All 3 Medicare-certified nursing homes in Salem,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Salem Memorial District Hospital runs a small 18-bed unit, and its recent inspection record is genuinely solid, four stars on health inspections, no deficiencies at the harm level, nothing abuse-related, and a survey as recent as October 2025. The problem sits in staffing, which CMS rates at just one star. That's a meaningful gap: a home can pass inspections and still leave residents waiting too long for help with meals, toileting, or medication. The 12 deficiencies and 13 fines totaling $106,623 also suggest recurring compliance issues despite the decent inspection score, and nonprofit ownership doesn't change the math. Ask about actual direct-care hours per resident per day, and how often the unit relies on agency or on-call staff.
Salem Care Center runs 60 certified beds under for-profit LLC ownership, and its staffing sits at 3.25 nurse hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 11% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover is the better number here: 32.4% against a national average of 45.8%, meaning aides and nurses stick around longer than at most homes. The tradeoff shows up in its record, 21 deficiencies, including 2 tied to abuse, with a 1-out-of-5 rating on quality measures and 2 out of 5 on staffing. Its last inspection was August 2024.
Seville Care Center in Salem carries 39 deficiencies on its current record, four of them abuse-related, and two fines totaling $17,290. No deficiency rose to the level of actual harm or jeopardy, but the count itself is high, and the abuse citations matter. Staff turnover sits at 59.3% against a national average of 45.8%, which means more than half the workforce left over the year, that's the kind of churn that wears down consistent care. Federal ratings put staffing and quality measures each at one star out of five, with inspections at two. The current owner is a for-profit limited liability company. The last state inspection was January 16, 2025, so the picture is recent.