CCN 495087 · Salem City County, Virginia
Salem Health & Rehabilitation
1945 Roanoke Blvd, Salem, VA 24153
Salem Health & Rehabilitation is a 240-bed for-profit nursing home in Salem, Virginia, first certified for Medicare or Medicaid in 1971. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 200.6 residents a day, about 84% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $1.6 million in December 2003 (223(a)(7) refinance of a construction loan), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 240
- Average residents per day
- 200.6 (83.6% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Salem Operations LLC
- Certified since
- Nov 1, 1971
- Chain or affiliated group
- Lifeworks Rehab (64 facilities, chain average 2.1 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Virginia median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 60 at 1, 60 at 2, 54 at 3, 55 at 4, 57 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.14 | 3.45 | 3.68 |
| RN hours per resident per day | 0.48 | 0.53 | 0.58 |
| Weekend nurse hours per resident per day | 2.48 | ||
| Nursing staff turnover | 64.0% | 48.3% | 44.9% |
| Occupancy (residents / beds) | 83.6% | 91.8% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 14 (Jun 4, 2024) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Salem Health & Rehabilitation meets that part today: 2 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Salem Holdings I LLCOrganization | Direct Ownership Interest | 100% | 05/28/2021 |
| America West LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Charles 1994 & Family LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Charles 1994 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Charles 1994 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Edward 1998 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Edward 1998 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Kss 2000 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Ml 2000 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Mrv West LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Redrock West LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Saul 2012 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Saul 2012 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Rczbm West Manager LLCOrganization | Operational / Managerial Control | n/a | 05/28/2021 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 28, 2021 | Salem Operations LLC | Medical Facilities of America I & II |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 16, 2003 | 223(a)(7) refinance of a construction loanHUD project name: Salem Healthcare and Rehabilitation, 240 beds. Lender at endorsement: Capmark Finance, Inc | $1,592,800 | Ended Nov 30, 2011Prepayment | 05143189 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.