Quick answers
- Where is Salem Care Center?
- 1203 N Jackson, Salem, MO 65560, in Dent County, Missouri.
- What is the phone number of Salem Care Center?
- (573) 729-6649, as listed by Medicare (CMS).
- What is the Medicare star rating of Salem Care Center?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Salem Care Center been fined?
- Medicare lists no fines for Salem Care Center.
- What did inspectors find at Salem Care Center?
- In its last three inspection cycles (October 5, 2023 to June 16, 2026), Medicare lists 27 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 5, 2023 to June 16, 2026), Salem Care Center had 27 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: March 27, 2026 — 6 health citations
Inspections in this cycle: March 27, 2026 (standard health inspection); June 16, 2026 (complaint investigation).
Show 6 citations (levels A to F, no actual harm)
F0570 Level F
“Assure the security of all personal funds of residents deposited with the facility.”
F0728 Level F
“Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0761 Level E
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
Previous cycle: August 9, 2024 — 8 health citations
Inspections in this cycle: August 9, 2024 (standard health inspection).
Show 8 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0761 Level E
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0803 Level E
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0851 Level D
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
Earlier cycle: October 5, 2023 — 13 health citations
Inspections in this cycle: October 5, 2023 (standard health inspection); August 9, 2024 (complaint investigation).
Show 13 citations (levels A to F, no actual harm)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0567 Level E
“Honor the resident's right to manage his or her financial affairs.”
F0568 Level E
“Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0838 Level E
“Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.”
F0851 Level E
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0883 Level E
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0887 Level E
“Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0585 Level B
“Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (37)
K0161 Level F
“Use approved construction type or materials.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0521 Level E
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
E0009 Level F
“Include a process for Emergency Preparedness collaboration.”
E0031 Level F
“Provide emergency officials' contact information.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0271 Level F
“Have exits that are accessible at all times.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0911 Level F
“Meet requirements for the installation and maintenance of electrical systems.”
K0521 Level E
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
E0030 Level F
“List the names and contact information of those in the facility.”
E0031 Level F
“Provide emergency officials' contact information.”
E0037 Level F
“Establish staff and initial training requirements.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0346 Level F
“Follow proper procedures when the fire alarm was out of service for more than 4 hours.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0354 Level F
“Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0926 Level F
“Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Nursing staff turnover (per year) | 40.0% | 56.9% | 45.3% |
| RN turnover (per year) | 62.5% | 50.0% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Elm Investment Group LLC.
Owners and managers Medicare lists (6)
| Name | Role | Share | Since |
|---|---|---|---|
| Elm Investment Group LLC | Direct owner | 100% | February 1, 2024 |
| Krisley Properties LLC | Indirect owner | 23% | February 1, 2023 |
| MJZ Investment LLC | Indirect owner | 23% | February 1, 2024 |
| North Star Equity Group LLC | Indirect owner | 10% | February 1, 2024 |
| Silver Maple Properties LLC | Indirect owner | 23% | February 1, 2024 |
| Williza Properties | Indirect owner | 23% | February 1, 2024 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 60 |
| Average residents per day | 45.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Legal business name | Elm Investment Group LLC |
| First approved by Medicare/Medicaid | 2024-04-26 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1203 N Jackson, Salem, MO 65560 |
| County | Dent County |
| State | Missouri |
| Phone | (573) 729‑6649 |
| CMS Certification Number | 265885 |
| Name in Medicare records | SALEM CARE CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Salem Memorial District Hospital1.8 mi · Salem, MO · 3 of 5 stars
- Seville Care Center1.8 mi · Salem, MO · 1 of 5 stars
- Hickory Manor21 mi · Licking, MO · 2 of 5 stars
- Stonecrest Healthcare23 mi · Viburnum, MO · 2 of 5 stars
- Aurora Health and Rehabilitation24 mi · Rolla, MO · 2 of 5 stars
Nearest hospital emergency rooms
- Salem Memorial District Hospital4.3 mi · Salem, MO · Critical Access Hospital
- Phelps County Regional Medical Center25 mi · Rolla, MO · Acute Care Hospital
- Texas County Memorial Hospital33 mi · Houston, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13