SALEM HOME

704 S ASH STREET
HILLSBORO, KS, 67063
6209471429
CCN: 175484
4
Overall
4
Health
4
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ENSEY, LAURACORPORATE DIRECTORNOT APPLICABLE
HERBEL, DELAYNECORPORATE DIRECTORNOT APPLICABLE
JOST, JAREDCORPORATE DIRECTORNOT APPLICABLE
KOSLOWSKY, THOMASCORPORATE DIRECTORNOT APPLICABLE
LANCASTER, MARYCORPORATE DIRECTORNOT APPLICABLE
WIEBE, HENRYCORPORATE DIRECTORNOT APPLICABLE
CROCKER, HEATHERCORPORATE OFFICERNOT APPLICABLE
MUNGAI, PETERCORPORATE OFFICERNOT APPLICABLE
CROCKER, HEATHEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ZARAGOZA, ANGIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DONAHUE, LISAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAMM, JODIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAMM, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MUNGAI, PETEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
REEH, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WEBER, VIRGILENEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WILLIAMS, ANGELAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (10)
2024-08-07 · Health
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
F761 · Pharmacy Service Deficiencies
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.
2022-12-13 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2021-04-27 · Health
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.44
3.68
RN Hrs/Resident/Day
0.52
0.54
LPN Hrs/Resident/Day
0.45
0.81
CNA Hrs/Resident/Day
3.47
2.33
PT Hrs/Resident/Day
0.01
0.12
Data as of 2026-03-01