SALEM MEMORIAL DISTRICT HOSPITAL in SALEM, MO was fined $106,623 by CMS across 13 separate penalties following 12 deficiency citations identified during federal surveys.

SALEM MEMORIAL DISTRICT HOSPITAL (SALEM, MO) — $106,623 in CMS Fines

Outcome: SALEM MEMORIAL DISTRICT HOSPITAL in SALEM, MO was fined $106,623 by CMS across 13 separate penalties following 12 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure services provided by the nursing facility meet professional standards of quality.


• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.


• Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.


• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.


• Ensure medication error rates are not 5 percent or greater.


• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.


• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.


• 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.