established recipes, using excessive water in pureed herbed pork loin and brussels sprouts, affecting meal palatability and potentially impacting nutritional intake for seven residents.
The facility failed to ensure influenza and pneumococcal vaccines were administered, offered, and documented for four residents. Interviews revealed that residents did not recall being offered the vaccines, and staff indicated that documentation was inconsistent, with some records not properly entered into the electronic system. The Administrator was unsure of the cause, suggesting a possible oversight by a former employee.
A resident was transferred to the hospital for low blood pressure and abdominal cramping, but the facility failed to notify the ombudsman of this transfer. The Business Office Manager and Administrator confirmed the omission, and it was noted that the facility lacked a policy for such notifications.
The facility failed to cover a laundry linen delivery cart during the delivery of clean personal laundry, potentially allowing the spread of harmful bacteria. A linen cart was observed with its cover open while an employee delivered laundry to resident rooms. Interviews revealed the absence of a policy for laundry delivery, although staff had been trained to use covered carts to prevent contamination.
Deficiencies in Hand Hygiene and Food Safety Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene and food safety practices in the dietary department, which had the potential to affect 84 residents. On one occasion, a dietary staff member contaminated gloves by pulling up his pants and then proceeded to handle food items without changing gloves or washing hands. Another staff member was observed handling strawberries and grapes after touching a trash can lid without washing hands. These actions were in violation of the facility's hand washing policy, which requires hand washing before and after glove use and after touching dirty objects. Additionally, the facility did not maintain proper food storage and temperature control. Ice cream and milk were found at improper temperatures, with ice cream being melted and milk at 50 degrees Fahrenheit. Furthermore, hot food items on the steam table were not maintained at the required temperature of above 135 degrees Fahrenheit, with items such as pureed yams and hamburgers recorded at only 100 degrees Fahrenheit. An opened gallon of soy sauce was not refrigerated as required, and expired coffee was found in storage. These practices could potentially lead to foodborne illnesses among residents.
Failure to Complete Accurate MDS Discharge Assessment
Penalty
Summary
The facility failed to ensure an accurate discharge Minimum Data Set (MDS) assessment for a resident, which did not reflect the resident's discharge status. The Resident Assessment Instrument (RAI) guidelines require a discharge assessment to be completed when a resident is discharged and not expected to return within 30 days, and it must be completed and submitted within 14 days after the discharge date. However, during a closed record review, the surveyor found that the MDS Discharge Summary for the resident was missing. The resident had a Brief Interview for Mental Status (BIMS) score indicating moderate cognitive impairment. The facility's Administrator acknowledged that the MDS Coordinator was responsible for these assessments, and the absence of the discharge summary might have been due to the MDS Coordinator being on leave, with medical records staff filling in as needed. The MDS Coordinator confirmed that the system provides notifications for overdue MDS discharges, and medical records staff cover in their absence.
Medication Mismanagement and Safety Hazard in Rehab Hallway
Penalty
Summary
The facility failed to ensure that medications were not left unattended at the bedside, as evidenced by an incident involving a resident with moderate cognitive impairment. The resident, who had a diagnosis of a fracture around an internal prosthetic joint, was observed with a medication cup containing two pills on their overbed table. An LPN admitted to administering the medications but did not observe the resident taking them, contrary to the facility's policy that requires staff to ensure medications are swallowed before leaving the room. The Assistant Director of Nursing confirmed that medications should not be left at the bedside to prevent other residents from taking them and to ensure they are consumed as prescribed. Additionally, the facility did not maintain a safe environment in the Rehab hallway, where a handrail was missing an end-cap, exposing rough edges that could potentially cause skin tears. The Maintenance Supervisor acknowledged the issue during an interview, noting that the handrail was sharp and could cause injuries. The supervisor also mentioned that handrails are checked monthly, but no maintenance logs or work orders are kept for these checks, indicating a lack of systematic documentation and follow-up on maintenance issues.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure the safe storage and security of medications, as evidenced by a tube of anti-fungal medication left at a resident's bedside. The resident, who had a diagnosis of brain bleed, heart failure, and stroke, was observed with the medication on their over-bed table on two separate occasions. The resident's care plan indicated severely impaired cognitive function with a BIMS score of 6. The anti-fungal medication, containing Miconazole Nitrate 2%, had warnings for external use only and to keep out of reach of children. During an interview, a registered nurse stated that the resident used the anti-fungal cream as a lotion for redness around the groin area, despite not having a physician's order for it. The Assistant Director of Nursing confirmed that the medication should be stored in the treatment cart and not left at the resident's bedside. The facility's policy requires medications to be stored safely and securely, accessible only to authorized personnel. A Safety Data Sheet for the ointment indicated potential risks such as eye irritation and the need for medical attention if ingested.
