ElderGrade
A

93/100

Excellent

Snyder Nursing Home

11 North Broad St, Salem, VA 24153

CMS 5/5 stars #1 of 3 in Salem City County (540) 389-6305
Certified beds
45
Occupancy
88%
Ownership
Non-profit
Accepts
Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.61 total nurse hours per resident per day (national median 3.77)
  • 0.9 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 30% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.53 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.90 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.98 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 29.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 10 citations

Last standard health inspection: October 29, 2025 (9 months ago).

F Oct 29, 2025 F0578

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

No actual harm, potential for more than minimal harm

F Oct 29, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Oct 29, 2025 F0627 From a complaint

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

No actual harm, potential for more than minimal harm

D Oct 29, 2025 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Oct 29, 2025 F0842

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

D Aug 23, 2023 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Aug 23, 2023 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Aug 23, 2023 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

What families say

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Common questions about Snyder Nursing Home

What is the ElderGrade for Snyder Nursing Home? +

Snyder Nursing Home holds an ElderGrade of A (93 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Snyder Nursing Home? +

Residents receive an average of 4.53 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Snyder Nursing Home been cited for harming residents? +

No. None of the 10 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Snyder Nursing Home accept Medicaid? +

Yes, Snyder Nursing Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.