Failure to Adhere to Planned Menu for Resident Meals
Penalty
Summary
The facility failed to ensure that meals were prepared and served according to the planned written menu, which was intended to meet the nutritional needs of the residents. During an observation on August 13, 2024, it was noted that residents on mechanical soft diets were served only 2 ounces of ground breaded chicken instead of the prescribed 3 ounces, and only 2 ounces of chopped lettuce with tomatoes instead of the required 4 ounces. Additionally, residents on pureed diets received only one #8 scoop of pureed breaded chicken with bun instead of the two #8 scoops specified in the menu. The dietary staff member responsible for serving these meals admitted to not consulting the menu before serving. Further observations on August 14, 2024, revealed additional discrepancies in meal preparation. A dietary staff member used a 4-ounce spoon to puree 6 servings of brussels sprouts and candy yams, instead of the required 7 servings, and similarly prepared 6 servings of pureed bread instead of 7. These actions indicate a consistent failure to adhere to the planned menu, potentially affecting the nutritional intake of residents who require specific dietary modifications.
Improper Preparation of Pureed Meals
Penalty
Summary
The facility failed to ensure that meals were prepared and served in a manner that maintained their nutritive value and taste, which are crucial for resident satisfaction and nutritional intake. During an observation, it was noted that the dietary staff did not adhere to the facility's recipes for pureed meals. Specifically, the dietary staff member used an incorrect amount of water when preparing pureed herbed pork loin and pureed brussels sprouts. The recipe for the pork loin required 1.25 cups of water or stock, but 2 cups were used instead. Similarly, the recipe for the brussels sprouts did not call for any additional fluids, yet 2 cups of water were added. During interviews, the dietary staff member acknowledged the deviation from the recipes and admitted that the pureed food items would taste unpleasant due to the excess water. This improper preparation method had the potential to affect the palatability and nutritional intake of seven residents who received their meals from the kitchen in question. The failure to follow the established recipes compromised the quality of the meals served, potentially impacting the residents' willingness to consume them.
Failure to Document and Administer Vaccinations
Penalty
Summary
The facility failed to ensure that influenza and pneumococcal immunizations were administered, offered, and documented for four out of five sampled residents. The deficiency was identified through a review of physician orders and interviews with residents and staff. Specifically, there was no documentation in the electronic medical records indicating that Residents #18, #19, #60, and #64 received or were offered the influenza and/or pneumococcal vaccines. Additionally, there was no record of consent or refusal from the residents or their representatives regarding these immunizations. Interviews with the residents revealed that they did not recall being offered or receiving the vaccines upon admission. Staff members, including an LPN, a CMT, and an RN, indicated that the immunizations should be documented in the electronic record, especially if refused. However, the documentation process appeared to be inconsistent, with some immunizations recorded on paper and not properly transferred to the electronic system. The Administrator acknowledged the oversight but was unsure of the exact cause, suggesting it might have been due to a former employee's error.
Failure to Notify Ombudsman of Hospital Transfer
Penalty
Summary
The facility failed to notify the ombudsman of a hospital transfer for a resident who was sent to the hospital due to low blood pressure and abdominal cramping. The incident occurred on 6/12/2024, and it was discovered that the resident was not included in the list of emergency transfers sent to the ombudsman. During interviews, both the Business Office Manager and the Administrator confirmed that the resident should have been included on the list and acknowledged the omission. Additionally, the Administrator stated that the facility did not have a policy in place for notifying the ombudsman of hospital transfers.
Uncovered Laundry Cart During Delivery
Penalty
Summary
The facility failed to ensure that a laundry linen delivery cart on W Hall was covered during the delivery of clean personal laundry, potentially allowing the spread of harmful bacteria. On multiple occasions, a linen cart was observed with its cover open while Laundry Employee #11 delivered laundry to resident rooms. The cover was laid on top of the cart, leaving the clean laundry exposed. Interviews revealed that the facility did not have a policy for the delivery of clean resident laundry, although staff had been trained to use covered transport carts to prevent contamination. The Housekeeping and Laundry Supervisor confirmed that the cart should always be covered to protect the laundry from germs and unauthorized access.
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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 Conway
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Conway Healthcare And Rehabilitation Center | 0.2 mi | ★★★★★ | 8 | 0 |
| Heritage Living Center | 1.7 mi | ★★★★★ | 5 | 0 |
| The Blossoms At Conway Rehab & Nursing Center | 1.8 mi | ★★★★★ | 0 | 0 |
| Superior Health & Rehab, Llc | 2.5 mi | ★★★★★ | 6 | 0 |
| Greenbrier Nursing And Rehabilitation Center | 11.5 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 July 2026) and official state health department websites.